Scheduling Order Page 8

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my application for an absentee ballot without assistance because I am unable to write by
reason of my illness or physical disability. I have made or have received assistance in making
my mark in lieu of my signature.
......................................
......................................
(Date)(Mark)
......................................
......................................
(Complete Address of Witness)
(Signature of Witness)
.
(e.1) Any qualified registered elector, including any qualified bedridden or hospitalized
veteran, who is unable because of illness or physical disability to attend his polling place
on the day of any primary or election or operate a voting machine and state distinctly and
audibly that he is unable to do so as required by section 1218 of this act may, with the
certification by his attending physician that he is permanently disabled, and physically
unable to attend the polls or operate a voting machine and make the distinct and audible
statement required by section 1218 appended to the application hereinbefore required, be
placed on a permanently disabled absentee ballot list file. An absentee ballot application
shall be mailed to every such person for each primary or election so long as he does not
lose his voting rights by failure to vote as otherwise required by this act. Such person
shall not be required to file a physician's certificate of disability with each application as
required in subsection (e) of this section but such person must submit a written statement
asserting continuing disability every four years in order to maintain his eligibility to vote
under the provisions of this subsection. Should any such person lose his disability he
shall inform the county board of elections of the county of his residence.
(e.2) Notwithstanding the other provisions of this act any qualified elector who expects
to be or is absent from the municipality of his residence because his duties, occupation or
business require him to be elsewhere on the day of any election or a county employe who
cannot vote due to duties on election day relating to the conduct of the election or a
person who will not attend a polling place because of the observance of a religious
holiday may make an application for an absentee ballot by mail by sending a letter to the
county board of elections in the county in which his voting residence is located. The letter
shall be signed by the applicant and contain his name and place of residence.
(f) The county chairman of each political party or the head of each political body shall
designate one representative from his respective political party or body for each public
institution. The representatives so appointed shall, at the same time on a date fixed by the
county board of election visit every public institution situate in the county for the purpose
of obtaining the names and addresses of public institution residents who desire to receive
applications for absentee ballots and to act as an election board as provided in subsection
(g) of this section. The list of names and addresses thus obtained shall then be submitted
by said representatives to the board which shall furnish applications individually to those
appearing in the written request. If the chairman or head of a political party or body fails
to appoint a representative within fifteen days from written notice from the county board

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