Fillable Form 1: Alaska Absentee Ballot Application For Federal (Haines Borough)

Fill Online, Printable, Fillable, Blank Form 1: Alaska Absentee Ballot Application For Federal (Haines Borough) Form

Use Fill to complete blank online HAINES BOROUGH (AK) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 1: Alaska Absentee Ballot Application For Federal (Haines Borough)

On average this form takes 9 minutes to complete

The Form 1: Alaska Absentee Ballot Application For Federal (Haines Borough) form is 1 page long and contains:

  • 0 signatures
  • 21 check-boxes
  • 25 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Haines Borough

BROWSE HAINES BOROUGH (AK) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
www.elections.alaska.gov
C06 (Rev. 9/16/2019)
Alaska Absentee Ballot Application – For Federal and State Elections
Elections
1
All in Calendar Year
Primary (August) General (November) REAA (October)
Eligibility
If you answer ‘No’ to either
question, you cannot register
.
2
Are you a citizen of the United States? Yes No
Are you 18 years of age or within 90 days of your 18
th
birthday? Yes No
Print your name
3
Last
First
Middle
Suffix
Other information
4
Former name (if changed):
Voter number (if known):
Alaska residence address -
Provide an Alaska residence
address. Do not use PO, PSC, HC
and Box or out-of-state address.
5
Alaska
House #
Street Name
City
State
*
Keep my residence address confidential. Mailing address in 6 MUST be different than residence in 5.
The address where you
receive mail (Permanent)
6
Identifiers
You MUST provide ONE.
7
I do not have an SSN or AK
driver’s license or State ID
*SSN or Last 4
*Alaska driver’s license or State ID No.
Birthdate
and
Gender
You MUST provide Birthdate
8
*Birthdate
Gender Male Female
Political party affiliation
9
Write political affiliation (For options, see instructions):
Military and Overseas Voters
Check your status and how you
want your ballot sent.
10
Active member of the Uniformed Services, Merchant Marine, or commissioned corps or an
eligible spouse or dependent.
Or, I am residing temporarily or permanently overseas and intend to return to Alaska.
Ma
il – Complete box 13 Online – Provide email in box 14 Fax – Provide fax in box 14
*Primary ballot option
Select ONLY ONE
11
The political affiliation that you are registered with 30 days before an election determines
your primary ballot option.
Alaska Democratic Party, Alaskan Independence Party candidates and ballot measure(s).
Alaska Republican Party candidates and ballot measure(s).
Ballot measure(s) ONLY (no candidates).
In remote Alaska or overseas?
12
Yes, I will be in remote Alaska or overseas where mail service is limited. If yes, a 45-day
advance ballot will be mailed to you.
Ballot mailing address.
Ballots WILL NOT be forwarded.
Provide an address where you
will receive mail.
13
Contact information
Include all state and international
prefixes.
14
Day Phone:
Evening Phone:
Email: Fax No.:
Certificate Read and Sign
Your signature must be
handwritten. A typed or
digital signature is not valid.
15
I swear or affirm, under penalty of perjury, that: The information on this form is true, accurate, and complete to the
best of my knowledge and I am eligible to vote in the requested jurisdiction, I am not requesting a ballot from any
other state, and I am not voting in any other manner in this (these) election(s). I further certify that I am an Alaska
resident and that I have not been convicted of a felony, or having been so convicted, have been unconditionally
discharged from incarceration, probation and/or parole. I am not registered to vote in another state, or I have taken
the necessary steps to cancel that registration.
WARNING: If you provide false information on this
application you can be convicted of a felony and/or misdemeanor. (AS 15.56.040; AS 15.56.050)
*Signature: Date:
For Office Use
Registrar or Official Name: Voter No. or last 4 of SSN:
*Items are kept confidential by the Division of Elections and are not available for public inspection except that confidential addresses
may be released to government agencies or during election processes as set out in state law.
www.elections.alaska.gov
C06 (Rev. 9/16/2019)
Alaska Absentee Ballot Application
For State and Federal Elections
Apply for a federal and
state absentee ballot
