Application For Absent Elector'S Ballot Form
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1APPLICATION FOR ABSENT ELECTOR'S BALLOT
}
State of Idaho
s.s.
Date: __________________________________, _______
County of ____________________
I, ___________________________________________, hereby make application for an absent elector's ballot or ballots to be voted at the election held on
2nd Tuesday in March (School Bond or Levy)
(Check election this application is to be used)
3rd Tuesday in May (Primary Election and/or Taxing Districts Election)
Last Tuesday in August (School Bond or Levy)
Tuesday following 1st Monday in November (General Election and/or Taxing Districts Election)
Special Emergency Election to be held on _______________________________, ___________.
My home address is: ___________________________________________________________ in __________________________________________ ,
(City)
(House Number and Street)
and I am duly registered in ______________________________ County, Idaho.
Please mail ballot(s) to me at the following address:
____________________________________________________________
(Elector)
Optional Information - which will be public record:
____________________________________________________________
(______) _________-_____________
(Mailing Address)
(Phone Number)
____________________________________________________________
___________________________________________
(City, State and Zip Code)
(Email Address)
ELECTOR MUST PERSONALLY SIGN APPLICATION
Signed: _____________________________________________________
EA-4 Approved by the Secretary of State, 2011
(Elector)
The Caxton Printers, Ltd.
APPLICATION FOR ABSENT ELECTOR'S BALLOT
}
State of Idaho
s.s.
Date: __________________________________, _______
County of ____________________
I, ___________________________________________, hereby make application for an absent elector's ballot or ballots to be voted at the election held on
2nd Tuesday in March (School Bond or Levy)
(Check election this application is to be used)
3rd Tuesday in May (Primary Election and/or Taxing Districts Election)
Last Tuesday in August (School Bond or Levy)
Tuesday following 1st Monday in November (General Election and/or Taxing Districts Election)
Special Emergency Election to be held on _______________________________, ___________.
My home address is: ___________________________________________________________ in __________________________________________ ,
(City)
(House Number and Street)
and I am duly registered in ______________________________ County, Idaho.
Please mail ballot(s) to me at the following address:
____________________________________________________________
(Elector)
Optional Information - which will be public record:
____________________________________________________________
(______) _________-_____________
(Mailing Address)
(Phone Number)
____________________________________________________________
___________________________________________
(City, State and Zip Code)
(Email Address)
ELECTOR MUST PERSONALLY SIGN APPLICATION
Signed: _____________________________________________________
EA-4 Approved by the Secretary of State, 2011
(Elector)
The Caxton Printers, Ltd.
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