Voting Assistance Guide 2012

VOTING ASSISTANCE

2012 - 2013

For Uniformed Service Members, Their

Families, And Overseas Citizens

Federal Voting Assistance Program

www.fvap.govvote@fvap.gov(703) 588-1584DSN: 425-1584

Fax: (703) 696-1352DSN Fax: 426-1352

Toll-Free: 1-800-438-VOTE (8683)Toll-Free Fax: 1-800-368-8683

(from U.S., Canada, Guam, Puerto Rico, Virgin Islands only)

International toll-free phone and fax numbers(See Inside Back cover or www.fvap.gov)

Director, Federal Voting Assistance ProgramDepartment of Defense1155 Defense Pentagon

Washington, D.C. 20301-1155

Follow us on Facebook, Twitter and LinkedIn!Links available at www.fvap.gov.

Please do not send registration and absentee ballot request forms to this address.Refer to State instructions in Chapter 2 and find “Local Election Office Addresses”.

Service and Department of State Voting Action OfficersPlease contact your Voting Assistance Officer. If you are unable to obtain information locally, contact the Voting Action Officer below.

Information is current as of March 2012.

ARMYVoting Action Officer: Ms. Rachel GiImanMailing address: US Army Resources CommandATTN: HRC-PDP-P (2-1-021) 91TAG-D, SPSD, Soldiers Programs BranchHuman Resources Center of Excellence1600 Spearhead Division Ave.Ft. Knox, KY 40122Phone: 502-613-8475, DSN: 312-983-8475Email: voting.questions@conus.army.milWebsite: http://go.usa.gov/8pC

NAVYVoting Action Officer: LT Andrew BouskyMailing address: ATTN: Navy Voting Program2713 Mitscher Rd SEBldg A 168Washington, DC 20374Phone: 202- 433-4000, DSN: 288-4000Fax: 901- 874-6844, DSN: 882-6844Email: VOTE@navy.milWebsite: http://go.usa.gov/8pY

AIR FORCEVoting Action Officer:Mr. William A. D'AvanzoMailing Address: HQ AFPC/DPSIMFAttn: Voting Action Office550 C Street, West, Suite 37Randolph AFB, TX 78150-4739Phone: 210-565-4351, DSN: 665-4351Fax: 210-565-2543, DSN fax: 665-2543Email:dpsoof.votingfund@randolph.af.milWebsite: http://go.usa.gov/8pg

MARINE CORPSVoting Action Officer: Mr. Raymond BruneauMailing address: Headquarters U.S. Marine Corps; (MRP) 4ATTN: Voting Action Officer 3280 Russell RoadQuantico, VA 22134-5103Phone: 703- 432-8629,DSN: 278-8629Fax: 703-784-9822, DSN: 278-9822Email: vote@usmc.milWebsite: http://go.usa.gov/8p2

COAST GUARDVoting Action Officer: CWO Charles “Al” ThompsonMailing address: COMMANDER (PSC-PSD), PERSONNEL SERVICE CENTERUS COAST GUARD STOP 7200Arlington, VA 20598-7200Phone: 202-493-1922Fax: 202-493-1923Email: charles.a.thompson2@uscg.milWebsite: http://go.usa.gov/8pb

DEPARTMENT OF STATEChief Voting Action Officer: Mr. Jack MarkeyPhone: 202-736-4937Assistant Voting Action Officer:Mr. Mark RaugustPhone: 202-736-9163Mailing address: CA/OCS/ACS- SA-29 Department of State2201 C Street NWWashington, DC 20520-2818Email: votinginfo@state.govWebsite: http://go.usa.gov/8pj

The 2012-13 Voting Assistance Guide was prepared by the Federal Voting Assistance Program. Information and procedures in this Guide are current as of March 2012 and may be affected by

changes to Federal and State legislation. Check www.fvap.gov for updates, and for information on how to order an updated version of this Guide .

We want your feedback! If this book was helpful to you or if you ran into problems or have questions, please send FVAP an email at: vote@fvap.gov or send mail to: Federal Voting Assistance Program,

1777 North Kent Street, Suite 14003, Arlington, VA 22209

2012-13 Voting Assistance Guide

Assistance for citizens covered by theUniformed and Overseas Citizens Absentee Voting Act

(42 U.S. Code 1973ff)

Publication ID#: VAG 12-13

We would like to acknowledge the advice and assistance given by the Secretaries of State, Directors of Elections, and their staff. We also thank the Graphics Department of the Department of Defense, Washington Headquarters

Services for making this book possible.

Special thanks also goes to the contributors of the Guide Review Group and the organizations they represent, including: the Army, Navy, Air Force, Marine Corps, Coast Guard, Department of State, American Citizens

Abroad, Democrats Abroad, Federation of American Women's Clubs Overseas, and Overseas Vote Foundation.

We thank the thousands of individuals who participated in the 2011 FVAP slogan and poster contests. Congratulations to SGM Bob Pitman, United States Army (Retired), whose winning slogan is featured on FVAP’s

2012-13 motivational poster and Dora Rodriguez, whose winning slogan is featured on FVAP’s 2012 Election Dates calendar. Congratulations also go to Stephen Gentry whose winning poster entitled “Baggage Claim” was

the inspiration for our 2012-13 Voting Assistance Guide cover and motivational poster.

2011 Slogan Contest Winner:

Over here, over there, don’t despair. Vote!by Dora Rodriguez, U.S. Marine Corps

2011 Slogan Contest Winner:

It’s a freedom that you defend - Vote!by SGM Bob Pitman, U.S. Army (Retired)

Honorable Mention Slogan Contest:

Be an Absentee Voter, Not an Absentee Citizen, Voteby Cathy Neri, U.S. Navy

Absentee Vote, Made in Americaby SGT Andrew Saife, U.S. Army

You’re away from home, your voice shouldn’t be. Voteby LTJG, Katy Bock, U.S. Army

Honorable Mention Poster Contest:

2 Lt Matt Jurcak, U.S. Air Force, won an Honorable Mention for his VOTE poster which depicted the American flag with well known American icons spelling out the word vote.

Table of Contents

Chapter 1 How To Vote Absentee. . . . . . . . . . . . . . . . . . . 1Federal Post Card Application (FPCA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Federal Write-In Absentee Ballot (FWAB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7Comparison of New/Old Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10Electronic Transmission Sheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Chapter 2 Absentee Voting Procedures by State or Territory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Chapter 3 Guide for Voting Assistance Officers. . . . . 357Frequently Asked Questions Handout: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3632012 Primary Election Dates Handout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .367U.S. Embassy and Consulate Email Addresses Handout . . . . . . . . . . . . . . . . .369

Inside Front Cover. . . . . . . . . . . . . . . . Service Voting Action Officers’ Contact Information

Inside Back Cover . . . . . . . . . . . . . . . . . . . . . . International Toll-Free Phone and Fax Numbers

2012-13 Voting Assistance Guide How to Vote Absentee

Chapter 1HOW TO VOTE ABSENTEE

Can You Vote Absentee?In order to vote in U.S. elections, you must be:

— a citizen of the United States on the date of theelection in which you wish to vote, and

— at least 18 years old on Election Day. (SomeStates allow 17-year-olds to vote in primaryelections if they will be 18 on or before thegeneral election.)

The absentee voting process in this book applies to you ifyou are:

— an active duty member of the U.S. UniformedServices or Merchant Marine,

— a family member (spouse or dependent)

— a U.S. citizen residing outside the U.S.

States that have adopted the UniformMilitary and OverseasVoters Act (UMOVA) has expanded the definition ofUniformed Services to include members of the NationalGuard. It also included U.S. citizens born abroad who havenot established a voting residency in the United States.This is in addition to other States that provide this coverage.UMOVA and State information confirming the eligibility ofNational Guard members, U.S. citizens born abroad whohave not established a voting residency in the United Statesand other U.S. citizens traveling abroad or temporarilyliving overseas, is available in the State pages in Chapter 2.

If you are not one of the above but will be away from yourpolling place on Election Day, you may still be able to voteabsentee according to your State’s absentee votingguidelines. Contact your election office or check your Stateelection website for more information. State websites andlocal election office addresses are available in your State’spages in Chapter 2.

How Do You Vote Absentee? Step 1: Register and Request Your AbsenteeBallot

You must register and request an absentee ballot in yourState of legal residence by completing a Federal Post CardApplication (FPCA) according to your State or territory’s

specific instructions and submitting it to your local electionoffice.

In most States and territories, one FPCA can be used torequest ballots for primary and general elections for Federaloffices (President/Vice President, U.S. Senator, U.S.Representative, Delegate or Resident Commissioner). Youshould submit a new FPCA each year and whenever youchange your mailing address.

The FPCA:

can be completed using our automated assistant atwww.fvap.gov, along with a pre-paid envelopetemplate for submitting by mail.

is available at military bases, U.S. embassies andconsulates, election organizations, and corporationsworldwide.

is postage-paid within the U.S. postal system,including APO and FPO addresses, and throughdiplomatic pouches at some U.S. embassies andconsulates. If submitting the FPCA from outside theUnited States using a foreign mail service, you mustaffix proper postage and include “USA” in the mailingaddress.

may be sent using private courier services. However,they may not deliver to Post Office Boxes and mayrequire the physical address of your local electionoffice.

Many States and territories allow you to return your FPCAby email or fax. Consult your State’s pages in Chapter 2 tosee what your State allows.

The FPCA and mailing instructions are illustrated on pages4-5.

Step 2: Your Election Official Processes YourFederal Post Card Application (FPCA) and SendsYou a Blank Ballot

Your local election official will process your FPCA todetermine if you meet the jurisdiction’s residencyrequirements and will decide which ballot to send you.Your local election official will contact you if there are anyquestions or if your application has been denied. Therefore,i t is important to provide your complete contactinformation, including your email address, on your FPCA.

How to Vote Absentee 2012-13 Voting Assistance Guide

You should contact your local election office with questionson the status of your FPCA. Some States have voterregistration verification websites where you can find yourvoter registration status. Links to these sites and contactinformation for local election officials can be found atwww.fvap.gov.

Step 3: Vote Your State Ballot or Use the Back-UpFederal Write-In Absentee Ballot (FWAB)

Vote and return your State ballot as soon as you receive it. Ifyou have registered and requested your ballot by yourState’s request deadline (or at least 30 days before theelection, whichever is later), you may use the FederalWrite-in Absentee Ballot (FWAB) any time before theelection.

Your completed FWAB must be received by your localelection office by the deadline for receipt of State absenteeballots for that election.

In most cases you can only use the FWAB to vote forFederal offices. Some States have expanded the use of theFWAB to include voting for offices other than Federaloffices. Some States have also expanded the use of theFWAB for registration and ballot request. Consult yourState’s pages in Chapter 2 to see what your State allows.

The FWAB consists of:

— Federal Write-In Absentee Ballot Instructions

— Voter’s Declaration/Affirmation

— Official Federal Write-In Absentee Ballot withSecurity Envelope attached

— Mailing Envelope

To complete your FWAB, follow your State’s instructionsin Chapter 2. Once finished, place your voted ballot insidethe security envelope and seal it. Do not write on theoutside of the security envelope. Place the securityenvelope, along with the Voter’s Declaration/Affirmation,inside the mailing envelope.

The FWAB:

can be completed using our automated assistant atwww.fvap.gov, along with a pre-paid envelopetemplate for submitting by mail.

is available in a fillable PDF form at www.fvap.gov.This version of the FWAB does not contain the securityor the mailing envelope; however, you may use twoplain envelopes: mark one as the security envelope anduse the other as a mailing envelope. You may use theonline prepaid envelope template as the mailingenvelope.

is available at military bases, U.S. embassies andconsulates, election organizations, and corporationsworldwide.

is postage-paid within the U.S. postal system,including APO and FPO addresses and throughdiplomatic pouches at some U.S. embassies andconsulates. If submitting the FWAB from outside theUnited States using a foreign mail service, you mustaffix proper postage and include “USA” in the mailingaddress.

may be sent using private courier services. However,they may not deliver to Post Office Boxes and mayrequire the physical address of your local electionoffice.

Many States and territories allow you to return your FWABby email or fax. Consult your State’s pages in Chapter 2 tosee what your State allows.

If you receive your State absentee ballot after you havesubmitted the FWAB, you should vote and return that ballotimmediately. If the State absentee ballot arrives by yourState’s deadline, the State will count that ballot instead ofthe FWAB.

The FWAB and mailing instructions are illustrated on pages6-9.

Can You Email or Fax Your Voting Materials?All States allow you to receive the blank absentee ballot byemail, fax, or other electronic means. Some States alsoallow other methods of electronic transmission, including:

— sending the FPCA for registration and/orabsentee ballot request by email or fax,

— receive the blank absentee ballot by email or fax,

— a combination of the above.

Any other written correspondence involving voterregistration or elections may be emailed or faxed to localelection officials in any State.

Sending the FPCA by Email or Fax

Where allowed by State law, you may email or fax theFPCA to your local election official. Follow the stepsbelow:

Complete and sign the FPCA according to your State’srequirements in Chapter 2.

Complete the Electronic Transmission Sheet includedat the end of this chapter (or an alternate cover sheetcontaining similar information).

Emailing: Scan the FPCA and save as a PDF file.Email the file as an attachment, along with a scannedcopy of the Electronic Transmission Sheet. Emaildirectly to the local election office. Email addressescan be found on the State’s election website, availablein the State’s pages in Chapter 2 or at www.fvap.gov.

You may also use the Electronic Transmission Serviceto email your FPCA by sending it to ets@fvap.gov.

Faxing: Use a separate transmittal sheet for eachFPCA and send each form separately to ensure thateach form is received by the proper election official. Itis recommended that you fax the FPCA directly toyour local election office. Fax numbers can be foundon the State’s election website, available in the State’spages in Chapter 2.You may also use the ElectronicTransmission Service to fax your FPCA toll-free. To usethe Electronic Transmission Service, use the cover sheetat the end of this chapter or at www.fvap.gov, and faxto: (703) 693-5527, DSN 223-5527, or toll-free from theU.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

After emailing or faxing, your State may require thatyou also mail the completed FPCA to your localelection office. Consult your State’s pages in Chapter 2under “How and Where to Submit Your FPCA” to seewhat your State requires.

Receiving the Blank Ballot by Email or Fax

The State must provide the blank ballot by electronic meanswhen requested. Check FVAP.gov or Chapter Two of thisGuide to see blank ballot transmission methods areavailable from your state (online, email or fax).

Returning the Voted Absentee Ballot by Email orFax

Where allowed by State law, the voted ballot may beemailed or faxed. Follow the steps below:

Follow the instructions provided by the local electionofficial in marking and executing your ballot.

By emailing or faxing the voted ballot, you arewaiving the right to secrecy of the ballot. You musts ign and da te a s t a t ement on the E lec t ron icTransmission Sheet indicating, “I understand that byfaxing or emailing my voted ballot I am voluntarilywaiving my right to a secret ballot.”

Complete the Electronic Transmission Sheet includedat the end of this chapter (or an alternate cover sheetcontaining similar information). Include the number ofpages being transmitted for each voted ballot. Retain areceipt of the date and time the voted ballot wassuccessfully transmitted.

Emailing: Scan all pages of the ballot and save as aPDF file. Email the file as an attachment along with ascanned copy of the Electronic Transmission Sheet.

Email directly to the local election office. Emailaddresses can be found on the State’s election website,available in the State’s pages in Chapter 2 or atwww.fvap.gov. You may also use the ElectronicTransmission Service to email your FPCA by sending itto ets@fvap.gov.

Faxing: Fax all pages of the voted ballot. Use aseparate transmittal sheet for each ballot and send eachballot separately to ensure that each ballot is receivedby the proper election official. It is recommended thatyou fax the ballot directly to your local election office.Fax numbers can be found on the State’s electionwebsite, available in the State’s pages in Chapter 2.You may also use the Electronic Transmission Serviceto fax your ballot toll-free. To use the ElectronicTransmission Service, use the cover sheet at the end ofthis chapter or at www.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can befound on the inside back cover or at www.fvap.gov.

After emailing or faxing, your State may require thatyou also mail the completed ballot to your localelection office. Consult your State’s pages in Chapter 2under “How and Where to Submit Your FWAB” to seewhat your State requires.

Received Your Ballot Electronically, but Need toReturn it by Mail?

If your State does not allow you to return your voted ballotby email or fax, you may mail it using the security envelopeand ballot transmittal envelope from the Federal Write-InAbsentee Ballot (FWAB). Detach the envelopes from therest of the form. (See FWAB Mailing Instructions on theprevious page.) You may also use two plain envelopes:mark one as the security envelope and use the other as themailing envelope. You may use the prepaid envelopetemplate at www.fvap.gov as the mailing envelope.

Recommended Mailing Dates for the November 2012 General Election Send your FPCA by August 15, 2012 to ensure that youreceive your ballot in time to vote and return it to becounted.

— Voters in Iraq, Afghanistan, ships at sea, andother overseas locations without access to themilitary postal system should send voted ballotsby October 6, 2012

— Voters in other overseas military installationsshould send voted ballots by October 13, 2012

— Stateside Uniformed Service members and theirfamilies should send voted ballots by October 29,2012.

If you do not receive your State absentee ballot by October2, 2012, use the Federal Write-in Absentee Ballot. If youreceive your State absentee ballot, vote and return it. If bothballots are received by the deadline, only the State ballotwill be counted.

On the following pages, you will find the Federal Post Card Application (FPCA), the Federal Write-In Absentee Ballot (FWAB), and the

Electronic Transmission Sheet.

You can also find the automated versions of FPCA and the FWAB at www.fvap.gov.

Notify Your Local Election Official About Your Current Mailing Address

FPCA Mailing Instructions

Step 1 Complete and sign the FPCA using your State’s instruction in Chapter 2.

