_____________ SWCD - Resident Absentee Ballot Request Form
County residents wishing to vote absentee by mail may use this form to request an absentee ballot. All requests must be
received by the local SWCD Office not sooner than 21 days and not less than 5 days prior to the election.
County residents wishing to vote absentee in person at the local SWCD Office must complete this absentee ballot request form
not sooner than 21 days prior to the election and no later than time posted by the local SWCD Office in the election legal notice.
Per Ohio Revised Code 940.04 the ___________________ Soil & Water Conservation District Board
of Supervisors, will hold an election for _______ supervisors to be held on _____________________.
To process this Absentee Ballot Request, the informational box below must be completed by the voter.
I, ______________________________, hereby apply for an absentee ballot and registration envelope
print legal name
from the ___________________________Soil and Water Conservation District. I hereby certify that I am
an eligible voter in this special election as I meet the criteria of being at least 18 years of age and reside
within the county’s jurisdictional boundaries.
Please note: Submitted Absentee Ballot Request Forms must contain the voter’s legal and original signature to be valid. Thus, any Absentee Ballot Request Forms not
having a legal and original signature will be deemed invalid. Faxes, email or scanned Absentee Ballot Request Forms will not be accepted and will deemed invalid.
If requesting an absentee ballot and registration envelope to be mailed to you, please complete the following:
State & Zip Code:
To be processed and have a ballot mailed to you, please mail the completed Absentee Ballot Request Form to the
________________________, OH _________
Questions? Please contact your local Soil & Water Conservation District at: _______________________________________.
Revised: April 2017