You can vote wherever you are.
1. Fill out your form completely and accurately.
• Your U.S. address is used to determine where you are eligible to vote
absentee. For military voters, it is usually your last address in your
State of legal residence. For overseas citizens, it is usually the last
place you lived before moving overseas. You do not need to have any
current ties with this address. DO NOT write a PO Box # in section 2.
• Most States allow you to provide a Driver’s License number or the last
4 digits of your SSN. Some States require a full SSN. See your State’s
guidelines at FVAP.gov.
• Most States require you to specify a political party to vote in primary
elections. This information may be used to register you with a party.
• We recommend that you complete this form every year while you are
an absentee voter.
2. Remember to sign this form!
3. Remove the adhesive liner from the top and sides.
Fold and seal tightly.
• You can nd the address for your election ofce at FVAP.gov.
• All States accept this form by mail, but they vary on email and fax.
See your State’s rules in the Voting Assistance Guide at FVAP.gov.
Questions? Email email@example.com
(Your name and mailing address)
U.S. Postage Paid
39 USC 3406
International airmail postage is required if not mailed using the
U.S. Postal Service, APO/FPO/DPO system, or diplomatic pouch.
Agency Disclosure Statement
The public reporting burden for this collection of
information is estimated to average 15 minutes
per response, including the time for reviewing
instructions, gathering and maintaining the
data needed, and completing and reviewing the
collection of information. Send comments regarding
this burden estimate or any other aspect of this
collection of information, including suggestions for
reducing the burden to: Department of Defense,
Washington Headquarters Services, Executive
Services Directorate, Information Management
Division, 4800 Mark Center Dr., East Tower, Suite
03F09, Alexandria, VA 22350-3100. [OMB Control
#0704-0503]. Respondents should be aware that
notwithstanding any other provision of law, no
person shall be subject to any penalty for failing
to comply with a collection of information if it does
not display a currently valid OMB control number.
DO NOT RETURN YOUR FORM TO THE ADDRESS
Privacy Act Statement
Authority: The authority to collect your personal
information on this form comes from 52 U.S.C. §
20301, “Uniformed and Overseas Citizens Absentee
Voting Act (UOCAVA).”
Principal purpose: This form serves as an
application for registration and/or request for an
absentee ballot for all persons covered by UOCAVA.
Routine use(s): There is no retention of this
information by the Federal government. Completed
forms are sent by you to an appropriate State
Disclosure: Your disclosure of personal information
is voluntary. However, failure to provide the
requested personal information may keep the
pertinent jurisdiction from processing this request
and may prevent you from voting absentee.
OFFICIAL ABSENTEE BALLOTING MATERIAL – FIRST CLASS MAIL
NO POSTAGE NECESSARY IN THE U.S. MAIL – DMM 703.8.0
(Fill in the address of your election ofce.
The address can be found online at FVAP.gov.)