Step 3 Address and mail the FPCA to your localelection official. Be sure to include your return address, and affix postage if using a foreign postal service.

Step 2 Fold and seal your FPCA.

If using the online FPCA, print, sign and put it in an envelope. You may print postage-paid insignia on your envelope by using the envelope template available at www.fvap.gov.

To vote in primary elections, your State may require you to specify a political party:

Federal Post Card Application (FPCA) Voter Registration and Absentee Ballot Request

County

Previous name (if applicable)

��Some States require your full SSN. Check your State’s pages in the Voting Assistance Guide on FVAP.gov.

Contact informationInclude international � ��

Political Party

Ballot receipt

– –

Last name

First name

��

Apt. #

3Your legal name

City/Town/Village

Street Address�� U.S. address for voting purposes

Usually your last U.S. residence or your legal U.S. residence. See instructions.

Address where you live now This is different from above. Your voting materials will be sent here, unless you specify a forwarding ��

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Please print in black ink.

*"��Make only 1 selection.

(In most States, you must be absent from your voting district to use this form).

��+��&�� -��!��+��0��

I prefer to receive my ballot, as permitted by my State, by: (rank from 1 -3 in order of preference; be sure appropriate contact information is provided above)

I am a member of the Uniformed Services or Merchant Marine on active duty OR

Standard Form 76 (Rev. 08-2011)

M F Birth date D D/ /M M Y Y Y Y

Additional requirements for your State

Such as: mail forwarding address, additional phone, or other State required information. See your State’s pages in the Voting Assistance Guide on FVAP.gov.

� �/ /M M Y Y Y Y

Signature Print this form, sign, and send in.%�� =>?+�=>��@��'� �� 0�� "�$�� D� $0��!�@

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Witness signature / date if required by your State. See the Voting Assistance Guide on FVAP.gov.

Middle name

I am their spouse or dependent.

Email/Online

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Telephone

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State Zip Code

OR Social Security Number

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Mail \�

Today’s date

Alternate Email

Signature

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A quicker, easier to complete, electronic version of this form is also available on FVAP.gov. For any questions ��!�� 0��"��$�� ̀ ��-�%�� the Voting Assistance Guide available in hard copy or on FVAP.gov.

Race See instructions on back

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I request an absentee ballot for all elections in which I am eligible to vote AND:

FWAB Mailing Instructions

Step 1 Complete and sign the FWAB’s Voter Declaration/Affirmation using your State’s instructions in Chapter 2.

Step 2 Fold the Voter Declaration/Affirmation and put it in the accompanying Mailing Envelope. Do not seal the envelope yet.

If using the online FWAB, use your own envelope as the Mailing Envelope. You may print postage-paid insignia on your envelope by using the envelope template available at www.fvap.gov.

Step 3 Vote the ballot by writing in a candidate or party name. Detach the ballot from the Security Envelope, fold it, insert it into the Security Envelope, and seal.

If using the online FWAB, use a separateblank envelope and write “Security Envelope” on it.

Step 4 Put the Security Envelope into the Mailing Envelope, seal, and address it to your local election official. Be sure to include your return address, and affix postage ifusing a foreign postal service.

Signature Print this form, sign, and send in.

Federal Write-in Absentee Ballot (FWAB) `�� ^��" ��j%��

County

Previous name (if applicable)

?�"��z� Voter RegistrationMany States require that you be registered and request an absentee ballot before using this form.

If you answer No, you can do this via the Federal Post Card Application on FVAP.gov, or in a few States, by marking the box below. Check your State’s pages in the Voting Assistance Guide on FVAP.gov to see if your State allows registration via this form.

Have you already registered and requested an absentee ballot?

I also want to register to vote and/or request an absentee ballot for all elections in which I am eligible to vote.

��Some States require your full SSN. Check your State’s pages in the Voting Assistance Guide on FVAP.gov

Contact information��"�� "�� No DSN number.

– –

Last name ��

Apt. #

Your legal name

City/Town/Village

Street Address (not P.O. Box) U.S. address for voting purposesUsually your last U.S. residence or your legal U.S. residence. See instructions.

Address where you live now

This is different from above. Your voting materials will be sent here, unless you specify a forwarding address in Box 9.

Additional requirements from your State

Such as: mail forwarding address, additional phone, or other State required information. See your State’s pages in the Voting Assistance Guide on FVAP.gov

Please print in black ink.

*"��Make only 1 selection.

I am a U.S. citizen residing outside the U.S., and I intend to return.

D D/ /M M Y Y Y Y

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Witness signature / date if required by your State. See Voting Assistance Guide on FVAP.gov

I am a member of the Uniformed Services or Merchant Marine on active duty OR I am their spouse or dependent.

First name Middle name

Yes No

M FSex Birth date

OR Social Security Number

State Driver’s License or I.D.

Telephone

State Zip Code

Today’s Date

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To vote in primary elections, your State may require you to specify a political party. Political party 6

Signature

A quicker, easier to complete, electronic version of this form is also available on FVAP.gov. For any questions about this form, consult $�� ̀ ��-�%�� !��̀ ��-�%��x��available in hard copy or on FVAP.gov.

Race See Instructions

I am a U.S. citizen otherwise granted military/overseas voting rights under State law (check the Voting Assistance Guide).

I am a U.S. citizen residing outside the U.S., and I do not intend to return.

��

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Changes in the Federal Post Card Application (FPCA)

2005 Version Information 2011 Version Block 1 Voter Classification Block 1 Block 2 My Information Blocks 3, 4, and 5 Block 3 Voting Address Block 7 Block 4 Mailing Address Block 8 Block 5 Political Party Affiliation Block 2 Block 6 Additional Requirements Block 9 Block 7 Affirmation Affirmation Section

N/A How to Receive Your Ballot Block 6

Changes in the Federal Write-in Absentee Ballot (FWAB)

2005 Version Information 2011 Version Block 1 Voter Classification Blocks 1, 2 Block 2 My Information Blocks 3, 4, and 5 Block 3 Voting Address Block 7 Block 4 Mailing Address Block 8 Block 5 Political Party Affiliation Block 6 Block 6 Additional Requirements Block 9 Block 7 Affirmation Affirmation Section

The version date of a form is located next to its Standard Form number. The 2005 forms are still valid. If you have any version of any forms other than the 2005 or 2011 versions, they are obsolete and should be discarded. If you need to order new forms, please refer to the instructions beginning on page 360.

Official Election Materials – Electronic Transmission Sheet Transmission (Cover) Sheet from Absentee Voter to Election Official

City/County Board of Elections

Fax Number

Last Name

First Name

Middle Name

Telephone Number

Fax Number

Email Address

Additional Information:

If a VOTED BALLOT is being faxed or emailed, sign below: “I understand that by faxing or emailing my voted ballot I am voluntarily waiving my right to a secret ballot”

Signature: _________________________________________________ Date: ____________

Number of pages being transmitted, including this sheet: ___________________

Fax to one of these numbers: 703-693-5527/DSN 223-5527 or 1-800-368-8683 or Check www.fvap.gov for international fax numbers

Email to ets@fvap.gov

Chapter 2Absentee Voting Procedures by State or Territory

On the following pages, you will find instructions for all 50 States, the District of Columbia and 4 U.S. Territories for Registering and Requesting Your Absentee Ballot, Voting Your Ballot, and Using the Federal Write-In

Absentee Ballot (FWAB), as well as Local Election Office Contact Information.

You can also find the FPCA and the FWAB at www.fvap.gov.

Alabamawww.sos.state.al.us

These are not mailing deadlines. Mail your voting materials early enough to account for mail delivery times. Check the Recommended Mailing Dates on the next page for details.

Information is current as of March 2012. Check www.fvap.gov for updates.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all Federal elections heldthrough the next two regularly scheduled general elections.

Complete the Following Blocks of the FederalPost Card Application (FPCA):

Block 1: Select the category that describes you.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, submit a completed FPCAindicating your new party preference to the local electionofficial. Political party affiliation is not required if onlyrequesting absentee ballots for general elections.

Block 3: Name (Last, First, Middle)

Block 4: Requested but not required. Enter the choice thatbest describes you from the following list: AI = AmericanIndian or Alaskan Native; AP = Asian or Pacific Islandernot Native Hawaiian; B = Black, not of Hispanic Origin; H= Hispanic; M = Multi-racial; NH = Native Hawaiian; W =White, not of Hispanic Origin; O = Other.

Date of Birth

Your valid Alabama Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of these

identification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 5: Recommended but not required. Provide yourcontact information to allow your local election official tofollow up if more information is required.

Block 6: Alabama allows you to receive your blank ballotby mail or electronically. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address in Block 5. Please ensure that this emailaddress does not block or filter emails forwarded from yourcounty election official.

Block 7: Complete street address of your Alabama votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 8: Complete address where you want your ballotsent, usually where you live now.

Block 9: If you do not wish to receive ballots for all Federalelections through the next two regularly scheduled generalelections, you may request a ballot for each election forFederal office held in the next election year OR a ballot foronly the next scheduled election for Federal office bynoting your choice here.

Provide any information that may assist your electionofficial in accepting this application.

Affirmation: Sign and date. No witness or notary required.

DEADLINES Presidential Primary

March 13, 2012

State Primary

March 13, 2012

State Primary Runoff

April 24, 2012

General Election

November 6, 2012

Registration March 2, 2012 March 2, 2012 April 13, 2012 October 26, 2012

Ballot Request March 8, 2012 March 8, 2012 April 19, 2012 November 1, 2012

Ballot Return Postmarked by: March 13, 2012

Received by: 5 pm, March 31, 2012

Postmarked by: March 13, 2012

Received by: 5 pm, March 31, 2012

Postmarked by: April 24, 2012

Received by: 5 pm,May 1, 2012

Postmarked by: November 5, 2012

Received by: 5 pm, November 6, 2012

Alabama 2012-13 Voting Assistance Guide

How and Where to Submit Your FPCA:

You must mail your FPCA directly to your local electionofficial. Addresses can be found at the end of this section.

Follow-Up on Your FPCA

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toAlabama’s voter registration verification website at: https://myinfo.alabamavotes.gov/.

Your jurisdiction will contact you if your application isdenied.

Voting Your Ballot Local election officials send absentee ballots approximately40 days before an election.

Voted ballots must be postmarked no later than the daybefore the election (by Election Day for primary runoffelections) and received by the local election official bynoon on Election Day (7 days after Election Day forprimary runoff elections).

Voted ballots must be returned by mail.

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD”. Thislabel is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You canreturn your ballot with this label attached at any MPO/FPO,American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

Tracking Your Ballot

You may track the status of your ballot at: https://myinfo.alabamavotes.gov/.

— If you do not receive your State absentee ballot byOctober 2, 2012, use the Federal Write-inAbsentee Ballot. If you receive your Stateabsentee ballot, vote and return it. If both ballotsare received by the deadline, only the State ballotwill be counted.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot! Alabama allows you to use Federal Write-In AbsenteeBallot (FWAB) for voting in general elections for Federaloffice. If you are registered and have requested yourabsentee ballot, feel free to use the FWAB to vote anytimebefore an election.

Complete the Following Blocks of the FWAB’sVoter Declaration/Affirmation:

Block 1: Alabama does not allow you to use this form forregistration. Do not check the registration block.

Date of Birth

Block 7: Complete street address of your Alabama votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block

2012-13 Voting Assistance Guide Alabama

9. This address must be within the county where you claimlegal voting residence.

Block 8: Enter your current mailing address.

Block 9: Provide any information that may assist the localelection official in accepting this ballot or application.

Affirmation: Sign and date. This form must be sworn tobefore two witnesses (18 years or older).

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go towww.sos.state.al.us. For each office for which you vote,write in either a candidate’s name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

How and Where to Submit Your FWAB:

The deadlines for submitting the FWAB are the same as forState absentee ballots. If you receive the regular ballot aftersubmitting the voted FWAB, you may also vote and return theState ballot. If both ballots are received by the deadline, onlythe State ballot will be counted.

Insert the sealed security envelope and the Voter'sDeclaration/Affirmation into the mailing envelope and mailyour FWAB directly to your local election official.

Local Election Office ContactsCounty Mailing Address

Autauga Autauga County Circuit Clerk134 North Court StreetCourthouse, Room 114Prattville, AL 36067Fax: (334) 361-6801Email: whit.moncrief@alacourt.gov

Baldwin Absentee Election Manager312 Courthouse SquareSuite 10Bay Minette, AL 36507Phone: (251) 937-0379Email: jody.cambell@alacourt.gov

Barbour Absentee Election Manager 303 East Broad Street, Room 201Eufaula, AL 36027Fax: (334) 687-1599Email: david.nix@alacourt.gov

Bibb Bibb County Circuit ClerkPO Box 185Centreville, AL 35042Fax: (205) 926-3132Email: gayle.bearden@alacourt.gov

Blount Blount County Circuit ClerkCounty Courthouse220 Second Avenue, E. Room 208Oneonta, AL 35121Fax: (205) 625-4206Email: michael.criswell@alacourt.gov

Bullock Bullock County Circuit ClerkPO Box 230Union Springs, AL 36089Fax: (334) 738-2282Email: wilbert.jernigan@alacourt.gov

Butler Butler County Circuit ClerkPO Box 236Greenville, AL 36037Fax: (334) 382-3521Email: allen.stephenson@alacourt.gov

Calhoun Calhoun County Circuit ClerkCounty Courthouse25 West 11th Street, Suite 300Anniston, AL 36201Fax: (256) 231-1826Email: ted.hooks@alacourt.gov

Chambers Chambers County Circuit ClerkCounty Courthouse2 Lafayette Street SouthLafayette, AL 36862Fax: (334) 864-4367Email: charles.story@alacourt.gov

Cherokee Cherokee County Circuit ClerkCounty Courthouse100 Main Street, Room 203Centre, AL 35960Phone: (256) 927-3637Email: dwayne.amos@alacourt.gov

Chilton Chilton County Circuit ClerkPO Box 1946Clanton, AL 35046Fax: (205) 755-1387Email: glenn.mcgriff@alacourt.gov

Choctaw Choctaw County Circuit ClerkPO Box 428Butler, AL 36904Fax: (205) 459-3218Email: donna.murphy@alacourt.gov

Clarke Clarke County Circuit ClerkPO Box 921Grove Hill, AL 36451

Clay Clay County Circuit ClerkPO Box 816Ashland, AL 36251Fax: (256) 354-2249Email: jeffery.colburn@alacourt.gov

Clebume Clebume County Circuit ClerkCounty Courthouse, Room 202120 Vickery StreetHeflin, AL 36264Fax: (256) 463-2257Email: jerrypaul.owen@alacourt.gov

Coffee Coffee County Circuit ClerkPO Box 311284Enterprise, AL 36331Fax: (334) 393-2047Email: mickey.counts@alacourt.gov

Colbert Colbert County Circuit Clerk201 N. Main St.Tuscumbia, AL 35674Fax: (256) 386-8505Email: nancy.hearn@alacourt.gov

Conecuh Conecuh County Circuit Clerk111 Court St., Room 203Evergreen, AL 36401Fax: (251) 578-7013Email: david.jackson@alacourt.gov

Coosa Coosa County Circuit ClerkPO Box 98Rockford, AL 35136Fax: (256) 377-1599Email: jeff.wood@alacourt.gov

Covington Covington County Circuit ClerkCounty Courthouse1-K North Court SquareAndalusia, AL 36420Fax: (334) 428-2531Email: roger.powell@alacourt.gov

County Mailing Address

Crenshaw Absentee Election ManagerPO Box 263Luverne, AL 36049Fax: (334) 335-2076Email: jeannie.gibson@alacourt.gov

Cullman Cullman County Circuit Clerk Courthouse Room 303500 2nd Ave. SW Cullman, AL 35055Fax: (256) 775-4679Email: robert.bates@alacourt.gov

Dale Dale County Circuit ClerkPO Box 1350Ozark, AL 36360Email: mary.bludsworth@alacourt.gov

Dallas Dallas County Circuit ClerkPO Box 327Selma, AL 36702Email: susan.ingram@dallascounty-al.org

DeKalb DeKalb County Circuit ClerkPO Box 681149Fort Payne, AL 35968Fax: (256) 845-8535Email: pam.simpson@alacourt.gov

Elmore Elmore County Circuit ClerkPO Box 310Wetumpka, AL 36093Fax: (334) 567-5957Email: larry.dozier@alacourt.gov

Escambia Escambia County Circuit ClerkPO Box 856Brewton, AL 36427Phone: (251) 867-0225Email: kenneth.taylor@alacourt.gov

Etowah Etowah County Circuit ClerkSuite 202801 Forrest AvenueGadsden, AL 35901Fax: (256) 439-6001Email: billy.yates@alacourt.gov

Fayette Fayette County Circuit ClerkPO Box 906Fayette, AL 35555Fax: (205) 932-2902Email: juston.smith@alacourt.gov

Franklin Franklin County Circuit ClerkPO Box 160Russellville, AL 35653Email: anita.scott@alacourt.gov

Geneva Geneva County Circuit ClerkPO Box 86Geneva, AL 36340Fax: (334) 684-5620Email: gale.laye@alacort.gov

Greene Greene County Circuit ClerkPO Box 307Eutaw, AL 35462Fax: (205) 372-1510Email: etta.edwards@alacourt.gov

Hale Hale County Circuit ClerkPO Box 99Greensboro, AL 36744Fax: (334) 624-8064Email: catrinna.perry@alacurt.gov

Henry Henry County Circuit Clerk101 Court Square, Suite JAbbeville, AL 36310Fax: (334) 585-5006Email: shirlene.vickers@alacourt.gov

