California Vote-By-Mail Ballot Application Form (Page 2 of 3) in pdf

Instructions for Completing

Vote-By-Mail Ballot Application

Who Can Use this Application

The uniform California Vote-By-Mail Ballot Application can only be used by a registered voter. If

you have not already registered to vote, you can register to vote online on the Secretary of State’s

website at RegisterToVote.ca.gov. You may also pick up a Voter Registration Form at the

Calaveras County Elections office, County library, or local U.S. Post Office. Your completed

Voter Registration Form must be submitted online or to your county elections office at least 15

days before the election.

To vote by mail, you can use this Vote-By-Mail Ballot Application, use the form in the sample

ballot booklet you receive in the mail, or contact Calaveras County Elections Office at:

(209)754-6376. This Vote-By-Mail Ballot Application is provided by the Calaveras County

Elections Office for use by any person, group, or organization distributing vote-by-mail ballot

applications for elections that involve more than one county. For organizations distributing

applications for elections that involve a single county, the county elections office should be

contacted for the appropriate application format and barcode information.

Californians who are serving in the military and are absent from the county where they are eligible

to vote, or living or studying abroad must register as a military or overseas voter, either online at

RegisterToVote.ca.gov

or via the Federal Post Card Application (FPCA) in order to request a

vote-by-mail ballot. The FPCA is available at

How to Fill Out this Application

Item 1. Enter the date of the election in which you wish to vote (month, day, year), and the type of

election (Primary, General, or Special).

Item 2. Print your first, middle, and last names as they appear on your Voter Registration Form.

Item 3. Print your date of birth in this order – month, day, year.

Item 4. Print the complete street address of your voting residence. A post office box or rural route

cannot be accepted.

Item 5. Mailing address information must be completed by the voter. Print the complete address

where you want your ballot sent, if it is different than the residence address provided in Item 4.

Item 6. Print your telephone number (optional, not required) to allow the elections office to contact

you if more information is needed.

Item 7. Only complete Item 7 if the application is for a Presidential Primary Election. If you have

not disclosed a preference for (formerly known as “registered with”) a political party, you may

request to vote a party ballot at the Presidential Primary Election if the political party allows it. The

checkoff box and name of the political party must be completed by the voter. To find out which

political parties have authorized voters who have declined to disclose a party preference (formerly

know as “decline-to-state voters”) to vote their party’s ballot, call the local elections office at:

(209)754-6736 If you choose not to request a political party ballot in the Presidential

California Vote-By-Mail Ballot Application Form Page 2