CITY OF GUSTAVUS, ALASKA
APPLICATION FOR ABSENTEE BALLOT
I, ______________________________________________________________, A QUALIFIED VOTER AND
RESIDENT OF THE CITY OF GUSTAVUS, ALASKA HEREBY APPLY FOR AN ABSENTEE BALLOT
FOR THE CITY ELECTION TO BE HELD ON OCTOBER 6, 2020.
RESIDENCE ADDRESS:
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MAILING ADDRESS: (IF OTHER THAN RESIDENCE ADDRESS)
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PHONE NUMBER
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REASON FOR REQUESTING ABSENTEE BALLOT:
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ADDRESS TO WHICH ABSENTEE BALLOT SHOULD BE MAILED:
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*Note: An absentee ballot
____________________________________ may not be mailed to an
address in Gustavus.
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VOTER REGISTRATION NUMBER, SOCIAL SECURITY NUMBER, OR BIRTHDATE: ______________________
SIGNED: _______________________________ DATE: _________________
RECEIVED BY: _________________________ DATE: _________________
PLEASE MAIL THIS APPLICATION TO: Office of the City Clerk/Treasurer, City of Gustavus, P.O. Box 1,
Gustavus, Alaska, 99826
An application made by mail must be received by the City Clerk/Treasurer no more than forty-five (45) days, nor
less than twenty (20) days before a City election. An application made in person must be filed with the City
Clerk/Treasurer not more than twenty (20) days before the City election, and no later than noon on the day before a
City election.