Houston Houston County Circuit ClerkPO Drawer 6406Dothan, AL 36302Email: carla.woodall@alacourt.gov

Jackson Jackson County Circuit ClerkPO Box 397Scottsboro, AL 35768Fax: (256) 259-9981Email: ken.ferrell@alacourt.gov

Jefferson - Bessemer

Jefferson County Circuit Clerk - Bessemer DivisionPO Box 1310Bessemer, AL 35021Fax: (205) 481-4169Email: earl.carter@alacourt.gov

Jefferson - Birmingham

Jefferson County Circuit Clerk - Birmingham DivisionCourthouse, Room 400716 Richard Arrington, Jr. Blvd., N.Birmingham, AL 35203Fax: (205) 352-5362Email: annemarie.adams@alacourt.gov

Lamar Lamar County Circuit ClerkPO Box 434Vernon, AL 35592Email: mary.jones@alacourt.gov

Lauderdale Lauderdale County Circuit ClerkPO Box 776Florence, AL 35631Fax: (256) 760-5727Email: missy.hibbett@alacourt.gov

Lawrence Lawrence County Circuit ClerkPO Box 249Moulton, AL 35650Fax: (256) 974-2426Email: harce.hill@alacourt.state.al.us

Lee Lee County Circuit ClerkRoom 1042311 Gateway DriveOpelika, AL 36801Fax: (334) 737-3520Email: corinne.hurst@alacourt.gov

Limestone Limestone County Circuit Clerk200 Washington Street, W.Athens, AL 35611Email: charles.page@alacourt.gov

Lowndes Lowndes County Circuit ClerkPO Box 876Hayneville, AL 36040Fax: (334) 548-2548Email: ruby.jone@alacourt.gov

Macon Macon County Circuit Clerk 101 East Rosa Parks Ave., Suite 300Tuskegee, AL 36083Fax: (334) 727-6483Email: david.love@alacourt.gov

Madison Madison County Circuit ClerkCounty Courthouse100 Northside Square, Room 217Huntsville, AL 35801Fax: (256) 532-3768Email: jane.smith@alacourt.gov

Marengo Marengo County Circuit ClerkPO Box 480566Linden, AL 36748Fax: (334) 295-8772Email: rusty.nichols@alacourt.gov

Marion Marion County Circuit ClerkPO Box 1595Hamilton, AL 35570Email: sheila.bozeman@alacourt.gov

Marshall Marshall County Circuit Clerk424 Blount Avenue, Suite 201Guntersville, AL 35976Fax: (256) 571-7794Email: cheryl.pierce@alacourt.gov

Mobile Mobile County Circuit Clerk205 Government Plaza, Suite C-913Mobile, AL 36644Fax: (251) 574-8796Email: alleen.barnett@atacourt.gov

Monroe Monroe County Circuit ClerkCounty Courthouse65 North Alabama AvenueMonroeville, AL 36460Fax: (251) 579-5933Email: jsawyer@alacourt.gov

2012-13 Voting Assistance Guide Alabama

Montgomery Elections DirectorCourthouse Annex 2125 Washington Ave.Montgomery, AL 36104Fax: (334) 832-7131Email: justinaday@mc-ala.org

Morgan Morgan County Circuit ClerkPO Box 668Decatur, AL 35602Email: johnpat.orr@alacourt.gov

Perry Perry County Circuit ClerkPO Box 505Marion AL 36756Fax: (334) 683-2207Email: mary.moore@alacourt.gov

Pickens Pickens County Circuit ClerkPO Box 418Carrollton, AL 35447Fax: (205) 367-2054Email: bobby.cowart@alacourt.gov

Pike Absentee Election Manager120 West Church StreetTroy, AL 36081Phone: (334) 566-5113Email: audrey.milton@alacourt.gov

Randolph Randolph County Circuit ClerkPO Box 328Wedowee, AL 36278Fax: (256) 357-9012Email: chris.may@alacourt.gov

Russell Russell County Circuit Clerk501 14th StreetPhenix City, AL 36867Fax: (334) 297-6250Email: kathy.coulter@alacourt.gov

St. Clair St. Clair County Circuit Clerk100 6th Ave, Suite 400Ashville, AL 35953Fax: (205) 338-2511Email: annette.hall@alacourt.gov

Shelby Shelby County Circuit ClerkPO Box 1810Columbiana, AL 35051Email: mary.harris@alacourt.gov

Sumter Absentee Election ManagerPO Box 936Livingston, AL 35470Fax: (205) 652-1010Email: edmond.bell@alacourt.gov

Talladega Talladega County Circuit ClerkPO Box 6137Talladega, AL 35161Fax: (256) 480-5291Email: clarence.haynes@alacourt.gov

Tallapoosa Tallapoosa County Circuit ClerkCounty Courthouse125 North Broadnax Street, Room 132Dadeville, AL 36853Email: frank.lucas@alacourt.gov

Tuscaloosa Tuscaloosa County Circuit Clerk714 Greensboro Ave, Rm 214Tuscaloosa, AL 35401Fax: (205) 469-6590Email: margaria.bobo@alacourt.gov

Walker Walker County Circuit ClerkPO Box 1389Jasper, AL 35501Fax: (205) 384-7271Email: susan.odom@alacourt.gov

Washington Washington County Circuit ClerkPO Box 548Chatom, AL 36518Email: steve.grimes@alacourt.gov

Wilcox Wilcox County Circuit ClerkPO Box 608Camden, AL 36726Fax: (334) 682-4025Email: ralph.ervin@alacourt.gov

Winston Absentee Election ManagerPO Box 309Double Springs, AL 35553Fax: (205) 489-5140Email: john.snoddu@alacourt.gov

Alaska

Alaskawww.elections.alaska.gov

Information is current as of October 2011. Check www.fvap.gov for updates.

* Alaska has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all Federal elections heldthrough the next two regularly scheduled general electionsafter the date the application is submitted.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are registered non-partisanor undeclared, you must indicate which party ballot youwant to receive. If you want to change your political partyaffiliation, submit a completed FPCA indicating your newparty preference to the local election official no later than30 days prior to the election. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Block 3: Name (Last, First, Middle). Enter any formername under which you were registered in Alaska.

Block 4: Date of Birth

Your valid Alaska Driver's License number, the last fourdigits of your Social Security number OR your Alaska StateIdentification Card number is required for voterregis t ra t ion. I f you do not possess any of these

identification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Alaska allows you to receive your ballot by mailor fax. Please rank your preference of how you would liketo receive your absentee ballot. Provide your fax number inBlock 9. If you do not make a selection, Alaska will mailyour ballot to you.

Block 7: Complete street address of your Alaska votingresidence. You may provide your street name and housenumber, highway name and milepost number, buildingnumber and street name on a military base, subdivision withlot and block number. Do not use a post office box number,highway contact number and box, rural route number,commercial address or mail stop address. If in a ruralvillage you may provide community name as yourresidence address or describe its location in Block 9.

Block 9: When initially registering to vote by mail fromoutside Alaska, you must enclose proof of Alaska residency(such as a copy of a current Alaska Driver’s License or aleave and earning statement reflecting Alaska as place ofresidency) with this application.

DEADLINES Presidential Primary*N/A

State PrimaryAugust 28, 2012

General ElectionNovember 6, 2012

Registration N/A July 29, 2012 October 7, 2012

Ballot Request N/A August 18, 2012 October 27, 2012

Ballot Return N/A From Within U.S.:September 7, 2012

From Outside U.S.:September 12, 2012

From Within U.S.:November 16, 2012From Outside U.S.:November 21, 2012

Alaska 2012-13 Voting Assistance Guide

Enter your passport or identity card number if you are anoverseas citizen. This is not required for Uniformed Servicemembers and their families.

Alternatively, if you are an overseas citizen, were lastdomiciled in Alaska prior to leaving the U.S. and do notintend to return to Alaska as a resident you may register as a“Federal Voter” and participate in only elections for Federaloffice. To request this option, write: “I wish to register as aFederal voter and was last domiciled in Alaska prior toleaving the U.S.” You must provide a copy of your validpassport, card of identity and registration, or otheridentification issued under the authority of the U.S.Secretary of State with this application.

In addition to mailing a regular ballot, Alaska provides aSpecial Advance Write-In Ballot up to 60 days before theelection to any voter outside the U.S. who has requested it.This ballot allows you to vote for Federal, State, andJudicial offices, and any ballot propositions appearing onthe ballot. To request it, write in Block 9: “Please send aspecial advance ballot”.

Provide any information that may assist the local electionofficial in accepting this application.

Affirmation: Sign and date. No witness or notary required

Alaska allows you to submit the FPCA by mail, email, or fax.

If you choose to mail your FPCA, mail the form directly to:

Absentee Voting Office619 E. Ship Creek Ave, Ste 329

Anchorage, AK 99501-1677

If you choose to email your FPCA, send your FPCA as asigned, scanned attachment to akabsentee@alaska.gov.

If you choose to fax your FPCA, fax the form directly to(907) 677-9943. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)696-2148, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free fax numbers can befound on the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to:www.elections.alaska.gov/ot.php.

Your jurisdiction will contact you regarding the status ofyour application.

Late Registration

In a Presidential election year, you may register after the 30-day deadline and your vote for President will be counted. Yourapplication to register and receive a by-mail ballot must bereceived 10 days before Election Day. Your application toregister and receive a by-fax ballot must be received no laterthan 5pm the day before Election Day.

Ballot Request by Proxy

Alaska allows a person with power of attorney to make achange to the voter’s registration or apply for an absenteeballot on behalf of the voter. A copy of the power of attorneymust be submitted with the application.

Voting Your Ballot The Alaska Absentee Voting Office mails absentee ballotsbeginning 45 days before the election.

Voted ballots must be postmarked on or before ElectionDay. Ballots mailed from outside the U.S. must be receivedno later than 15 days after the election. Ballots mailed fromwithin the U.S. must be received no later than 10 days afterthe election.

Voted ballots must be sworn to before one witness (18 years orolder).

Alaska allows you to return the voted ballot by mail or fax(if you requested your ballot to be faxed to you). Followinstructions sent with the ballot.

You may track the status of your ballot at:www.elections.alaska.gov/ot.php.

2012-13 Voting Assistance Guide Alaska

Alaska

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot! Alaska allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in primary,special, and general elections for Federal, State, andJudicial offices and ballot propositions. Feel free to use theFWAB to vote anytime before an election.

Complete the Following Blocks of the FWAB’s VoterDeclaration/Affirmation:

Block 1: Alaska allows you to use this form for registration.

Block 3: Name (Last, First, Middle). Enter any former nameunder which you were registered in Alaska.

Enter your valid Alaska Driver's License number, the last fourdigits of your Social Security number OR your Alaska StateIdentification Card Number.

Block 6: If using this form for registration, enter your politicalparty affiliation or write undeclared or non-partisan. Yourpolitical party affiliation 30 days before the primaryelection determines the party ballot you are eligible toreceive.

Block 7: Complete street address of your Alaska votingresidence. You may provide your street name and housenumber, highway name and milepost number, buildingnumber and street name on a military base, subdivision withlot and block number. Do not use post office box number,highway contact number and box, rural route number,commercial address or mail stop address. If in a ruralvillage you may provide community name as yourresidence address or describe its location in Block 9.

Block 9: When initially registering to vote by mail fromoutside Alaska, you must enclose proof of Alaska residency(such as a copy of a current Alaska Driver’s License or aleave and earning statement reflecting Alaska as place ofresidency) with this application.

Alternatively, if you are an overseas citizen, were lastdomiciled in Alaska prior to leaving the U.S. and do notintend to return to Alaska as a resident you may register as a“Federal Voter” and participate in only elections for Federaloffice. To request this option, write: “I wish to register as aFederal voter and was last domiciled in Alaska prior toleaving the U.S.” You must provide a copy of your validpassport, card of identity and registration, or otheridentification issued under the authority of the U.S.Secretary of State with this application.

If you are an overseas citizen, enter your passport oridentity card number or other identification issued under theauthority of the U.S. Secretary of State. This is not requiredfor Uniformed Service members and their families.

Provide any additional information that may assist the localelection official in accepting this ballot or application.

Affirmation: Sign and date. This form must be sworn tobefore one witness (18 years or older).

Vote Your FWAB:

To find out the races, candidates, and ballot propositions forwhich you can vote, go to www.elections.alaska.gov. Foreach office for which you vote, write in either a candidate'sname or in the General Election, either the candidate’sname or a political party designation. For judicial candidatesand ballot propositions, write the judicial candidates name orballot proposition title in the "Office" column and vote with a"Yes" or "No" vote. Once the ballot is complete, fold andplace it in the security envelope and seal. Place only the

Alaska 2012-13 Voting Assistance Guide

voted ballot in the security envelope and do not write on thesecurity envelope.

If using the FWAB simultaneously as a registration form,ballot request, and voted ballot, it must be received by the localelection office no later than 30 days before the election.

If using the FWAB simultaneously as a ballot request andvoted ballot, it must be received by the local election official nolater than 10 days before Election Day.

If using the FWAB as a voted ballot only, it must bepostmarked on or before Election Day and received by thelocal election office by the ballot return deadline.

If you receive the regular ballot after submitting the votedFWAB, you may also vote and return the regular ballot. If bothballots are received by the deadline, only the regular ballot willbe counted.

Alaska allows you to submit the FWAB by mail or fax.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail your FWAB directly to:

Absentee Voting Office619 E. Ship Creek Ave, Ste 329

Anchorage, AK 99501-1677

You may submit the FWAB by fax only if you requested onyour application to have your ballot faxed to you. If youchoose to fax your FWAB, fax it directly to (907) 677-9943.Include ballot, voter affirmation, and cover sheet withsecrecy waiver. You may also use the DoD ElectronicTransmission Service to fax your FWAB and signedtransmittal sheet toll-free. Fax to: (703)693-5527, DSN223-5527, or toll-free from the U.S., Canada, Guam, PuertoRico, and the Virgin Islands to 1-800-368-8683.International toll-free fax numbers can be found on theinside back cover or at www.fvap.gov.

erican S

American Samoawww.americansamoaelectionsoffice.org

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted.

Block 4: Sex

Date of Birth

Your valid American Samoa Driver's License number ORyour Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers, American Samoa shall assign anumber that will serve to identify you for voter registrationpurposes.

Block 6: American Samoa allows you to receive your ballotby mail, email or fax. Please rank your preference of howyou would like to receive your absentee ballot. Moret ransmiss ion op t ions may be ava i l ab le . Checkwww.fvap.gov for updates.

Block 7: Complete street address of your American Samoavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: Enter your age, current place of employment, anda statement that the residence listed in Block 7 was acquiredwith the intent to make American Samoa your legalresidence. Provide any information that may assist the localelection official in accepting this application.

Affirmation: Sign and date. There is no notary requirementon elections for Federal offices.

American Samoa allows you to submit the FPCA by mail,email or fax.

Chief Election OfficerAmerican Samoa Government

P.O. Box 3970Pago Pago, American Samoa 96799

If you choose to fax or email your FPCA, you must alsosubmit the FPCA by mail. It is recommended that you faxor email the form directly to the Chief Election Officer. Faxnumbers and emai l addresses can be found a twww.americansamoelectionoffice.org. You may also use

DEADLINES General ElectionNovember 6, 2012

Registration October 8, 2012

Ballot Request October 22, 2012

Ballot Return November 6, 2012

American Samoa 2012-13 Voting Assistance Guide

the DoD Electronic Transmission Service to fax your FPCAtoll-free. To use the Electronic Transmission Service, usethe cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-freefrom the U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact the Chief Election Officer. Contactinformation can be found at: www.electionoffice.as.

Voting Your Ballot Local election officials mail ballots as soon as officialballots are printed and available.

Voted ballots must be received by the Election Office by1:30 pm on Election Day.

No witness or notary is required on voted ballots.

Voted ballots must be returned by mail regardless of howyour ballot was sent.

You may track the status of your ballot at: http://www.amer icansamoae lec t ionoff ice .o rg /Online%20Status%20Lookup/ASG%20El.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!American Samoa allows you to use Federal Write-InAbsentee Ballot (FWAB) for voting in general elections forFederal office. If you are registered and have requestedyour absentee ballot, feel free to use the FWAB to voteanytime before an election.

Block 1: American Samoa does not allow you to use thisform for registration. Do not check the registration block.

Block 4: Sex

Date of Birth

Enter your valid American Samoa Driver's License number,your Social Security number, OR your voter registrationnumber.

2012-13 Voting Assistance Guide American Samoa

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Block 7: Complete street address of your American Samoavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go towww.americansamoaelectionoffice.org. For each office forwhich you vote, write in either a candidate's name or apolitical party designation. American Samoa does not send

representatives to the U.S. Senate or directly participate inthe election of the President and Vice President of the U.S.At the Federal level, only a Delegate to the House ofRepresentatives is elected.

Once the ballot is complete, fold and place it in the securityenvelope and seal. Place only the voted ballot in thesecurity envelope and do not write on the security envelope.

The deadlines for submitting the FWAB are the same as forregular absentee ballots. If you receive the regular ballot aftersubmitting the voted FWAB, you may also vote and return theregular ballot. If both ballots are received by the deadline, onlythe regular ballot will be counted.

Insert the sealed security envelope and the Voter'sDeclaration/Affirmation into the mailing envelope and mailyour FWAB directly to:

Chief Election OfficerAmerican Samoa Government

P.O. Box 3970Pago Pago, American Samoa 96799

American Samoa 2012-13 Voting Assistance Guide

Arizonawww.azsos.gov

These are not mailing deadlines. Mail your voting materials early enough to account for mail delivery times. Check the Recommended Mailing Dates below for details.

