State Absentee Ballot Request Form, North Carolina

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ALAMANCE COUNTY BOARD OF ELECTIONS
State Absentee Ballot Request Form
115 S. MAPLE STREET
GRAHAM, NC 27253
North Carolina
Alamance County
PHONE: 1-336-570-6755
FAX: 336-570-6757
Alamance.sboe @ncsbe.gov
General Instructions
A person must be a registered voter in their North Carolina county of residence in order to request an absentee ballot. If not registered to
vote in the proper county, a person must submit a voter registration application along with this form. Voter registration applications are
available online at The deadline to register to vote is 25 days prior to the date of the election.
Completing the Form
The voter’s full name, residential address, date of birth and an identification number (see Proof of Identification below) must be provided
on this form. This information will be used to confirm your voter registration. In addition, this form must be signed by the voter or the
voter’s near relative or qualified legal guardian.
Who may make a request for an absentee ballot
Either the voter or the voter’s near relative or qualified legal guardian may request an absentee ballot. A “near relative” is defined as the
voter’s spouse, brother, sister, parent, grandparent, child, grandchild, mother-in-law, father-in-law, daughter-in-law, son-in-law,
stepparent, or stepchild.
Who may not make a request for an absentee ballot
If a registered voter is a patient in any hospital, clinic, nursing home or rest home in this State, it is unlawful for any owner, manager,
director, employee, or other person, other than the voter's near relative or verifiable legal guardian, to request an absentee ballot on
behalf of the voter. The voter’s county board of elections should be contacted if a voter in a hospital, clinic, nursing home or rest home in
this State needs assistance requesting or voting an absentee ballot.
Updating Voter Information
This form may also serve as a voter change form; however, changes in voter registration may only be made by the voter.
Proof of Identification
If the voter’s identification number (NC driver license number, NC DMV-issued identification card number, or last four digits of social
security number) is not provided, then a copy of one of the following must be provided along with this request:
1. ­ A current and valid photo identification.
2. ­
A document that shows the name and residential address of the voter: a current utility bill, bank statement, government check,
paycheck, or other government document.
Ballot Availability
Absentee balloting materials are mailed to voters once ballots for an election are available. For most elections, ballots will be available 50
days prior to the date of the election. Absentee ballots are available 60 days prior to the date of a statewide general election and 30 days
prior to the date of a city or municipal election.
Submitting the form
Submit this form to the
Alamance County Board of Elections
no later than 5:00 p.m. on the Tuesday before the date of the election.
Address:
115 S. Maple St
Graham, NC 27253
Email:
Alamance.boe@ncsbe.gov
Fax:
336-570-6757
This form may be mailed, faxed, emailed, or delivered in person. Visit
to check the status of your absentee request.

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