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Organisation : Virginia Department of Elections
Facility : Absentee Ballot Application Form
Country : Virginia
Absentee Ballot Application Form : https://www.electionin.org/uploads/233-VirginiaAbsenteeBallotApplication.pdf
Home Page : http://elections.virginia.gov/
Privacy Act Notice:
This form collects personal information, including your social security number, for identification and to prevent fraud.
Your application will be denied if you fail to provide the last four digits of your social security number or any other information required to determine your qualification to vote absentee.
INTENTIONALLY VOTING MORE THAN ONCE IN AN ELECTION OR MAKING A MATERIALLY FALSE STATEMENT ON THIS FORM CONSTITUTES THE CRIME OF ELECTION RAUD, WHICH IS PUNISHABLE UNDER VIRGINIA LAW AS A FELONY.
VIOLATORS MAY BE SENTENCED TO UP TO YEARS IN PRISON, OR UP TO MONTHS IN JAIL ANDOR FINED UP TO $2500
To Vote Absentee :
** Select only one Code from the list of reason codes below.
** Write in the selected code on the form in part #3 and include any supporting information required.
** A separate form is required for each voter and for each election.
First-Time Voters :
First-time voters who registered by mail may vote absentee by mail only if the reason code is 1A, 2A, 2C, 6A, 6B, 6C,6D, or 7A, or the voter is 65 or older and qualifies under another reason.
Absent Military and Overseas Voters :
** You are encouraged to use the Federal Post Card Application FPCA which also serves as a voter registration application.
** Submitting this Virginia Absentee Ballot Application form will be interpreted as a request by you to discontinue any pending FPCA
** You can apply to vote absentee as early as one year before the election.
** Ballots are available 45 days before most elections.
** If you register to vote in person, you must wait five days before you can vote in person or have your ballot mailed to you.
** The deadline for receipt of your application to vote absentee by mail is 5:00 PM the Tuesday before the election.
** Please mail this application to your general registrar listed on page 2.
** Please do not return this application to the State Board of Elections.
** You may also submit your application by fax or scanned email attachment.
** The deadline to apply and vote absentee in-person is the Saturday before the election. Contact your general registrar for office or satellite office address and voting locations.
Delivery of Ballot :
Your ballot can only be mailed to one of the following:
** Voter’s residence address
** Voter’s location while outside voter’s residence county/city; or
** Place of temporary confinement for illness, disability, misdemeanor conviction or awaiting trial
No ballot may be sent in care of any other person.
Code | Reason | Supporting Information Required :
1A Student attending college or university outside of locality of residence in Virginia Name of college or university
1B Spouse of student attending college or university outside locality of residence in Virginia Name of college or university
1C Business outside County/City of residence on election day Name of employer or business 1D Personal business or vacation outside County/City of residence on election day Place of travel VA county/city or state or country
1E I am working and commuting to/from home for 11 or more hours between 6:00 AM and 7:00 PM PM on election day Name of employer or business and election day hours of working and commuting AM to PM
1F I am a first responder member of law enforcement, fire fighter, emergency technician, search and rescue Not required
2A My disability or illness Not required
2B I am primarily and personally responsible for the care of a disabled/ill family member confined at home Family Relationship
2C My pregnancy Not required
3A Confined, awaiting trial Name of institution
3B Confined, convicted of a misdemeanor Name of institution
4A An electoral board member, registrar, officer of election, or custodian of voting equipment Not required
5A I have a religious obligation Nature of obligation
6A Active Duty Merchant Marine or Armed Forces Branch of service
6B Spouse or dependent living with a member of 6A Branch of service
6C Temporarily residing outside of US Enter your last date of residency at your Virginia voting residence only if you have given up that address permanently or have no intent to return
6D Temporarily residing outside of US for employment or spouse or dependent residing with employee Name of business or employer
7A Requesting a ballot for presidential and vice-presidential electors only Ballots for other offices/issues will not be sent New state of residence and date moved from Virginia. Only eligible if you moved less than 3 days before the presidential election.
8A Authorized representative of candidate or party serving inside the polling place Not required