Information is current as of April 2012. Check www.fvap.gov for updates.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all elections through the next tworegularly scheduled general elections. The registrationdeadline is different for recently discharged and militaryliving in Arizona. Contact the Arizona Secretary of State at1-877-THE-VOTE for more information.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are registered non-partisan,undeclared or with a political party not recognized inArizona, you must indicate which recognized party ballotyou want to receive. If you want to change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference to the local election official no laterthan 7 pm on Election Day. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Your Arizona Driver's License number, Non-OperatingIdentification License number OR the last four digits ofyour Social Security number is required for voterregis t ra t ion. I f you do not possess any of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Arizona allows you to receive your ballot by mail,email, fax, or via Arizona’s secured ballot upload system.Please rank your preference of how you would like toreceive your absentee ballot. Provide your email address orfax number in Block 5. If you do not make a selection, thenyour local election official will mail your ballot to you.

Blocks 7: Complete street address of your Arizona votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. For example, “2mi past Highway ___, across the streetfrom the ___ gas station.” This address must be within thecounty where you claim legal voting residence.

Block 9: In addition to mailing a regular ballot, Arizonaprovides a State write-in early ballot which is available 36days before the Presidential preference election, 60 daysbefore all other primary elections and 50 days before thegeneral election. This ballot allows you to vote for local,State and Federal offices. To request it, write in Block 6:“Due to military or other contingencies that precludenormal mail delivery, I cannot vote an early ballot duringthe normal early voting period. I request a special write-inearly ballot.”

Alternatively, you may request an early ballot online atwww.azsos.gov.

DEADLINES Presidential PrimaryFebruary 28, 2012

Registration 7 pm, February 28, 2012 7 pm, August 28, 2012 7 pm, November 6, 2012

Ballot Request 7 pm, February 28, 2012 7 pm, August 28, 2012 7 pm, November 6, 2012

Ballot Return 7 pm, February 28, 2012 7 pm, August 28, 2012 7 pm, November 6, 2012

Arizona 2012-13 Voting Assistance Guide

If you are not registered to vote in Arizona, or if you areregistered and move to a different Arizona county, youmust provide ONE of the following for proof ofcitizenship or your FPCA will be rejected:

Arizona Driver’s License number or Non-OperatingIdentification License number issued after October 1,1996.

Alien Registration Number from Certificate ofNaturalization.

Indian Census Number, Bureau of Indian Affairs CardNumber, Tribal Treaty Card Number, or TribalEnrollment Number.

A legible photocopy of a birth certificate that verifiescitizenship and supporting legal documentation (i.e.marriage certificate) if the name on the birth certificateis not the same as your current legal name

A legible photocopy of pertinent pages of a U.S.passport identifying the applicant

A legible photocopy of a Driver’s License or Non-Operating License from another State within the U.S.if the license indicates proof of citizenship

A legible photocopy of a Tribal Certificate of IndianBlood or Tribal/Bureau of Indian Affairs Affidavit ofbirth

If you need to include a photocopy, mail or fax it along withyour FPCA to your local election official. Do not sendoriginal documents. Photocopies will not be returned toyou.

Arizona allows you to submit the FPCA by mail or fax. Foradditional registration options go to www.azsos.gov.

If you choose to mail your FPCA, mail the form directly toyour local election office. Addresses can be found at theend of this section.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://www.azsos.gov/election/county.htm. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to:(703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-

800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toArizona’s voter registration verification website at: https://voter.azsos.gov.

Your jurisdiction will contact you if your registration isdenied.

Late Registration

Arizona permits an overseas voter discharged from militaryservice or overseas employment within 90 days of anelection to register to vote up until 5 pm on the Fridaybefore an election.

Arizona’s Secure Ballot System

Arizona also provides a secure ballot delivery system. Toaccess the system go to https://www.azsos.gov/election/military/default.aspx. You can request an early ballot in oneprocess through this system. To upload a voted ballot, youmust have first been authorized by the county to utilize thesystem. You can obtain authorization from the county byrequesting an early ballot through this system or bycontacting your county directly.

Voting By Citizens Who Have Never Lived in theU.S.

A U.S. citizen who has never resided in the U.S. and whoseparent is qualified to vote in Arizona is eligible to register tovote and may vote in Arizona.

Voting Your Ballot Local election officials mail ballots approximately 45 daysbefore elections.

Voted Ballots must be received by the local electionoffice by 7 pm on Election Day.

You may return the voted ballot and signed affidavit bymail, fax, or Arizona’s secure ballot upload system. UseFPCA mail and fax instructions under “How and Where toSubmit Your FPCA.” To use the secure ballot uploadsystem, you must have received a user ID and passwordfrom your local election official.

Overseas uniformed service members and their familymembers with access to the Military Postal Service, may

2012-13 Voting Assistance Guide Arizona

use the “Prepaid Expedited Mail- Label 11-DOD”. Thislabel is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You canreturn your ballot with this label attached at any MPO/FPO,American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

Tracking your Ballot

You may track the status of your ballot by contacting yourcounty recorder. Contact information is available at: https://www.azsos.gov/election/county.htm.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Arizona allows you to use the Federal Write-In AbsenteeBallot (FWAB) for both registration and voting in primary,general, and special elections for Federal office. Feel free touse the FWAB to vote anytime before an election.

Block 1: Arizona allows you to use this form forregistration only if you are eligible to register and vote inthe State, and if you provide proof of citizenship asdescribed in the instructions for Block 6 of the FPCA.

If you need to include a photocopy, mail or fax it to yourlocal election office along with your FWAB. Do not sendoriginal documents. Photocopies will not be returned toyou.

Block 2: Select the category that describes you

Your Arizona Driver's License number, Non-OperatingIdentification License number OR the last four digits ofyour Social Security number is required for voterregis t ra t ion . I f you do not possess any of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: If using this form to register, enter your politicalparty affiliation or write undeclared or non-partisan. If youare a registered non-partisan or undeclared, you mustindicate which party ballot you want to receive in thefuture.

Blocks 7: Complete street address of your Arizona votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. For example, “2mi past Highway ___, across the streetfrom the ___ gas station.” This address must be within thecounty where you claim legal voting residence.

Block 9: If you are using this form to register to vote inArizona, or if you are registered and move to a differentArizona county, you must provide ONE of the following forproof of citizenship or your FWAB will be rejected:

Arizona Driver’s License number or Non-OperatingIdentification License number issued after October 1,1996

Alien Registration Number from Certificate ofNaturalization

Indian Census Number, Bureau of Indian Affairs CardNumber, Tribal Treaty Card Number, or TribalEnrollment Number

A legible photocopy of a birth certificate that verifiescitizenship and supporting legal documentation (i.e.

marriage certificate) if the name on the birth certificateis not the same as your current legal name

A legible photocopy of pertinent pages of a U.S.passport identifying the applicant

A legible photocopy of a Driver’s License or Non-Operating License from another State within the U.S.if the license indicates proof of citizenship

A legible photocopy of a Tribal Certificate of IndianBlood or Tribal/Bureau of Indian Affairs Affidavit ofbirth

If you need to include a photocopy, mail or fax it along withyour FWAB to your local election official. Do not sendoriginal documents. Photocopies will not be returned toyou.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.azsos.gov. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

The deadlines for submitting the FWAB are the same as forregular State absentee ballots. If you receive the State ballotafter submitting the voted FWAB, you may also vote andreturn the State ballot. If both ballots are received by thedeadline, only the State ballot will be counted.

Arizona allows you to submit the FWAB by mail, fax, orArizona’s secure ballot upload system.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the form directly to your localelection office. Addresses can be found below.

If you choose to fax your FWAB, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://www.azsos.gov/election/county.htm. Include ballot, voter affirmation, and coversheet with secrecy waiver. You may also use the DoDElectronic Transmission Service to fax your FWAB toll-free. To use the Electronic Transmission Service, use thecover sheet available in Chapter 1 or at www.fvap.gov, andfax to: (703)693-5527, DSN 223-5527, or toll-free from theU.S., Canada, Guam, Puerto Rico, and the Virgin Islands to

1-800-368-8683. International toll-free numbers can befound on the inside back cover or at www.fvap.gov.

If you choose to submit your FWAB using Arizona’ssecured ballot upload system, you must have received auser id and password from your local election official.Local election official contact information can be found at:http://www.azsos.gov/election/county.htm.

Local Election Office Contacts

Apache Apache County RecorderPO Box 425Saint Johns, AZ 85936-0425Fax: (928) 337-7676Email: lfulton@co.apache.az.us

Cochise Cochise County Recorder1415 Melody Lane, Building BBisbee, AZ 85603-3037Fax: (520) 432-8368Email: recorder@co.cochise.az.us

Coconino Coconino County Recorder110 East Cherry AvenueFlagstaff, AZ 86001-4627Fax: (928) 679-7851Email: ccelections@coconino.az.gov

Gila Gila County Recorder1400 East Ash StreetGlobe, AZ 85501-1496Fax: (928) 425-9270Email: sdalton@co.gila.az.us

Graham Graham County Recorder921 Thatcher BoulevardSafford, AZ 85546-2858Fax: (928) 428-8828Email: wjohn@graham.az.gov

Greenlee Greenlee County RecorderPO Box 1625Clifton, AZ 85533-1625Fax: (928) 865-4417Email: bmanuz@co.greenlee.az.us

La Paz La Paz County Recorder1112 Joshua Avenue, Suite 201Parker, AZ 85344-5756Fax: (928) 669-5638Email: recorder@co.la-paz.az.us

Maricopa Maricopa County Recorder111 South 3rd Avenue, #103Phoenix, AZ 85003-2225Fax: (602) 506-3069Email: milos@risc.maricopa.gov

Mohave Mohave County RecorderPO Box 70Kingman, AZ 86402-0070Fax: (928) 718-4917Email: emma.allen@co.mohave.az.us

Navajo Navajo County RecorderPO Box 668Holbrook, AZ 86025-0668Fax: (928) 524-4308Email: laura.justman@co.navajo.az.us

Pima Pima County RecorderPO Box 3145Tucson, AZ 85702-3145Fax: (520) 623-1785Email: recorder@reecorder.pima.gov

Pinal Pinal County RecorderPO Box 848Florence, AZ 85132Fax: (520) 866-6872Email: recorder@co.pinal.az.us

2012-13 Voting Assistance Guide Arizona

Santa Cruz Santa Cruz County Recorder2150 North Congress DriveNogales, AZ 85621-1090Fax: (520) 375-7996Email: ssainz@co.santa-cruz.az.us

Yavapai Yavapai County Recorder1015 Fair Street, Room 228Prescott, AZ 86305-1852Fax: (928) 771-3446Email: web.voter.registration@co.yavapai.az.us

Yuma Yuma County Recorder410 South Maiden Lane # BYuma, AZ 85364-2311Email: robyn.paquette@co.yuma.az.us

Arkansashttp://www.votenaturally.org/overseas_military.html

Registering and Requesting Your Absentee BallotRegistration is not required. You must still complete theFederal Post Card Application to request an absentee ballot.The Federal Post Card Application registers you to vote andrequests absentee ballots for all Federal elections heldthrough the next two regularly scheduled general elections.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are registered non-partisan

or undeclared, you must indicate which party ballot youwant to receive. State your political party preference eachtime you request an absentee ballot for a primary election.If you want to change your political party affiliation, submita completed FPCA indicating your new party preference tothe local election official. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

DEADLINES FOR UNIFORMED

SERVICES

Presidential Primary

May 22, 2012

State PrimaryMay 22, 2012

June 12, 2012

Registration Not Required Not Required Not Required Not Required

Ballot Request May 15, 2012 May 15, 2012 June 5, 2012 October 30, 2012

Ballot Return 5 pm, June 1, 2012 5 pm, June 1, 2012 5 pm, June 22, 2012 5 pm, November 16, 2012

DEADLINES FORUNIFORMED

SERVICES FAMILIES AND

OVERSEAS CITIZENS

Presidential Primary

May 22, 2012

June 12, 2012

Ballot Request May 15, 2012 May 15, 2012 June 5, 2012 October 30, 2012

Ballot Return Postmarked by: May 22, 2012Received by:

5 pm, June 1, 2012

Postmarked by: May 22, 2012Received by:

5 pm, June 1, 2012

Postmarked by: June 12, 2012Received by:

5 pm, June 22, 2012

Received by: 5 pm, November 16,

Arkansas 2012-13 Voting Assistance Guide

Block 6: Arkansas does not allow you to receive your blankballot by email or fax. More transmission options may beavailable. Check www.fvap.gov for updates.

Block 7: Complete street address of your Arkansas votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: If you do not wish to receive ballots for all Federalelections through the next two regularly scheduled generalelections, you may request a ballot for each election forFederal office held in the next election year OR a ballot foronly the next scheduled election for Federal office bynoting your choice here.

Arkansas allows you to submit the FPCA by mail, fax oremail.

If you choose to email your FPCA, send the form as asigned, scanned attachment. Email directly to your localelection office. Email addresses can be found at https://www.voterview.ar-nova.org/.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at www.sos.arkansas.gov. You mayalso use the DoD Electronic Transmission Service to faxyour FPCA toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov. Regardless of the method used to submityour FPCA, confirm with your local election official thereceipt of your application.

To find out the status of your absentee ballot request,contact your local election office or refer to Arkansas’ voter

reg i s t ra t ion ve r i f i ca t ion webs i te a t : h t tp s : / /www.voterview.ar-nova.org/.

Voting Your Ballot Local election officials mail absentee ballots approximately46 days before an election.

Voted ballots for uniformed service families andoverseas citizens must be postmarked no later thanElection Day and received by the local election officialby 5 pm ten days after the election. Voted ballots foruniformed service members must be executed no laterthan Election Day and received by the ballot returndeadline.

You may track the status of your ballot by contacting yourcounty clerk. Contact information is available at: https://www.voterview.ar-nova.org/.

2012-13 Voting Assistance Guide Arkansas

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Arkansas allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in primary,special, run-off, and general elections for Federal, State, andlocal offices and non-candidate ballot issues. Feel free to usethe FWAB to vote anytime before an election.

Complete the Following Blocks of the FWAB’sVoter Declaration/ Affirmation:

Block 1: Arkansas allows you to use this form forregistration.

Block 7: Complete street address of your Arkansas votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.sos.arkansas.gov/elections.html. For each officefor which you vote, write in the candidate's name. Once the

ballot is complete, fold and place it in the security envelopeand seal. Place only the voted ballot in the securityenvelope and do not write on the security envelope.

The deadlines for submitting the FWAB are the same as forState absentee ballots. If you receive the State ballot aftersubmitting the voted FWAB, you may also vote and return theState ballot. If both ballots are received by the deadline, onlythe State ballot will be counted.

Local Election Office ContactsA complete list of all local election offices, along withaddresses, telephone/fax numbers, and email addresses,may be found at http://www.fvap.gov/contact/addresses/araddr.html.

Arkansas Arkansas County Clerk101 Court SquareDewitt, AR 72042-2050Fax: (870) 946-4399Email: arcoclerkmelissa@centurytel.net

Ashley Ashley County Clerk205 East Jefferson Street Hamburg, AR 71646-3007Fax: (870) 853-2082Email: ashleycoclerk@sbcglobal.net

Baxter Baxter County Clerk1 East Seventh Street, Suite 103Mountain Home, AR 72653-4468Fax: (870) 424-5105Email: baxterclerk@centurytel.net

Benton Benton County Clerk215 East CentralBentonville, AR 72712-5373Fax: (479) 271-1019Email: tobrien@co.benton.ar.us

Boone Boone County Clerk100 North Main Street, Suite 201Harrison, AR 72601-4228Fax: (870) 741-9724Email: crystalbooneclerk@windstream.net

Bradley Bradley County Clerk101 East Cedar StreetWarren, AR 71671-2744Fax: (870) 226-8404Email: bradleyclerk@arkansasclerks.com

Calhoun Calhoun County ClerkPO Box 1175309 West Main StreetHampton, AR 71744-1175Fax: (870) 798-2428Email: hogskinholidays@hotmail.com

Carroll Carroll County Clerk210 West Church StreetBerryville, AR 72616-4222Fax: (870) 423-7400Email: jcorreia@hbeark.com

Chicot Chicot County Clerk108 Main StreetLake Village, AR 71653-1965Fax: (870) 265-8006Email: chicotclerk@arkansasclerks.com

Clark Clark County Clerk401 Clay StreetArkadelphia, AR 71923-6100Fax: (870) 246-6505Email: rhonda@clarkcountyarkansas.com

Clay Clay County Clerk151 South Second AvenuePiggot, AR 72454-2618Fax: (870) 598-2813Email: clay123@centurytel.net

Cleburne Cleburne County Clerk301 West Main StreetHeber Springs, AR 72543-3016Fax: (501) 362-4622Email: dguffey@suddenlinkmail.com

Cleveland Cleveland County ClerkPO Box 368Rison, AR 71665-0368Fax: (870) 325-6144Email: skgray5@yahoo.com

Columbia Columbia County Clerk1 Court Square, Suite 1Magnolia, AR 71753-3599Fax: (870) 235-3773Email: countyclerk@countyofcolumbia.net

Conway Conway County Clerk117 South Moose StreetMorrilton, AR 72110-3400Fax: (501) 354-9610Email: dhartman@conwaycounty.org

Craighead Craighead County Clerk511 South Main Street, Room 202Jonesboro, AR 72401Fax: (870) 933-4514Email: nancy@craigheadcounty.org

Crawford Crawford County Clerk300 Main Street, Room 7Van Buren, AR 72965-5765Fax: (479) 471-3236Email: tarmer@crawford-county.org

Crittenden Crittenden County Clerk100 Court StreetMarion, AR 72364-1850Fax: (870) 739-3072Email: crittendenclerk@arkansasclerks.com

