Minnesota Absentee Ballot Application Form - 2016 Page 2

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Return this application as soon as possible to:
Who may apply for a ballot
Where to return your application
Each person must apply for themselves. It is a felony to
You should return this to your local election office. If not
make a false statement in an application for an absentee
provided above, contact information for your local election
ballot, to attempt to cast an illegal ballot, or to help anyone
official can be found under “Election Official Directory” at
to cast an illegal ballot.
If you think you may not be registered to vote
Options for returning absentee ballot applications
If you are not registered at the legal residence address
For federal, state or county elections, submit an absentee
provided, you will be sent a voter registration application
ballot application online at -OR-
with your ballot materials.
Paper absentee ballot applications may be returned by
mail, fax or as a scanned attachment to an email.
Information for active-duty military and overseas
voters
When your ballot will be sent
If you are applying for an absentee ballot because you or
Your absentee ballot materials will be sent to you at least
your family are active-duty military or because you will be
46 days before the election, (excluding town elections held
overseas and/or outside of the territorial limits of the
in March where materials will be sent 30 days before the
United States, do not use this application. You are entitled
election). If you applied after this date, your ballot will be
to special protections if you apply using the Federal
sent when the application is received. Contact your local
Postcard Application. For more information and to apply
election official if you have not received your ballot. To
online, go to
check the status of your absentee ballot, visit
Options available to you if you have a disability
Privacy Notice
You may:
Your exact date of birth, email address, and any ID
sign the application yourself,
number you give (Minnesota driver's license, state ID or
make your mark, or
last four digits of social security number) are private. Only
ask another person to sign for you in your presence
election officials may access it.
(have the person sign their own name as well.)
Election officials ask for your exact date of birth so they can
If you have adopted the use of a signature stamp for all
match your application to your voter record. If you refuse to
purposes of signature, you may use your signature
give your date of birth, you won’t get an absentee ballot.
stamp or ask another person to use your signature
stamp in your presence. (See Minnesota Statutes,
Election officials ask for your email so they can contact you
section 645.44, subdivision 14. )
about your application. Also, the Office of the Secretary of
State may email you (or contact you another way) about
Information regarding Power of Attorney
voting and elections, or ask for public input. If you refuse to
Voting is not covered by power of attorney. A power of
give an email address, you cannot apply for an absentee
ballot online and you will need to apply with a paper
attorney pertains only to affairs affecting property. A per-
application.
son with power of attorney may only sign for you in your
presence, as outlined above. (See Minnesota Statutes,
Election officials ask for an ID number to check that the
section 523.24, subdivision 14.)
person who is casting the ballot is the same person who
applied for it. If you have an ID number but refuse to give it,
your absentee ballot might get rejected, and you won’t be
able to check your absentee ballot status online.
The rest of the data on your application is public when used
for elections, political or law enforcement purposes. If you
need to keep your contact data private because of personal
safety concerns, call 1-877-600-8683 to learn what you can
do.
Revised 12-17-2015

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