Fill - Free fillable New York State Absentee Ballot Application PDF form

 

 

 



   

  

 



                      

                       

               



  



    

   

  

 





  



 



 



 

  



_________________________________



   

   

    

  

  

 







New York State !bsentee Ballot !pplicaon

Please print clearly; 

This applicaon must either be personally delivered to your county board of elecons not

later than the day before the election, or postmarked by a governmental postal service not

later than 7th day before election day; 







BOARD USE ONLY:

Town/City/Ward/Dist:

Registration No: ____________________

Party: ____________________________

 voted in office



I am requesng, in good faith, an absentee ballot due to (check one reason):

 



 





 



 









   

  



   







 





 



  

 









 



 

 

 







    

!pplicant Must Sign Below

  

 



Sign Here: X_________________________ Date _ _ _ _ / _ _ _ _ / _ _ _ _



 









  









 







Board Use Only

2015 Absentee Ballot Application

MM/DD/YYYY MM/DD/YYYY

MM/DD/YYYY







 













click to sign

signature

click to edit

click to sign

signature

click to edit

           

             

       

        

     

        



       

      

     



       

   

          

        

     

    

          

    

           

        

    

          

     

    

Instrucons:

Who may apply for an absentee ballot?





Informaon for military and overseas voters:



 

 





Where and when to return your applicaon:

!pplicaons must be mailed seven days before the elecon, or hand-delivered to your county

board of elecons by the day before the elecon; 







Opons available to you if you have an illness or disability:









 



When your ballot will be sent:



 

 

 





 

 



Fill Online, Printable, Fillable, Blank New York State Absentee Ballot Application Form

Related forms

Fillable New York State Absentee Ballot Application

Fill Online, Printable, Fillable, Blank New York State Absentee Ballot Application Form

Related forms

First 20 documents completely FREE!