Cross Cross County Clerk705 East Union StreetWynne, AR 72396-3039Fax: (870) 238-57Email: crossclerk@arkansasclerks.com

Dallas Dallas County Clerk206 West Third StreetFordyce, AR 71742-3250Fax: (870) 352-7179Email: susie09co_cir@windstream.net

Desha Desha County ClerkPO Box 218Arkansas City, AR 71630-0218Fax: (870) 877-3413Email: countyclerk@deshacounty.org

Drew Drew County Clerk210 South Main StreetMonticello, AR 71655-4731Fax: (870) 460-6246Email: drewclerk@arkansasclerks.com

Faulkner Faulkner County Clerk801 Locust StreetConway, AR 72034-5358Fax: (501) 450-4938Email: melinda.reynolds@faulknercounty.org

Franklin Franklin County Clerk211 West CommericalOzark, AR 72949-3213Fax: (479) 667-3611Email:franklincoclerk@fra.countyservice.net

Fulton Fulton County ClerkPO Box 485Salem, AR 72576-9473Fax: (870) 895-3383Email: vickiefcclerk@centurytel.net

Garland Garland County Clerk501 Ouachita Street, Room 103Hot Springs, AR 71901-5161Fax: (501) 624-0665Email: garlandclerk@arkansasclerks.com

Grant Grant County Clerk101 West Center Street, Room 106Sheridan, AR 72150-2493Fax: (870) 942-3564Email: gcclerk@seark.net

Greene Greene County Clerk320 West Court Street, Room 102Paragould, AR 72450-4300Fax: (870) 239-6320Email: greeneclerk@arkansasclerks.com

Hempstead Hempstead County Clerk400 South Washington StreetHope, AR 71802Fax: (870) 777-7829Email: bitojava@yahoo.com

Hot Spring Hot Spring County Clerk210 Locust StreetMalvern, AR 72104-3791Fax: (501) 332-2221Email: sboyette@hotspringcounty.org

Howard Howard County Clerk421 North Main Street, Room 10Nashville, AR 71852-2008Fax: (870) 845-7505Email: howardclerk@arkansasclerks.com

Independence Independence County Clerk192 East Main Street Batesville, AR 72501-5510Fax: (870) 793-8831Email: tnast_wyatt@yahoo.com

Izard Izard County ClerkPO Box 95Melbourne, AR 72556-0095Fax: (870) 368-4748Email: izardclerk@arkansasclerks.com

Jackson Jackson County Clerk208 Main StreetNewport, AR 72112-3329Fax: (870) 523-7406Email: jacksoncountyclerk@gmail.com

Jefferson Jefferson County ClerkPO Box 6317Pine Bluff, AR 71661-6317Fax: (870) 541-5324Email: pjohnson.jcclerk@sbcglobal.net

Johnson Johnson County Clerk215 West Main StreetClarksville, AR 72830-3009Fax: (479) 754-2286Email: JohnsonClerk@ArkansasClerks.com

Lafayette Lafayette County Clerk2 Courthouse SquareLewisville, AR 71845-8801Fax: (870) 921-4505Email: lafayetteclerk@arkansasclerks.com

Lawrence Lawrence County Clerk315 West MainPO Box 526Walnut Ridge, AR 72476-1937Fax: (870) 886-1122Email: lawrenceclerk@arkansasclerks.com

Lee Lee County Clerk15 East Chestnut Street, Room 4Marianna, AR 72360-2342Fax: (870) 295-7783Email: patriciawilson1@att.net

2012-13 Voting Assistance Guide Arkansas

Lincoln Lincoln County Clerk300 South Drew StreetStar City, AR 71667-5104Fax: (870) 628-5794Email: lincolnclerk@arkansasclerks.com

Little River Little River County Clerk351 North SecondAshdown, AR 71822-2747Fax: (870) 898-2860Email: littleriverclerk@arkansasclerks.com

Logan Logan County Clerk25 West Walnut Street, #25Paris, AR 72855-3239Fax: (479) 963-9017Email: countyclerkofc@centurytel.net

Lonoke Lonoke County Clerk301 North Center StreetLonoke, AR 72086-2890Fax: (501) 676-2423Email: countyclerk.dawn@yahoo.com

Madison Madison County ClerkPO Box 37Huntsville, AR 72740-0037Fax: (479) 738-2735Email: madisonclerk@arkansasclerks.com

Marion Marion County ClerkPO Box 385Yellville, AR 72687-0385Fax: (870) 449-4979Email: clerkmarioncounty@yahoo.com

Miller Miller County Clerk400 Laurel Street, Room 105Texarkana, AR 71854-5249Fax: (870) 773-4090Email: millerclerk@arkansasclerks.com

Mississippi Mississippi County Clerk200 West Walnut StreetBlytheville, AR 72315-2831Fax: (870) 838-7784Email: mississippiclerk@arkansasclerks.com

Monroe Monroe County Clerk123 MadisonClarendon, AR 72029-2742Fax: (870) 747-5961Email: monroeclerk@arkansasclerks.com

Montgomery Montgomery County Clerk105 Hwy 270 East #10Mount Ida, AR 71957-0369Fax: (870) 867-2177Email: montgomeryclerk@arkansasclerks.com

Nevada Nevada County Clerk215 East 2nd Street, SouthPrescott, AR 71857-2136Fax: (870) 887-5795Email: julie_stockton@email.com

Newton Newton County ClerkPO Box 410 Jasper, AR 72641-0410Fax: (870) 446-5755Email: newtonclerk@arkansasclerks.com

Ouachita Ouachita County Clerk145 Jefferson StreetCamden, AR 71701-3994Fax: (870) 837-2217Email: coclerk@cablelynx.com

Perry Perry County Clerk310 West Main StreetPerryville, AR 72126Fax: (501) 889-5759Email: perryclerk@arkansasclerks.com

Phillips Phillips County Clerk620 Cherry Street, Suite 202Helena, AR 72342-3306Fax: (870) 338-5509Email: phillipsclerk@arkansasclerks.com

Pike Pike County ClerkPO Box 218Murfreesboro, AR 71958-0219Fax: (870) 285-3900Email: pikeclerk@arkansasclerks.com

Poinsett Poinsett County Clerk401 Market StreetHarrisburg, AR 72432-1900Fax: (870) 578-2441Email: arseat63@pcsii.com

Polk Polk County Clerk507 Church Avenue,Mena, AR 71953-3258Fax: (479) 394-8115Email: polkcountyclerk@yahoo.com

Pope Pope County Clerk102 West Main Street, Suite 6Russellville, AR 72801-3723Fax: (479) 967-2291Email: popeclerk@suddenlinkmail.com

Prairie Prairie County Clerk200 Courthouse Square, Suite 104Des Arc, AR 72040-1011Fax: (870) 256-4434Email: prairieclerk@arkansasclerks.com

Pulaski Pulaski County Clerk401 West Markham StreetPO Box 2659Little Rock, AR 72203Fax: (501) 340-8340Email: skardiak@pulaskiclerk.com

Randolph Randolph County Clerk101 East Broadway, Suite APocahontas, AR 72455-3412Fax: (870) 892-5829Email: rcoclerk@suddenlinkmail.com

Saint Francis Saint Francis County Clerk313 South Izard Street, Suite 2Forest City, AR 72336Fax: (870) 630-1210Email: roseemily52@hotmail.com

Saline Saline County Clerk215 North Main Street, Suite GBenton, AR 72015-3781Fax: (501) 776-2412Email: lmontalvo@salinecounty.org

Scott Scott County Clerk190 West First Street, Box 10Waldron, AR 72958-7103Fax: (479) 637-0124Email: scottcountyclerk@yahoo.com

Searcy Searcy County ClerkPO Box 998Marshall, AR 72650-0998Fax: (870) 448-5005Email: searcycoclerk@windstream.net

Sebastian Sebastian County Clerk35 South Sixth Street, Room 102Fort Smith, AR 72901-2442Fax: (479) 784-1567Email: sebastianclerk@arkansasclerks.com

Sevier Sevier County Clerk115 North Third Street, Room 102De Queen, AR 71832-2852 Fax: (870) 642-3896Email: sevierclerk@arkansasclerks.com

Sharp Sharp County Clerk718 Ash Flat DrivePO Box 307Ash Flat, AR 72513-9103Fax: (870) 994-7712Email: sharpclerk@arkansasclerks.com

Stone Stone County Clerk107 West Main Street, Suite DMountain View, AR 72560-9610Fax: (870) 269-9058Email: djwilson@mvtel.net

Union Union County Clerk101 North Washington Street, Suite 102El Dorado, AR 71730-5661Fax: (870) 864-1927Email: unionclerk@arkansasclerks.com

Van Buren Van Buren County Clerk1414 Hwy 65 S, Suite 131Clinton, AR 72031Fax: (501) 745-6836Email: vanburenclerk@arkansasclerks.com

Washington Washington County Clerk280 North College Avenue, Suite 300Fayetteville, AR 72701-4279Fax: (479) 444-1894Email: kpritchard@co.washington.ar.us

White White County Clerk315 North SpruceSearcy, AR 72143-7720Fax: (501) 279-6260Email: wcclerkmteague@yahoo.com

Woodruff Woodruff County Clerk500 North Third StreetAugusta, AR 72006-2020Fax: (870) 347-2608Email: woodruffcountyclerk@hotmail.com

Yell Yell County ClerkPO Box 219Danville, AR 72833-0219Fax: (479) 495-4875Email: yellclerk@arkansasclerks.com

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Californiahttp://www.sos.ca.gov/elections/elections_mov.htm

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote and requests absentee ballots for every subsequent Federal election held until the voter fails to return an executed ballot in four consecutive statewide general elections.

Complete the Following Blocks of the Federal Post Card Application (FPCA):

Block 2: Enter your political party preference. If you do notwish to provdie a party preference, enter “no party preference.”In Presidential elections only, California law allows voters whohave declined to provide a party preference to vote a partyballot at a primary election if the political party allows it. Findout which political parties allow this at www.sos.ca.gov. If youwant to change your political party preference, submit acompleted FPCA indicating your new party preference to thelocal elections official no later than 15 days before the election.

Your valid California Driver's License number OR the last fourdigits of your Social Security number is required for voterregistration. If you do not possess either of these identificationnumbers, California shall assign a number that will serve toidentify you for voter registration purpose.

Block 5: Recommended but not required. Provide your contactinformation to allow your local election official to follow up ifmore information is required.

Block 6: California allows you to receive the blank ballot bymail or fax. Some counties also offer emailed or downloadable

online ballots. Check the county listing at http://www.sos.ca.gov/elections/elections_mov.htm to see whatoptions your county provides. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your California votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 8: Complete address where you want your ballot sent,usually where you live now.

Block 9: Provide any information that may assist the localelection official in accepting this application.

California allows you to submit the FPCA by mail or fax.

If you choose to mail your FPCA, mail the form directly toyour local election office. Addresses can be found at the end ofthis section.

If you choose to fax your FPCA, it is recommended that youfax the form directly to your local election official. Faxnumbers can be found at http://www.sos.ca.gov/elections/elections_mov.htm. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheet availablein Chapter 1 or at www.fvap.gov, and fax to: (703) 696-2148,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.

DEADLINES Presidential PrimaryJune 5, 2012

State PrimaryJune 5, 2012

Registration May 21, 2012 May 21, 2012 October 22, 2012

Ballot Request May 29, 2012 May 29, 2012 October 30, 2012

Ballot Return 8pm, June 5, 2012 8pm, June 5, 2012 8pm, November 6, 2012

California 2012-13 Voting Assistance Guide

International toll-free numbers can be found on the inside backcover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contact informationcan be found at: http://www.sos.ca.gov/elections/elections_mov.htm.

Your jurisdiction will contact you regarding the status of yourapplication.

Late Registration

Discharged military personnel and civilians outside the U.S.who return to their county of residence after the registrationdeadline may apply for registration at the local election office.Military personnel must provide documentary proof that theirrelease was after the registration deadline.

Ballot Request by Letter

If you are already registered, you may submit a letter to yourlocal election official to request an absentee ballot by the ballotrequest deadline. The letter must include your name asregistered, voting residence address, address to which theabsentee ballot should be sent, and the name and date of theelection. The letter must be signed and dated.

Ballot Request if Recalled to Service

If you are unable to appear at your polling place because ofbeing recalled to service after the absentee ballot requestdeadline, but before 5 pm PST on the day before the election,you may request an absentee ballot at your local electionoffice.

Voting Your Ballot Local election officials mail absentee ballots beginning 60days before the election.

Voted ballots must be received by the local election officeby 8 pm PST on election day. Postmarks do not count.

California law does not allow for return of voted ballots byemail.You may return the voted ballot by mail or fax inaccordance with the instructions sent with the ballot. Nowitness or notary is required on voted ballots. If you fax yourballot, you must also fax the “oath of voter” form provided byyour county waiving your right to secrecy.

Overseas uniformed service members and their familymembers with access to the Military Postal Service, may use

the “Prepaid Expedited Mail- Label 11-DOD”. This label isavailable at APO/FPO locations and can only be used for thegeneral election. It provides expedited mail service up to sevendays prior to the election. You can return your ballot with thislabel attached at any MPO/FPO, American embassy orconsulate. A portion of the label is retained by you for trackingyour ballot through the U.S. Postal Service.

You may track the status of your ballot at: http://www.sos.ca.gov/elections/ballot-status/.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!California allows you to use the Federal Write-In AbsenteeBallot (FWAB) voting in primary, special, run-off, and generalelections for Federal, State, and local offices and non-candidateballot issues. If you are registered and have requested yourabsentee ballot, feel free to use the FWAB to vote anytimebefore an election.

Block 1: California does not allow you to use this form forregistration. Do not check the registration block.

2012-13 Voting Assistance Guide California

Califo

Enter your valid California Driver's License number, the lastfour digits of your Social Security number, OR your State voterregistration number.

Block 7: Complete street address of your California votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote, goto http://voterguide.sos.ca.gov/. For each office for which youvote, write in either a candidate’s name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the ballot directly to your localelection office. Addresses can be found below.

If you choose to fax your FWAB, you must sign an oathwaiving your right to cast the ballot secretly. You shuold faxback your voted ballot only if doing so is necessary for theballot to be received before the close of polls on election day.

It is recommended that you fax the form directly to your localelection official. Fax numbers can be found at http://www.sos.ca.gov/elections/elections_mov.htm. Include ballot,

voter affirmation, and cover sheet with secrecy waiver. Youmay also use the DoD Electronic Transmission Service to faxyour FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 696-2148, DSN 223-5527, ortoll-free from the U.S., Canada, Guam, Puerto Rico, and theVirgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Local Election Office AddressesCounty Mailing Address

Alameda Alameda County Registrar of Voters1225 Fallon Street, Room G1Oakland, CA 94612-4229Fax: (510) 272-6982Email: lolita.francisco@acgov.org

Alpine Alpine County Clerk, Registrar of VotersPO Box 158Markleeville, CA 96120-0158Fax: (530) 694-2491Email: bhoward@alpinecountyca.gov

Amador Amador County Registrar of Voters810 Court StreetJackson, CA 95642-2132Fax: (209) 223-6467Email: elections@amadorgov.org

Butte Butte County Clerk, Registrar of Voters25 County Center Drive, Suite 110Oroville, CA 95965-3366Fax: (530) 538-6853Email: LCassady@buttecounty.net

Calaveras Calaveras County Clerk, Elections Department891 Mountain Ranch RoadSan Andreas, CA 95249-9713Fax: (209) 754-6733Email: BAndahl@co.calaveras.ca.us

Colusa Colusa County Clerk, Elections Department546 Jay Street, Suite 200Colusa, CA 95932-2400Fax: (530) 458-0512Email: csu@countyofcolusa.org

Contra Costa Contra Costa County Clerk, Elections DepartmentPO Box 271Martinez, CA 94553-0027Fax: (925) 335-7842Email: voter.services@vote.cccounty.us

Del Norte Del Norte County Clerk, Recorder, Elections981 H Street Room 160Crescent City, CA 95531-3457Fax: (707) 465-0321Email: smealue@co.del-norte.ca.gov

El Dorado El Dorado County Registrar of Voters2850 Fairlane CourtPlacerville, CA 95667-4100Fax: (530) 626-5514Email: barbara.dunmore@edcgov.us

Fresno Fresno County Clerk, Registrar of Voters2221 Kern StreetFresno, CA 93721-2613Fax: (559) 488-3279Email: aanderson@co.fresno.ca.us

Glenn Glenn County Clerk, Elections516 W. Sycamore StreetWillows, CA 95988-2740Fax: (530) 934-6485Email: lteeter@countyofglenn.net

Humboldt Humboldt County Clerk, Elections3033 H Street, Room 20Eureka, CA 95501-4409Fax: (707) 445-7204Email: ksanders@co.humboldt.ca.us

Imperial Imperial County Clerk, Courthouse940 W. Main Street, Room 206El Centro, CA 92243-2865Fax: (760) 337-4182Email: janehurtado@co.imperial.ca.us

Inyo Inyo County Clerk-Elections168 N. Edwards PO Drawer FIndependence, CA 93526-0606Fax: (760) 878-1805Email: kfoote@inyocounty.us

Kern Kern County Clerk - Elections Office1115 Truxtun Avenue, 1st FloorBakersfield, CA 93301-4617Fax: (661) 868-3768Email: barnetta@co.kern.ca.us

Kings Kings County Elections Dept., Govt. Center1400 W. Lacey BoulevardHanford, CA 93230-5997Fax: (559) 585-8453Email: rachelle.simas@co.kings.ca.us

Lake Lake County Clerk, Registrar of Voters255 N. Forbes StreetLakeport, CA 95453-4747Fax: (707) 263-2742Email: dianef@co.lake.ca.us

