Fillable Mail Ballot Application (San Bernadino County Registrar of Voters)

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Mail Ballot Application (San Bernadino County Registrar of Voters)

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Country of origin: US
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Mail Ballot Application
1. Fill Out Your Personal Information
Name:
Date of Birth:
Last Name
First Name
Residence Address:
Address to Mail Your Ballot to:
Email Address:
2. Sign and Date Your Application
I want to be a Permanent Mail Ballot voter and receive my ballot by mail for ALL elections.
I certify under Penalty of Perjury under the laws of the State of California that the information I have
provided is true and correct.
Signature:
3. Return Your Application
By Mail or In Person:
San Bernardino County Registrar of Voters
777 E. Rialto Avenue, San Bernardino, CA 92415
By Fax:
(909) 386-8388
By Email:
Scan or take a picture of your application and email it to
mailballots@sbcountyelections.com
Registrar of Voters
Bob Page
Registrar of Voters
777 East Rialto Avenue, San Bernardino, CA 92415 | Phone: 909.387.8300 Fax: 909.387.2022
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Mail Ballot Application (San Bernadino County Registrar of Voters)

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Completed 17 August 2021

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