Form Aw5-36a Federal Post Card Application (Fpca) Forwarding Form printable pdf download

Form Aw5-36a Federal Post Card Application (Fpca) Forwarding Form

AW5-36a

Prescribed by Texas Secretary of State

Section 101.054 Texas Election Code

1/14

Federal Post Card Application (FPCA) FORWARDING FORM

for use by Counties, Cities, and School Districts

To the Early Voting Clerk of:_______________________________________________________________________

(Political Subdivision to which FPCA is being Forwarded)

From: ____________________________________ , Early Voting Clerk for _________________________________

(Early Voting Clerk Forwarding FPCA)

(Political Subdivision Forwarding FPCA)

We have received an FPCA, attached, from the following voter:

______________________________________________________________

(Name of Voter)

This FPCA was received on the following date:________________________________________

It appears from our records that the above-named voter may be eligible to vote in elections held by your political

subdivision in _____________.

(Year)

Please keep the attached copy of the FPCA and send to the voter named above a ballot for each election for

which you are the early voting clerk and in which you determine that the named voter is eligible to vote.

Forwarding Official, check if applicable:

This voter has previously submitted an FPCA this calendar year, and the following information was updated

or altered by the voter (check all applicable changes):

Voter’s Residence Address

Voter’s Mailing Address

Other:_______________________________

NOTE to County Election Official ONLY: If the voter has marked that he or she is permanently away (new FPCA

form) or indefinitely away (old FPCA form), the voter is eligible to receive a federal ballot ONLY. Thus YOU DO

NOT HAVE TO FORWARD to the city or school district early voting clerks an FPCA from a voter who has indicated

he or she is permanently/indefinitely away.

NOTE to City and School District Early Voting Clerks: If the voter has marked that he or she is permanently away

(new FPCA form) or indefinitely away (old FPCA form), the voter is eligible to receive a federal ballot ONLY. Thus

YOU WILL NOT SEND THE VOTER A BALLOT, and must forward the FPCA to the COUNTY OFFICIAL ONLY.

Form Aw5-36a Federal Post Card Application (Fpca) Forwarding Form