Lassen Lassen County Clerk, Registrar of Voters220 S. Lassen Street, Ste. 5Susanville, CA 96130-4343Fax: (530) 257-3480Email: lcclerk@co.lassen.ca.us

Los Angeles Los Angeles County Registrar of Voters/County Clerk12400 Imperial HighwayNorwalk, CA 90650-8357Fax: (562) 462-2354Email: militaryoverseasav@rrcc.lacounty.gov

Madera Madera County Clerk-Elections200 W. 4th StreetMadera, CA 93637-3548Fax: (559) 675-7870Email: ssibley@madera-county.com

Marin Marin County Registrar of Voters3501 Civic Center, Room 121San Rafael, CA 94903-4183Fax: (415) 499-6447Email: dbelben@co.marin.ca.us

Mariposa Mariposa County Clerk, Registrar of VotersPO Box 247Mariposa, CA 95338-0247Fax: (209) 966-6496Email: cprogner@mariposacounty.org

Mendocino Mendocino County Clerk-Elections501 Low Gap Road, Room 1020Ukiah, CA 95482-3738Fax: (707) 463-4257Email: bartolok@co.mendocino.ca.us

Merced Merced County Clerk-Elections2222 M Street, Room 14Merced, CA 95340-3729Fax: (209) 385-7387Email: smachado@co.merced.ca.us

Modoc Modoc County Clerk-Elections204 South Court StreetAlturas, CA 96101-4020Fax: (530) 233-2434Email: darcylocken@co.modoc.ca.us

Mono Mono County Clerk-ElectionsP.O. Box 237Bridgeport, CA 93517Fax: (760) 932-5531Email: lromero@mono.ca.gov

Monterey Monterey County Elections1370 S. Main Street # BSalinas, CA 93901-2109Fax: (831) 796-1499Email: rempertjs@co.monterey.ca.us

Napa Napa County Clerk, Registrar of Voters900 Coombs Street, Room 256Napa, CA 94559-2900Fax: (707) 253-4390Email: jennier.keener@countyofnapa.org

Nevada Nevada County Clerk - Elections950 Maidu AvenueNevada City, CA 95959-8600Fax: (530) 265-9829Email: gail.smith@co.nevada.ca.us

Orange Orange County Registrar of Voters1300 S. Grande Ave Bldg. CSanta Ana, CA 92705-4434Fax: (714) 567-7556Email: jessica.castaneda@rov.ocgov.com

Placer Placer County Registrar of Voters2956 Richardson Dr.Auburn, CA 95603-2640Fax: (530) 886-5689Email: vote@placer.ca.gov

Plumas Plumas County Clerk - Elections520 Main Street, Room 102Quincy, CA 95971-9366Fax: (530) 283-6155Email: marcydemartile@countyofplumas.com

Riverside Riverside County Registrar of Voters2724 Gateway DriveRiverside, CA 92507-0918Fax: (951) 486-7272Email: RAMartine@co.riverside.ca.us

Sacramento County of SacramentoVoter Registration and Elections7000 65th StreetSacramento, CA 95823-2315Fax: (916) 876-5597Email: jonesdi@saccounty.net

San Benito San Benito County Clerk, Court House440 Fifth Street, Room 206 Hollister, CA 95023-3843Fax: (831) 636-2939Email: khawk@cosb.us

San Bernardino San Bernardino County Registrar of Voters777 E. Rialto AvenueSan Bernardino, CA 92415Fax: (909) 387-2022Email: fmcleod@rov.sbcounty.gov

San Diego San Diego County Registrar of Voters5201 Ruffin Road, #ISan Diego, CA 92123-1693Fax: (858) 694-2955Email: Carolyn.Twichel@sdcounty.ca.gov

San Francisco San Francisco County Elections, City Hall 1 Dr. Carlton B. Goodlett Place, Room 48San Francisco, CA 94102-4635Fax: (415) 554-4372Email: demetri.chamese@sfgov.org

San Joaquin San Joaquin County Registrar of Voters44 North San Joaquin Street, Suite 350Stockton, CA 95202-2924Fax: (209) 468-9534Email: apayne@sjgov.org

San Luis Obispo San Luis Obispo County Clerk-Elections1055 Monterey Street, Room D120San Luis Obispo, CA 93408-1003Fax: (805) 781-1111Email: lzohns@co.slo.ca.us

San Mateo San Mateo County Clerk of Elections40 Tower RoadSan Mateo, CA 94402-4098Fax: (650) 312-5348Email: mdubroff@smcare.org

Santa Barbara Santa Barbara County Clerk-Elections, Courthouse130 E. Victoria Street, Suite 200Santa Barbara, CA 93101-2019Fax: (805) 568-2209Email: arichey@co.santa-barbara.ca.us

2012-13 Voting Assistance Guide California

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Santa Clara Santa Clara County Registrar of Voters1555 Berger Drive, Building 2San Jose, CA 95112-2716Fax: (408) 293-6002Email: matt.moreles@rov.sccgov.org

Santa Cruz Santa Cruz County Clerk - Elections701 Ocean Street, Room 210Santa Cruz, CA 95060-4076Fax: (831) 454-2445Email: tricia.webber@co.santa-cruz.ca.us

Shasta Shasta County Clerk-Elections1643 Market StreetRedding, CA 96001-1022Fax: (530) 225-5454Email: smathews@co.shasta.ca.us

Sierra Sierra County Clerk-ElectionsCourthousePO Drawer D, Room 11Downieville, CA 95936-0398Fax: (530) 289-2830Email: hfoster@sierracounty.ws

Siskiyou Siskiyou County Clerk-Elections510 N. Main StreetYreka, CA 96097-9910Fax: (530) 841-4110Email: csetzer@co.siskiyou.ca.us

Solano Solano County Registrar of Voters675 Texas Street, Suite 2600Fairfield, CA 94533-6338Fax: (707) 784-6678Email: cmcooper@solanocounty.com

Sonoma Sonoma County Clerk, Registrar of Voters435 Fiscal DriveSanta Rosa, CA 95403-2820Fax: (707) 565-6843Email: debbie.justice@sonoma-county.org

Stanislaus Stanislaus County Clerk, Registrar of Voters1021 “I” Street, Suite 101Modesto, CA 95354-2331Fax: (209) 525-5803Email: stanvote@mail.co.stanislaus.ca.us

Sutter Sutter County Clerk-Elections1435 Veterans Memorial CircleYuba City, CA 95993-3011Fax: (530) 822-7587Email: wasmith@co.sutter.ca.us

Tehama Tehama County Clerk-ElectionsPO Box 250Red Bluff, CA 96080-0250Fax: (530) 527-1140Email: jvise@co.tehama.ca.us

Trinity Trinity County Clerk-ElectionsPO Box 1215Weaverville, CA 96093-1258Fax: (530) 623-8398Email: elections@trinitycounty.org

Tulare Tulare County Registrar of Voters5951 S. Mooney Blvd.Visalia, CA 93277-9394Fax: (559) 737-4498Email: mcypert@co.tulare.ca.us

Tuolumne Tuolumne County Clerk of Elections2 S. Green StreetSonora, CA 95370-4696Fax: (209) 694-8931Email: drussell@co.tuolumne.ca.us

Ventura Ventura County Clerk-Elections800 S. Victoria Avenue, L-1200Ventura, CA 93009-1200Fax: (805) 648-9200Email: christina.valenzuela@ventura.org

Yolo Yolo County Clerk-Registration625 Court Street, Room B 05Woodland, CA 95695-3475Fax: (530) 666-8123Email: cntyclrk@yoloelections.org

Yuba Yuba County Clerk, Courthouse915 8th Street, Suite 107Marysville, CA 95901-5273Fax: (530) 749-7854Email: dhillegass@co.yuba.ca.us

Coloradowww.sos.state.co.us/pubs/elections

* Colorado has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotFederal Post Card Applications received on or before October28, 2009 will register you to vote and request absentee ballotsfor all Federal elections held through the next two regularlyscheduled general elections. Applications received afterOctober 28, 2009 will register you to vote and request absenteeballots for all Federal elections held through the next GeneralElection, unless you request otherwise. Voters who have beenissued a Colorado driver's license or State ID card may alsoregister to vote, request a ballot, or update their registrationonline at www.GoVoteColorado.com.

Complete the Following Blocks of the Federal PostCard Application (FPCA):

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are an unaffiliated voter andwant to participate in a party primary, you must indicate whichparty ballot you want to receive. If you want to change yourpolitical party affiliation, submit a completed FPCA indicatingyour new party preference to the local election official no laterthan 29 days prior to the election. Political party affiliation isnot required if only requesting absentee ballots for generalelections.

Block 3: Name (Last, First, Middle). Enter any former nameunder which you were registered in Colorado.

Block 4: Sex

Date of Birth

Enter your valid Colorado Driver's License number ORDepartment of Revenue ID number. If you do not have eitherof these numbers, enter the last four digits of your Social

Security number. If you do not possess any of theseidentification numbers, write “none” and the State shall assigna number that will serve to identify you for voter registrationpurposes.

Blocks 5: Provide your contact information to allow your localelection official to follow up if more information is required.

Block 6: Colorado allows you to receive your ballot by mail,fax, or email. Please rank your preference of how you wouldlike to receive your absentee ballot. Provide your fax numberor email address in Block 5. If you do not make a selection,then your local election official will mail your ballot to you.

Block 7: Complete street address of your Colorado votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 9: Colorado law allows voters to request a permanentabsentee ballot. If you wish to receive a ballot by mail forevery election that you are eligible to vote in, write “Add myname to the permanent mail-in ballot list.” If your addresschanges, be sure to submit a new FPCA to your local electionofficial.

Colorado allows you to submit the FPCA by mail, email, orfax.

Registration N/A May 29, 2012 October 9, 2012

Ballot Request N/A June 19, 2012 October 30, 2012

Ballot Return N/A July 5, 2012 November 14, 2012

Colorado 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you must send the form asa signed, scanned attachment. Email directly to your localelection office. Email addresses can be found at http://www.sos.state.co.us/pubs/elections/UOCAVA.html.

If you choose to fax your FPCA, fax the form directly to yourlocal election official. Fax numbers can be found at http://www.sos.state.co.us/pubs/elections/UOCAVA.html. You mayalso use the DoD Electronic Transmission Service to fax yourFPCA toll-free. To use the Electronic Transmission Service,use the cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to Colorado’svoter registration verification website at: http:/ /www.govotecolorado.com/.

Late Registration

Colorado law provides that military personnel serving outsidethe United States who were discharged from active duty withinthe 29 days prior to the election may complete an emergencyregistration in the office of the county clerk and recorder andvote in the election.

Voting By Citizens Who Have Never Lived in the U.S.

A U.S. citizen who was born abroad, is eligible to vote and hasnever lived in the U.S. may register and vote in the Coloradocounty where a parent would be eligible to register and vote.

Voting Your Ballot Local election officials mail ballots 45 days before electionday.

Voted ballots must be sent by 7 pm on Election Day andreceived by the local election official no later than 8 daysafter the election.

You may return your voted ballot by mail, fax or email. Usethe FPCA mail, email, and fax instructions under “How andWhere to Submit Your FPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service, may usethe “Prepaid Expedited Mail- Label 11-DOD”. This label isavailable at APO/FPO locations and can only be used for thegeneral election. It provides expedited mail service up to sevendays prior to the election. You can return your ballot with thislabel attached at any MPO/FPO, American embassy orconsulate. A portion of the label is retained by you for trackingyour ballot through the U.S. Postal Service.

You may track the s tatus of your bal lot at :www.GoVoteColorado.com. Select “View my: Mail-in ballotstatus”.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Colorado allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in general, special,or primary elections, or any other election coordinated by theCounty Clerk and Recorder. If you are registered and haverequested your absentee ballot, feel free to use the FWAB tovote anytime before an election.

Block 1: Colorado allows you to use this form for registration.It must be submitted no later than 29 days before the election.

2012-13 Voting Assistance Guide Colorado

Block 4: Sex

Date of Birth

Block 5:Provide your contact information to allow your localelection official to follow up if more information is required.

Block 6: To vote in primary elections, you must enter yourpolitical party affiliation. If you are an unaffiliated voter andwant to participate in a party primary, you must indicate whichparty ballot you want to receive. If you want to change yourpolitical party affiliation, submit a completed Federal PostCard Application indicating your new party preference to thelocal election official no later than 29 days prior to the election.Political party affiliation is not required if only requestingabsentee ballots for general elections.

Block 7: Complete street address of your Colorado votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

Vote for any Federal, State, or local office in a general, special,or primary election. To find out the races and candidates forwhich you can vote, go to http://www.sos.state.co.us/pubs/elections/UOCAVA.html. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

If using the FWAB simultaneously as a registration form,ballot request form and voted ballot, it must be received by thelocal election office by the registration deadline.

If using the FWAB simultaneously as a ballot request form andvoted ballot, it must be received by the local election office bythe ballot request deadline.

If using the FWAB as a voted ballot only, it must be receivedby the local election office by the ballot return deadline. If youreceive the State ballot after submitting the voted FWAB, you

may also vote and return the State ballot. If both ballots arereceived by the deadline, only the State ballot will be counted.

Colorado allows you to submit the FWAB by mail, fax oremail.

If you choose to email your FWAB, you must send the form asa signed, scanned attachment. Email directly to your localelection office. Email addresses can be found at http://www.sos.state.co.us/pubs/elections/UOCAVA.html.

If you choose to fax your FWAB, fax the FWAB directly toyour local election official. Fax numbers can be found at http://www.sos.state.co.us/pubs/elections/UOCAVA.html. Includeballot, voter affirmation, and cover sheet with secrecy waiver.You may also use the DoD Electronic Transmission Service tofax your FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527, ortoll-free from the U.S., Canada, Guam, Puerto Rico, and theVirgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Adams Adams County Clerk and RecorderP.O. Box 5027Brighton, CO 80601-8207Fax: (720) 523-6266Email: nburkhart@adcogov.org; dmeyer@adcogov.org

Alamosa Alamosa County Clerk and RecorderP.O. Box 630Alamosa, CO 81101-0630Fax: (719) 589-6118Email: tcarver@alamosacounty.org

Arapahoe Arapahoe County Clerk and Recorder5334 S. PrinceLittleton, CO 80120Fax: (303) 795-4712Email: uocava@co.arapahoe.co.us

Archuleta Archuleta County Clerk and RecorderP.O. Box 2589Pagosa Springs, CO 81147-2589Fax: (970) 264-8562Email: jmadrid@archuletacounty.org

Baca Baca County Clerk and Recorder741 Main, Ste 3Springfield, CO 81073-1548Fax: (719) 523-4881Email: bacaclerk@bacacounty.net

Bent Bent County Clerk and RecorderP.O. Box 350Las Animas, CO 81054-0350Fax: (719) 456-0375Email: Patti.Nickell@bentcounty.net

Boulder Boulder County Clerk and RecorderElections Division1750 33rd Street, Suite 200Boulder, CO 80301-2534Fax: (303) 413-7728Email: usvote@voteboulder.org

Broomfield Broomfield County Clerk and Recorder1 DesCombes DriveBroomfield, CO 80020-2495Fax: (303) 410-3815Email: electionsdivision@broomfield.org

Chaffee Chaffee County Clerk and RecorderP.O. Box 699Salida, CO 81201-0699Fax: (719) 539-8588Email: lmitchell@chaffeecounty.org

Cheyenne Cheyenne County Clerk and RecorderP.O. Box 567Cheyenne Wells, CO 80810-0569Fax: (719) 767-8730Email: cheyclrk@rebeltec.net

Clear Creek Clear Creek County Clerk and RecorderP.O. Box 2000Georgetown, CO 80444-2000Fax: (303) 679-2416Email: pphipps@co.clear-creek.co.us

Conejos Conejos County Clerk and RecorderP.O. Box 127Conejos, CO 81129-0127Fax: (719) 376-5997Email: lawrence.gallegos@co.conejos.co.us

Costilla Costilla County Clerk and RecorderP.O. Box 308San Luis, CO 81152-0308Fax: (719) 672-3781Email: costillaclerk@yahoo.com

Crowley Crowley County Clerk and Recorder631 Main Street, Suite 102Ordway, CO 81063-1092Fax: (719) 267-4608Email: lnichols@crowleycounty.net

Custer Custer County Clerk and RecorderP.O. Box 150Westcliffe, CO 81252-0150Fax: (719) 783-2885Email: custerclerk@yahoo.com

Delta Delta County Clerk and Recorder501 Palmer, Suite 211Delta, CO 81416-1764Fax: (970) 874-2161Email: elections@deltacounty.com

Denver Denver County Clerk and Recorder,Elections Division200 W. 14th Ave., Suite 100Denver, CO 80204Fax: (720) 913-8607Email: mailballots@denvergov.org

Dolores Dolores County Clerk and RecorderP.O. Box 58Dove Creek, CO 81324-0058Fax: (970) 677-4144Email: dolorescounty@hotmail.com

Douglas Douglas County Clerk and Recorder125 Stephanie PlaceCastle Rock, CO 80109Fax: (720) 733-6977Email: elections@douglas.co.us

Eagle Eagle County Clerk and RecorderP.O. Box 537Eagle, CO 81631-0537Fax: (970) 328-8716Email: helen.lindow@eaglecounty.us

Elbert Elbert County Clerk and RecorderP.O. Box 37Kiowa, CO 80117-0037Fax: (303) 621-3212Email: blake.hepburn@elbertcounty-co.gov

El Paso El Paso County Clerk and RecorderP.O. Box 2007Colorado Springs, CO 80901-2007Fax: (719) 520-7327Email: uocava@elpasoco.com

