Montgomery County Ny Absentee Ballot Application Form

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Instructions:
Completing Online Form
Complete highlighted fields on the web form. Print and sign the form. Mail the completed form to your
county Board of Elections. Forms will not be accepted by email or fax. Digital signatures are not
accepted. Incomplete forms could cause a delay in receipt of your absentee ballot.
Who may apply for an absentee ballot?
Each person must apply (sign form) for themselves. It is a felony to make a false statement in an application
for an absentee ballot, to attempt to cast an illegal ballot, or to help anyone to cast an illegal ballot. Please
note that a power of attorney or printed name stamp is not allowed for any voting purpose.
Information for military and overseas voters:
I
f you are applying for an absentee ballot because you or your family are in the military or because you
currently reside overseas, do not use this application. You are entitled to special provisions if you apply
using the Federal Postcard Application. For more information about military/overseas voting, contact your
local board of elections or refer to the Military and Federal Voting sections at:
Where and when to return your application:
Applications must be mailed seven days before the election, or hand-delivered to your county
board of elections by the day before the election.
If the address of your county board of elections is
not provided on this form, contact information for your local election office can be found on the New York
State Board of Elections’ website, under “County Boards of Election” directory” at:
Options available to you if you have an illness or disability:
If you choose "permanent illness or physical disability" in section 4, once your application is approved you
will automatically receive a ballot for each election in which you are eligible to vote, without having to
apply again. You may sign the absentee ballot application yourself, or you may make your mark and have
your mark witnessed in the spaces provided on the bottom of the application.
When your ballot will be sent:
Your absentee ballot materials will be sent to you at least 32 days before federal, state, county, city or town
elections in which you are eligible to vote. If you applied after this date, your ballot will be sent
immediately after your completed and signed application is received and processed by your local board of
elections. If you provide dates in section 5, identifying the time frame within which you will be absent from
your county or from the City of New York, you will be sent a ballot for any primary, general, special election
or presidential primary election which might occur during the time frame you have specified. If you prefer,
you may designate someone to pick up your ballot for you, by completing the required information in
section 6 and/or section 7, as appropriate. Contact your local county board of elections if you have not
received your ballot.
Mail completed, signed form to:
Montgomery County Board of Elections
PO Box 1500
Fonda, NY 12068
(518) 853-8180

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