Use this form at the same time to:
Request an absentee ballot.
Register to vote.
Change your registration
i
nformation.
To register you must be
A United States citizen.
A resident of Alaska.
18 years of age or within 90 days of
your 18
th
birthday.
When registering to vote, your identity
mu
st be verified. Submit a copy o
f
y
our current driver’s license, state ID,
passport, birth certifiate, hunting and
f
ishing license or current and valid
photo ID with your application.
Ballots will NOT be
forwarded
Provide a permanent mailing address.
Provide a ballot mailing address
where you will receive mail. If you do
not provide a ballot mailing address,
your ballot will be sent to your
permanent mailing address.
Identifiers and contact
You MUST provide ONE identifier
and your birthdate.
Provide a contact telephone
number and/or email information. I
f
t
here is a problem with your
application, we will contact you.
Alaska residence address
Provide an Alaska residence address.
Your application will be denied if yo
u
pr
ovide an out-of-state address, PO
Box, HC number and box, rural route,
commercial address, mail stop address,
etc.
Temporarily out-of-state
and intent to return?
You may maintain your Alaska
r
esidence address as the address yo
u
l
ived at prior to leaving Alaska or
where you are currently registered i
n
A
laska. Active military members
and
s
pouses, you are exempt from t
he
i
ntent to return to Alaska requirement.
Military or overseas?
When requesting a by-fax or online
delivery ballot, your application must
be received by 5:00 p.m. Alaska
Standard Time the day prior to a
primary, general or statewide election.
Be sure to provide your fax number or
email address when requesting a fax or
online delivery ballot.
Overseas citizens, if you do not intend
t
o return to Alaska and wish t
o
p
articipate in federal elections, please
contact our office listed under
‘Questions?’ to receive the correct
application.
Deadlines
Already registered? Your application
mu
st be received 10 days before a
n
e
lection.
Registering to vote? To vote in an
election, your application must be
postmarked or received 30 days prior t
o
an election, except in a presidential
election.
In a presidential election, you may
r
egister and vote the presidential race so
long as your request for a by-mail ballot
is received 10 days prior to the election.
Submit your application
Mail your application:
Division of Elections
Absentee and Petition Office
2525 Gambell Street, Suite 105
Anchorage AK 99503-2838
Fax your application:
907-677-9943
855-677-9943 (toll free in U.S.)
Email your application:
akabsentee@alaska.gov
Questions?
Call us:
907-270-2700
877-375-6508 (toll free in U.S.)
Email us:
akabsentee@alaska.gov
Visit our website:
elections.alaska.gov
Political parties
Recognized Political Parties are parties who have gained recognized
political party status under Alaska statutes: Alaska Democratic Party,
Alaska Republican Party and Alaskan Independence Party
Political Groups are parties who have applied for party status but have
not met the qualifications required in Alaska statutes: Alaska Libertarian
Party, Alliance Party of Alaska, Green Party of Alaska, Moderate Party of
Alaska, OWL Party, Patriot’s Party of Alaska, Progressive Party of Alaska,
UCES’ Clowns Party, Veterans Party of Alaska
Other Political Affiliations: Nonpartisan (not affiliated with a political
party or group) or Undeclared (do not wish to declare a political party
or group)
Primary election
To vote in a primary election, you must select a ballot option.
The political affiliation you are registered with 30 days before
the election determines your option. If you are registered
nonpartisan or undeclared and do not select an option, your
application will not be processed for the primary election.
Any registered voter may choose the Alaska Democrati
c
P
arty, Alaskan Independence Party candidates and ballot
measure(s) option or the ballot measures only ballot (n
o
c
andidates) option
.
O
nly voters registered Republican, Nonpartisan or
Undeclared may choose the Alaska Republican Part
y
candidates and ballot measure(s) option.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 1: Alaska Absentee Ballot Application For Federal (Haines Borough)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document