Fremont Fremont County Clerk and Recorder615 Macon Avenue, Room 102Canon City, CO 81212-3381Fax: (719) 276-7338Email: juanita.wellen@fremontco.com

Garfield Garfield County Clerk and Recorder109 8th Street, Suite 200Glenwood Springs, CO 81601-3303Fax: (970) 384-3750Email: elections@garfield-county.com

Gilpin Gilpin County Clerk and RecorderP.O. Box 429Central City, CO 80427-0429Fax: (303) 565-1797Email: gcelections@co.gilpin.co.us

Grand Grand County Clerk and RecorderP.O. Box 120Hot Sulphur Springs, CO 80451-0120Fax: (970) 725-0100Email: grandelections@co.grand.co.us

Gunnison Gunnison County Clerk and Recorder221 N. Wisconsin Street, Suite CGunnison, CO 81230-2433Fax: (970) 642-4675Email: ksimillion@gunnisoncounty.org

Hinsdale Hinsdale County Clerk and RecorderP.O. Box 9Lake City, CO 81235-0009Fax: (970) 944-2202Email: hinsdaleclerk@yahoo.com

Huerfano Huerfano County Clerk and Recorder401 Main Street, Suite 204Walsenburg, CO 81089-2085Fax: 719) 738-2060Email: Judy.benine@huerfano.us: Shirley@huerfano.us

Jackson Jackson County Clerk and RecorderP.O. Box 337Walden, CO 80480-0337Fax: (970) 723-3214Email: Jc_clerk@hotmail.com

Jefferson Jefferson County Clerk and Recorder100 Jefferson County Pkwy., Suite 2560Golden, CO 80419-2560Fax: (303) 271-9307Email: usvote@jeffco.us

Kiowa Kiowa County Clerk and RecorderP.O. Box 37Eads, CO 81036-0037Fax: (719) 438-5327Email: kiowaclerk@hotmail.com

Kit Carson Kit Carson County Clerk and RecorderP.O. Box 249Burlington, CO 80807-0249Fax: (719) 346-8721Email: elections@kitcarsoncounty.org

Lake Lake County Clerk and RecorderP.O. Box 917Leadville, CO 80461-0917Fax: (719) 486-3972Email: pberger@co.lake.co.us

La Plata La Plata County Clerk and Recorder98 Everett Street, Suite CDurango, CO 81303Fax: (970) 259-5413Email: donna.arriza@co.laplata.co.us

Larimer Larimer County Clerk and RecorderP.O. Box 1547Fort Collins, CO 80522-1547Fax: (970) 498-7845Email: elections@co.larimer.co.us

Las Animas Las Animas County Clerk and RecorderP.O. Box 115Trinidad, CO 81082-0115Fax: (719) 845-2573Email: lacntyclerk@yahoo.com

Lincoln Lincoln County Clerk and RecorderP.O. Box 67Hugo, CO 80821-0067Fax: (719) 743-2524Email: lcclerk@lincolncountyco.us

Logan Logan County Clerk and Recorder315 Main Street, Suite 3Sterling, CO 80751-4357Fax: (970) 522-2063Email: schneiderp@logancountyco.gov

2012-13 Voting Assistance Guide Colorado

Mesa Mesa County Clerk and RecorderP.O. Box 20000Grand Junction, CO 81502-5009Fax: (970) 255-5039Email: catherine.lenhart@mesacounty.us

Mineral Mineral County Clerk and RecorderP.O. Box 70Creede, CO 81130-0070Fax: (719) 658-0358Email: mineralcountyclerk@hotmail.com

Moffat Moffat County Clerk and Recorder221 W. Victory Way, Suite 200Craig, CO 81625-2716Fax: (970) 826-3413Email: sbeckett@moffatcounty.net

Montezuma Montezuma County Clerk and Recorder109 W. Main, Room 108Cortez, CO 81321-3189Fax: (970) 564-0215Email: kramsey@co.montezuma.co.us

Montrose Montrose County Clerk and RecorderP.O. Box 1289Montrose, CO 81402-1289Fax: (970) 249-0757Email: drudy@montrosecounty.net

Morgan Morgan County Clerk and RecorderP.O. Box 1399Fort Morgan, CO 80701-1399Fax: (970) 542-3525Email: votemorganc@co.morgan.co.us

Otero Otero County Clerk and RecorderP.O. Box 511La Junta, CO 81050-0511Fax: (719) 383-3026Email: lscott@oterogov.org

Ouray Ouray County Clerk and RecorderP.O. Box COuray, CO 81427-0615Fax: (970) 325-0452Email: mnauer@ouraycountyco.gov

Park Park County Clerk and RecorderP.O. Box 220Fairplay, CO 80440-0220Fax: (719) 836-4348Email: sbalicki@parkco.us

Phillips Phillips County Clerk and Recorder221 S. Interocean AvenueHolyoke, CO 80734-1521Fax: (970) 854-4745Email: cumming.beth@gmail.com; pccdiane@pctelcom.coop

Pitkin Pitkin County Clerk and Recorder530 E. Main Street, Suite 101Aspen, CO 81611-1948Fax: (970) 544-1026Email: elections@co.pitkin.co.us

Prowers Prowers County Clerk and Recorder301 S. Main Street, Suite. 210Lamar, CO 81052-2868Fax: (719) 336-5306Email: jcoen@prowerscounty.net

Pueblo Pueblo County Clerk and RecorderP.O. Box 878Pueblo, CO 81002-0878Fax: (719) 583-6724Email: urenda@co.pueblo.co.us

Rio Blanco Rio Blanco County Clerk and RecorderP.O. Box 1067Meeker, CO 81641-1067Fax: (970) 878-3587Email: clerk@co.rio-blanco.co.us

Rio Grande Rio Grande County Clerk and RecorderP.O. Box 160Del Norte, CO 81132-0160Fax: (719) 657-2621Email: riograndecounty@yahoo.com

Routt Routt County Clerk and RecorderP.O. Box 773599Steamboat Springs, CO 80477-3599Fax: (970) 870-5443Email: elections@co.routt.co.us

Saguache Saguache County Clerk and RecorderP.O. Box 176Saguache, CO 81149-0176Fax: (719) 655-2730Email: rhazard@saguachecounty-co.gov

San Juan San Juan County Clerk and RecorderP.O. Box 466Silverton, CO 81433-0466Fax: (970) 387-5671Email: sanjuanclerkdaz@yahoo.com

San Miguel San Miguel County Clerk and RecorderP.O. Box 548Telluride, CO 81435-0548Fax: (970) 728-4808Email: clerkandrecorder@sanmiguelcounty.org

Sedgwick Sedgwick County Clerk and Recorder315 Cedar Street, Ste 220Julesburg, CO 80737-1563Fax: (970) 474-0954Email: sedgwickcogov@kci.net; pcarter@pctelcom.coop

Summit Summit County Clerk and RecorderP.O. Box 1538Breckenridge, CO 80424-1538Fax: (970) 453-3540Email: lynnb@co.summit.co.us

Teller Teller County Clerk and RecorderP.O. Box 1010Cripple Creek, CO 80813-1010Fax: (719) 686-8030Email: lewiss@co.teller.co.us

Washington Washington County Clerk and RecorderP.O. Box LAkron, CO 80720-0380Fax: (970) 345-6607Email: gwahl@co.washington.co.us

Weld Weld County Clerk and RecorderP.O. Box 459Greeley, CO 80632-0459Fax: (970) 304-6566Email: rsantos@co.weld.co.us

Yuma Yuma County Clerk and Recorder310 Ash Street, Suite FWray, CO 80758-1850Fax: (970) 332-5919Email: yumacountyclerk@co.yuma.co.us

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Connecticutwww.sots.state.ct.us

Information is current as of February 2012. Check www.fvap.gov for updates.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted.Voters should submit a new application after January 1 ofeach year to qualify for all upcoming Federal elections.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change your partyaffiliation submit a completed FPCA indicating your newparty preference to the local election official. You will haverights in no party for three months from the date of filingyour change of political party. Political party affiliation isnot required if only requesting absentee ballots for generalelections.

Your valid Connecticut Driver's License number OR thelast four digits of your Social Security number is requiredfor voter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Connecticut allows you to receive your ballot bymail, fax, or email. Please rank your preference of how youwould like to receive your absentee ballot. Provide your faxnumber or email address in Block 5. If you do not make aselection, then your local election official will mail yourballot to you.

Blocks 7: Complete street address of your Connecticutvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: In addition to mailing a regular ballot, Connecticutprovides a State Special Blank Write-In Absentee Ballot upto 90 days before the election to Uniformed Servicemembers and their family members unable to vote in theregular absentee vot ing process due to mil i tarycontingencies. This ballot allows you to vote for local, Stateand Federal offices. To request it, write in Block 6: “Due tomilitary contingencies, I am unable to follow the regularabsentee ballot application process. I request a specialwrite-in absentee ballot.”

Connecticut allows you to submit the FPCA by mail, emailor fax.

DEADLINES Presidential PrimaryApril 24, 2012

Registration April 23, 2012 August 13, 2012 November 5, 2012

Ballot Request April 23, 2012 August 13, 2012 November 5, 2012

Ballot Return April 24, 2012 August 14, 2012 November 6, 2012

Connecticut 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you must send the formas a signed,scanned attachment. You must submit the FPCAby mail. Email directly to your local election office. Emailaddresses can be found at http://www.sots.ct.gov/sots/lib/sots/electionservices/lists/townclerklist.pdf.

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the formdirectly to your local election official. Fax numbers can befound at www.sots.state.ct.us. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office at: http://www.sots.state.ct.us , or refer to Connecticut's voterregistration verification website at: http://www.dir.ct.gov/sots/LookUp.aspx.

Late Registration

Uniformed Service members (and dependents) who areactive duty (or absent)or who have been discharged withinthe last year who return to Connecticut after the registrationdeadline may still register to vote no later than 5pm on thelast weekday before the election. All other citizens mayregister up until 7 days before the election.

Registration Application/Ballot Request by Proxy

If you are a Uniformed Service member, family member, oroverseas citizen residing temporarily outside the U.S.,anyone may ask your local election official to send youregistration materials and/or a ballot on your behalf.

A U.S. citizen who was born abroad and who is eligible tovote and who has

never lived in the U.S. may register and vote in the town orcity in

Connecticut where a parent or legal guardian would beeligible to register and vote.

Voting Your Ballot Local election officials send write-in ballots, including a listof all candidates and questions on the ballot, approximately30 days before primary elections and 45 days beforegeneral elections. Local election officials send regularabsentee ballots approximately 21 days before primaryelections and 31 days before general elections.

Voted ballots must be received by the local electionoffice before the close of polls on Election Day.

You may track the status of your ballot at: http://www.dir.ct.gov/sots/LookUp.aspx

2012-13 Voting Assistance Guide Connecticut

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Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Connecticut allows you to use the Federal Write-InAbsentee Ballot (FWAB) for voting in primary, special,run-off, and general elections for Federal office. If you areregistered and have requested your absentee ballot, feel freeto use the FWAB to vote anytime before an election.

Block 1: Connecticut does not allow you to use this formfor registration. Do not check the registration block.

Enter your valid Connecticut Driver's License number, thelast four digits of your Social Security number, OR yourState voter registration number.

Block 7: Complete street address of your Connecticutvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal office in a primary, special, run-off, orgeneral election. To find out the races and candidates forwhich you can vote, go to www.sots.state.ct.us. For each

office for which you vote, write in either a candidate's nameor a political party designation. Once the ballot is complete,fold and place it in the security envelope and seal. Placeonly the voted ballot in the security envelope and do notwrite on the security envelope.

Local Election Office ContactsCity or Town Mailing Address

Andover Andover Town Clerk17 School RoadAndover, CT 06232-0328Fax: (860) 742-7535Email:andovertownclerk@sbcglobal.net

Ansonia Ansonia Town Clerk253 Main StreetAnsonia, CT 06401-1410Fax: (203) 736-5982Email: mdattone@cityofansonia.com

Ashford Ashford Town Clerk25 Pompey Hollow RoadAshford, CT 06278-1552Fax: (860) 487-4431Email: bmetsack@ashfordtownhall.org

Avon Avon Town Clerk60 West Main StreetAvon, CT 06001-3719Fax: (860) 677-8428Email: rob@town.avon.ct.us

Barkhamsted Barkhamsted Town Clerk67 Ripley Hill RoadBarkhamsted, CT 06063-3340Fax: (860) 379-9284Email: mmullady@barkhamsted.us

Beacon Falls Beacon Falls Town Clerk10 Maple AvenueBeacon Falls, CT 06403-1198Fax: (203) 729-1078Email: townclerk@townofbeconfalls.com

Berlin Berlin Town Clerk240 Kensington RoadBerlin, CT 06037-0001Fax: (860) 828-7180Email: kwall@town.berlin.ct.us

Bethany Bethany Town Clerk40 Peck RoadBethany, CT 06524-3338Fax: (203) 393-0821Email: namccarthy@bethany-ct.com

Bethel Bethel Town Clerk1 School StreetBethel, CT 06801-0003Fax: (203) 794-8588Email: berghl@betheltownhall.org

Bethlehem Bethlehem Town ClerkPO Box 160Bethlehem, CT 06751-0053Fax: (860) 769-3597Email: townclerkbethlehem@snet.net

Bloomfield Bloomfield Town Clerk800 Bloomfield AvenueBloomfield, CT 06002-0337Fax: (860) 769-3598Email: mphillips@bloomfieldct.org

Bolton Bolton Town Clerk222 Bolton Center RoadBolton, CT 06043-7698Fax: (860) 643-0021Email: susan.depold@boltonct.org

Bozrah Bozrah Town Clerk1 River RoadBozrah, CT 06334-0158Fax: (860) 887-5449Email: townclerk@bozrah.ct.org

Branford Branford Town ClerkPO Box 150Branford, CT 06405-0150Fax: (203) 481-5561Email: townclerk@branford-ct.gov

Bridgeport Bridgeport Town Clerk45 Lyon TerraceBridgeport, CT 06604-4062Fax: (203) 330-2811Email: christina.resto@bridgeportct.gov

Bridgewater Bridgewate Town ClerkPO Box 216Bridgewater, CT 06752-0216Fax: (860) 350-5944Email: cpinkos@bridgewatertownhall.org

Bristol Bristol Town Clerk111 North Main StreetBristol, CT 06010-8184Fax: (860) 584-6199Email: theresepac@ci.bristol.ct.us

Brookfield Brookfield Town Clerk100 Pocno RoadBrookfield, CT 06804-5106Fax: (203) 775-5231Email:townclerk@brookfieldct.gov

Brooklyn Brooklyn Town ClerkPO Box 356Brooklyn, CT 06234-0356Fax: (860) 779-3744Email: l.mainville@brooklynct.org

Burlington Burlington Town Clerk200 Spielman HighwayBurlington, CT 06013-1710Fax: (860) 675-9312Email: burlington@snet.net

Canaan Canaan Town ClerkPO Box 47Canaan, CT 06031-0155Fax: (860) 824-4506Email: canaan021clerk@comcast.net

Canterbury Canterbury Town Clerk1 Municipal DriveCanterbury, CT 06331-0027Fax: (860) 546-9295Email:nriemann@canterburyct.org

Canton CantonTown ClerkPO Box 168Canton, CT 06022-0168Fax: (860) 693-7840Email: lsmith@townofcantonct.org

Chaplin Chaplin Town Clerk495 Phoenixville RD.Chaplin, CT 06235Fax: (860) 455-0027Email: townclerk@chplinct.org

Cheshire Cheshire Town Clerk84 Shouth Main StreetCheshire, CT 06410Fax: (203) 271-6615Email: csoltis@cheshirect.org

City or Town Mailing Address

Chester Chester Town Clerk203 Middlesex AvenueChester, CT 06412-3108Fax: (860) 526-0004Email: townclerk@chesterct.org

Clinton Clinton Town Clerk54 East Main StreetClinton, CT 06413-0174Fax: (860) 669-0890Email: townclerk@clintonct.org

Colchester Colchester Town Clerk127 Norwich AvenueColchester, CT 06415-0146Fax: (860) 537-0547Email: townclerk@colchesterct.gov

Colebrook Colebrook Town ClerkBox 5Colebrook, CT 06021-0005Fax: (860) 379-2342Email: dmckeon@colebrooktownhall.org

Columbia Columbia Town Clerk323 Route 87Columbia, CT 06237-0165Fax: (860) 228-1952Email: townclerk@columbiact.org

Cornwall CornwallTown ClerkPO Box 97Cornwall, CT 06753-0097Fax: (860) 672-4959Email: cwltownclerk@optonline.net

Conventry ConventryTown Clerk1712 Main StreetConventry, CT 06238Fax: (860) 742-8911Email: SCyr@coventryct.org

Cromwell Cromwell Town Clerk41 West StreetCromwell, CT 06416-2142Fax: (860) 632-3425Email: townclerk@cromwellct.com

Danbury DanburyTown Clerk155 Deer Hill RoadDanbury, CT 06810-7726Fax: (203) 796-1535Email: l.kaback@ci.danbury.ct.us

Darien DarienTown Clerk2 Renshaw RoadDarien, CT 06820-5344Fax: (203) 656-7380Email: drajczewski@darien.ct.gov

Deep River Deep River Town Clerk174 Main StreetDeep River, CT 06417-2008Fax: (860) 526-6023Email: townclerk@deepriverct.us

Derby Derby Town Clerk1 Elizabeth StreetDerby, CT 06418-1897Fax: (203) 736-1458Email: mmcduire@derbyct.gov

Durham Durham Town ClerkPO Box 428Durham, CT 06422-0428Fax: (860) 349-8391Email: kgarvis@townofdurhamct.org

