-
DO NOT ADD THIS INFORMATION
TO MY VOTER RECORD
Date:
-
e
July020
-only
ABSENTEE BALLOT REQUEST INSTRUCTIONS: Polk County Iowa RESIDENTS
A written application for a mailed absentee ballot must be received by the Polk County Auditor no later
than 5:00 p.m. 10 days before a General Election or 11 days before any other election. Send form to the
following: Polk County Election Office, 120 2nd Avenue, Suite A. Des Moines, IA 50309-4757
In order to receive an absentee ballot, a registered voter MUST
provide the following necessary
information:
1. Name
2. Date of birth
3. Iowa residential address
4. Voter Verification Number (ID Number)
- Iowa Driver's License or Non-Operator ID Number OR
- Four digit Voter PIN located on the voter's Iowa Voter ID Card
- Any voter may request an Iowa Voter ID Card by contacting the Polk County
Election Office.
5. The name OR
date of the election for which you are requesting an absentee ballot
6. Party affiliation - only required for Primary Elections, which are held in even numbered years
7. Signature
All voters are encouraged to provide phone number and/or email address in the event of the need to confirm any information
on the request form.
If you have questions and/or to Mail or Drop off Absentee Requests:
Polk County Auditor, 120 2nd Avenue, Suite A. Des Moines, IA 50309-4757
Email: election@polkcountyiowa.gov Phone: 515-286-3247
