Fill - Free fillable New York State !bsentee Ballot !pplicaon (North Country Community College) PDF form

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   

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   

     

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

  

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

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 elecon, or postmarked by a governmental postal service

not later than 7th day before elecon 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

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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 !bsentee Ballot !pplicaon (North Country Community College) Form

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Fillable New York State !bsentee Ballot !pplicaon (North Country Community College)

Fill Online, Printable, Fillable, Blank New York State !bsentee Ballot !pplicaon (North Country Community College) Form

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