New York State Absentee Ballot Application (Page 2 of 2) in pdf

Instructions:

Who may apply for an absentee ballot?

Each person must apply 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.

Information for military and overseas voters:

If 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 Suffolk 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:

If you are a Suffolk County voter, please return your application form to:

Suffolk County Board of Elections

Absentee Ballot Department

PO Box 700

Yaphank NY 11980‐0700

Options available to you if you have an illness or disability:

If you check the box indicating your illness or disability is permanent, 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. Please note that a power of

attorney or printed name stamp is not allowed for any voting purpose.

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 2, 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. The phone number for the Suffolk County Board of Elections is (631) 852‐4515.

New York State Absentee Ballot Application Page 2