East Granby East Granby Town Clerk9 Center StreetEast Granby, CT 06026-0459Fax: (860) 653-4017Email: sheilab@egtownhall.com

East Haddam East Haddam Town Clerk7 Main StreetEast Haddam, CT 06423-0295Fax: (860) 345-3730Email: townclerk@easthaddam.org

East Hampton East HamptonTown Clerk20 East High StreetEast Hampton, CT 06424-1091Fax: (860) 267-1027Email: rpasek@easthartfordct.gov

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East Hartford East Hartford Town Clerk740 Main StreetEast Hartford, CT 06108-3114Fax: (860) 289-0831Email: rpasek@easthartfordct.gov

East Haven East Haven Town Clerk250 Main StreetEast Haven, CT 06512-3004Fax: (203) 468-3916Email: townclerk.stacy@gmail.com

East Lyme East Lyme Town Clerk108 Pennsylvania Ave., PO Box 519East Lyme, CT 06357-0519Fax: (860) 739-6930Email: lcoais@eltownhall.com

East Windsor East Windsor Town ClerkBox 213East Windsor, CT 06016-0213Fax: (860) 623-4798Email: jslater@eastwindsorct.com

Eastford Eastford Town Clerk16 Westford Road, PO Box 98Eastford, CT 06242-0296Fax: (860) 974-0624Email: townclerk@townofeastford.com

Easton Easton Town Clerk225 Center RoadEaston, CT 06612-1398Fax: (203) 261-6080Email: townclerk@eastonct.org

Ellington Ellington Town ClerkPO Box 187Ellington, CT 06029-0187Fax: (860) 870-3158Email: townclerk@ellington-ct.gov

Enfield Enfield Town Clerk820 Enfield StreetEnfield, CT 06082-2997Fax: (860) 253-6331Email: townclerk@enfield.org

Essex Essex Town ClerkPO Box 98Essex, CT 06426-1140Fax: (860) 767-4560Email: fnolin@essexct.gov

Fairfield Fairfield Town Clerk611 Old Post RoadFairfield, CT 06430-6690Fax: (203) 256-3114Email: bbrowne@town.fairfield.ct.us

Farmington Farmington Town Clerk1 Monteith Drive RoadFarmington, CT 06032-1053Fax: (860) 675-7140Email: rayp@farmington-ct.org

Franklin Franklin Town Clerk7 Meeting House Hill RoadFranklin, CT 06254-9775Fax: (860) 642-6606Email: franklintownclerk@99main.com

Glastonbury Glastonbury Town Clerk2155 Main Street, P.O. Box 6523Glastonbury, CT 06033-6523Fax: (860) 652-7639Email: townclerk@glastonbury-ct.gov

Goshen Goshen Town Clerk42 North Street, Box 54Goshen, CT 06756-0054Fax: (860) 491-6028Email: Bbreor@goshenct.gov

Granby Granby Town Clerk15 North Granby RoadGrandby, CT 06035-9442Fax: (860) 653-4769Email: kihazen@granby-ct.gov

Greenwich Greenwich Town ClerkTown HallPO Box 2540Greenwich, CT 06836-2540Fax: (203) 622-7774Email: tclerk@greenwichct.org

Griswold Griswold Town ClerkPO Box 369Griswold, CT 06351-2398Fax: (860) 376-7070Email: edupont@griswold-ct.org

Groton Groton Town Clerk45 Fort Hill RoadGroton, CT 06340-4360Fax: (860) 441-6678Email: townclerk@groton-ct.gov

Guilford Guilford own Clerk31 Park StreetGuilford, CT 06437-2629Phone: (203) 453-8001Email: young e@ci.guilford.ct.us

Haddam Haddam Town ClerkPO Box 87Haddam, CT 06438-0087Fax: (860) 345-3730Email: townclerk@haddam.org

Hamden Hamden Town Clerk2750 Dixwell AvenueHamden, CT 06518-3207Fax: (203) 287-2518Email: vmorrison@hamden.com

Hampton Hampton Town ClerkPO Box 143Hampton, CT 06247-0143Fax: (860) 455-0517Email: townclerk@hamptonct.org

Hartford Hartford Town Clerk550 Main StreetHartford, CT 06103-2992Fax: (860) 722-8041Email: wsmith@hartford.gov

Hartland Hartland Town Clerk22 South Road, PO Box 297Hartland, CT 06027-9999Fax: (860) 455-0517Email: tclerk@hartland.necoxmail.com

Harwinton Harwinton Town ClerkP.O. Box 66Harwinton, CT 06791-0065Fax: (860) 485-0051Email: townclerk@harwinton.us

Hebron Hebron Town ClerkPO Box 156Hebron, CT 06248-0156Fax: (860) 228-4859Email: cpomprowicz@hebronct.com

Kent Kent Town ClerkPO Box 678Kent, CT 06757-0678Fax: (860) 927-1313Email: townclerk@townofkentct.org

Killingly KillinglyTown ClerkPO Box 843Killingly, CT 06239-1832Fax: (860) 779-5394Email: lwilson@killinglyct.org

Killingworth Killingworth Town Clerk323 Route 81Killingworth, CT 06417-1298Fax: (860) 663-3305Email: townclerk@lebanontownhall.org

Lebanon LebanonTown ClerkPO Box 28Lebanon, CT 06249-0028Fax: (860) 642-7716Email: townclerk@lebanontownhall.org

Ledyard Ledyard Town Clerk741 Colonel Ledyard HighwayLedyard, CT 06339-1541Fax: (860) 464-1126Email: ckbro@town.ledyard.ct.us

Lisbon Lisbon Town Clerk1 Newent RoadLisbon, CT 06351-2926Fax: (860) 376-6545Email: bbarrett@lcs.k12.ct.us

Litchfield Litchfield Town ClerkPO Box 488Litchfield, CT 06759-9602Fax: (860) 567-7552Email: townclerk@townoflitchfield.org

Lyme LymeTown ClerkRoute 156, RR 2Lyme, CT 06371-9614Fax: (860) 434-2989Email: townclerk@townlyme.org

Madison Madison Town Clerk8 Campus DriveMadison, CT 06443-2563Fax: (203) 245-5613Email: lodicer@madisonct.org

Manchester Manchester Town ClerkPO Box 191Manchester, CT 06045-0191Fax: (860) 647-3029Email:jcampose@manchesterct.gov

Mansfield Mansfield Town Clerk4 South Eagleville Road, RT 275Storrs, CT 06268-2599Fax: (860) 429-7785Email: StantonML@mansfieldct.org

Marlborough Marlborough Town ClerkNorth Main Street, PO Box 29Marlborough, CT 06447-0029Fax: (860) 295-0317Email: townclerk@marlboroughct.net

Meriden Meriden Town Clerk142 East Main StreetMeriden, CT 06450-5605Fax: (203) 630-4059Email: imasse@ci.meriden.ct.us

Middlebury MiddleburyTown Clerk1212 Whittemore RoadMiddlebury, CT 06762-2425Fax: (203) 758-2915Email: townclerk@middlebury-ct.org

Middlefield Middlefield Town Clerk393 Jackson Hill RoadMiddlefield, CT 06455-1208Fax: (860) 349-7115Email:d_golub@middlefield-ct.com

Middletown Middletown Town ClerkBox 1300, DeKoven Drive & Court St.Middletown, CT 06457-1300Fax: (860) 344-3591Email: sandra.russo@cityofmiddleton.com

Milford Milford Town Clerk70 West River StreetMilford, CT 06460-3364Fax: (203) 783-3362Email: cityclerk@ci.milford.ct.us

Monroe MonroeTown Clerk7 Fan Hill RoadMonroe, CT 06468-1823Fax: (203) 261-6197Email: mmotterbeno@monroect.org

Montville Montville Town Clerk310 Norwich-New London TurnpikeUncasville, CT 06382-2599Fax: (860) 848-9784Email: lterry@montville-ct.org

Morris Morris Town ClerkPO Box 66Morris, CT 06763-0066Fax: (860) 567-7432Email: morristc7433@optonline.net

Naugatuck Naugatuck Town Clerk229 Church StreetNaugatuck, CT 06770-4199Fax: (203) 720-7099Email: townclerknaug@sbcglobal.net

New Britain New Britain Town Clerk27 West Main StreetNew Britain, CT 06051-2298Fax: (860) 612-4207Email: pdenuzze@ch.ci.new-britain.ct.us

New Canaan New Canaan Town Clerk77 Main StreetNew Canaan, CT 06840-4790Fax: (203) 966-0309Email: claudia.weber@ci.new-canaan.ct.us

New Fairfield New Fairfield Town ClerkTown Hall, 4 Brush Hill RoadNew Fairfield, CT 06812-2619Fax: (203) 312-5612Email: jzackeo@newfairfield.org

New Hartford New Hartford Town Clerk530 Main Street, Box 426New Hartford, CT 06057-0316Fax: (860) 379-0614Email: nhtownclerk@town.new-hartford.ct.us

New Haven New Haven Town Clerk200 Orange StreetNew Haven, CT 06510-2067Fax: (203) 946-6561Email: sbrown@newhavenct.net

New London New London Town Clerk181 State StreetNew London, CT 06320-6302Fax: (860) 447-1644Email: ncaron@ci.new-london.ct.us

New Milford New Milford Town Clerk10 Main StreetNew Milford, CT 06776Fax: (860) 355-6002Email: gbuckbee@newmilford.org

Newington Newington Town Clerk131 Cedar StreetNewington, CT 06111-2644Fax: (860) 665-8507Email: tlane@newingtonct.gov

Newtown Newtown Town Clerk3 Primrose StreetNewtown, CT 06470-2185Fax: (203) 270-4205Email: town.clerk@newtown-ct.gov

Norfolk Norfolk Town ClerkPO Box 552Norfolk, CT 06058-0552Fax: (860) 542-5274Email: nfkclerk@snet.net

North Branford North Branford Town Clerk909 Foxon RoadNorth Branford, CT 06471-1501Fax: (203) 484-6025Email: townclerk@townofnorthbranfordct.com

North Canaan North Canaan Town Clerk100 Pease Street, #7North Canaan, CT 06018-0338Fax: (203) 594-3073Email: no.canaan.clerk@snet.net

North Haven North Haven Town Clerk18 Church StreetNorth Haven, CT 06473-0336Fax: (203) 234-2130Email: sbrown@newhavenct.net

North Stonington North Stonington Town Clerk40 Main StreetNorth Stonington, CT 06359-1612Fax: (860) 535-4554Email: nholliday@northstoningtonct.gov

Norwalk Norwalk Town ClerkPO Box 5125Norwalk, CT 06856-5125Fax: (203) 854-7817Email: rmcquaid@norwalkct.org

ecticut

Norwich Norwich Town Clerk100 BroadwayNorwich, CT 06360-4431Fax: (860) 823-3790Email: bbarrett@cityofnorwich.org

Old Lyme Old Lyme Town Clerk52 Lyme StreetOld Lyme, CT 06371-2331Fax: (860) 434-1400Email: townclerk@oldlyme-ct.gov

Old Saybrook Old Saybrook Town Clerk302 Main StreetOld Saybrook, CT 06475-0618Fax: (860) 395-5014Email: sbecker@town.old-saybrook.ct.us

Orange Orange Town Clerk617 Orange Center RoadOrange, CT 06477-2423Fax: (203) 891-2185Email: posullivan@orange-ct.gov

Oxford Oxford Town Clerk486 Oxford RoadOxford CT 06483-1298Fax: (203) 888-2136Email: townclerk@oxford-ct.gov

Plainfield Plainfield Town Clerk8 Community AvenuePlainfield, CT 06374-1238Fax: (860) 230-3033Email: ltrakas@plainfieldct.org

Plainville Plainville Town Clerk1 Central SquarePlainville, CT 06062-0250Fax: (860) 793-2285Email: skultety@plainville-ct.gov

Plymouth Plymouth Town Clerk80 Main StreetPlymouth, CT 06786-1295Fax: (860) 585-4015Email: brockwell@plymouthct.us

Pomfret Pomfret Town Clerk5 Haven RoadPomfret Center, CT 06259-1741Fax: (860) 974-3950Email: cheryl.grist@pomfretct.org

Portland Portland Town ClerkPO Box 71Portland, CT 06480-0071Fax: (860) 342-0001Email: bdillon@portlandct.org

Preston Preston Town Clerk389 Route 2Preston, CT 06365-8830Fax: (860) 885-1905Email: townclerk@preston-ct.org

Prospect Prospect Town Clerk36 Center StreetProspect, CT 06712-2101Fax: (203) 758-4466Email: town.clk.prospect@snet.net

Putnam Putnam Town Clerk126 Church StreetPutnam, CT 06260-1831Fax: (860) 963-5360Email: saraseney@putnamct.us

Redding Redding Town Clerk100 Hill Road, PO Box10 28Redding, CT 06875-0028Fax: (203) 938-5000Email: townclerk@townofreddingct.org

Ridgefield Ridgefield Town Clerk400 Main StreetRidgefield, CT 06877-4699Fax: (203) 431-2722Email: townclerk@ridgefieldct.org

Rocky Hill Rocky Hill Town Clerk699 Old Main StreetRocky Hill, CT 06067-0657Fax: (860) 258-7638Email: rmcnamara@ci.rocky-hill.ct.us

Roxbury Roxbury Town ClerkPO Box 203, 29 North StreetRoxbury, CT 06783-0365Fax: (860) 354-0560Email: townclerk@roxburyct.com

Salem Salem Town Clerk270 Hartford RoadSalem, CT 06420-3804Fax: (860) 859-1184Email: pat.crisanti@salemct.gov

Salisbury Salisbury Town ClerkPO Box 548Salisbury, CT 06068-0548Fax: (860) 435-5172Email: pwilliams@salisburyct.us

Scotland Scotland Town ClerkPO Box 122Scotland, CT 06264-0122Fax: (860) 423-3666Email: scotlandtownclerk@yahoo.com

Seymour Seymour Town Clerk1 First StreetSeymour, CT 06483-2817Fax: (203) 881-5005Email: erozum@seymourct.org

Sharon Sharon Town ClerkPO Box 224Sharon, CT 06069-0224Fax: (860) 364-5224Email: sharontownclerk@yahoo.com

Shelton Shelton Town ClerkPO Box 364Shelton, CT 06484-0364Fax: (203) 924-1721Email: m.domorod@cityofshelton.org

Sherman Sherman Town ClerkMallory Town HallRoute 39, Box 39Sherman, CT 06784-0039Fax: (860) 350-5041Email: chavens@townofshermanct.org

Simsbury Simsbury Town Clerk933 Hopemeadow StreetSimsbury, CT 06070-0495Fax: (860) 658-9467Email: ckeily@simsbury-ct.gov

Somers Somers Town ClerkPO Box 308Somers, CT 06071-0203Fax: (860) 628-8669Email: alogan@somersct.gov

South Windsor South Windsor Town Clerk1540 Sullivan AvenueSouth Windsor, CT 06074-2786Fax: (860) 644-3781Email: gretchen.bickford@southwindsor.org

Southbury Southbury Town Clerk501 Main Street, SouthSouthbury, CT 06488-2295Fax: (203) 264-9762Email: townclerk@southbury-ct.gov

Southington Southington Town Clerk75 Main StreetSouthington, CT 06489-2504Fax: (860) 276-6229Email: cotton@southington.org

Sprague Sprague Town ClerkPO Box 162Sprague, CT 06330-0162Fax: (860) 822-3013Email: townclerk@ctsprague.org

Stafford Stafford Town Clerk888 Washington Blvd PO Box 891Stafford Springs, CT 06076-0011Fax: (860) 684-1795Email: townclerk@staffordct.org

Stamford Stamford Town ClerkPO Box 891Stamford, CT 06904-0891Fax: (203) 977-5503Email: dloglisci@ci.stamford.ct.us

Sterling Sterling Town ClerkPO Box 157Oneco CT 06373-0157Fax: (860) 564-1660Email:sterlingtc@ct.metrocast.net

Stonington Stonington Town Clerk152 Elm StreetStonington, CT 06378-0352Fax: (860) 535-5062Email: clerk@stonington-ct.gov

Stratford Stratford Town Clerk2725 Main StreetStratford, CT 06615-5892Fax: (203) 385-4108Email: spawluki@townofstratford.com

Suffield Suffield Town Clerk83 Mountain RoadSuffield, CT 06078-2041Fax: (860) 668-3312Email: eobrien@suffieldtownhall.com

Thomaston Thomaston Town ClerkPO Box 899, 815 Riverside DriveNorth Grofvendale, CT 06787-1720Fax: (860) 742-7535Email:jbarske@yahoo.com

Thompson Thompson Town ClerkPO Box 160 Thompson, CT 06255-0160Fax: (860) 923-3836Email: rcrachel@yahoo.com

Tolland Tolland Town Clerk21 Tolland GreenTolland, CT 06084-9445Fax: (860) 871-3663Email: mdevito@tolland.org

Torrington Torrington Town Clerk140 Main StreetTorrington, CT 06790-5201Fax: (860) 489-2548Email: joe_quartiero@torringtonct.org

Trumbull Trumbull Town Clerk5866 Main StreetTrumbull, CT 06611-3193Fax: (203) 452-5094Email: townclerk@trumbull-ct.gov

Union Union Town Clerk1043 Buckley HighwayUnion, CT 06076-9520Fax: (860) 684-3370Email: townclerk@union.necoxmail.com

Vernon Vernon Town Clerk14 Park PlaceVernon, CT 06066-3291Fax: (860)-870-3583Email: bdixon@vernon-ct.gov

Voluntown Voluntown Town ClerkPO Box 96Voluntown, CT 06384-0096Fax: (860) 376-3295Email: csadowski@voluntownct.org

Wallingford Wallingford Town Clerk45 South Main Street, Room #108Wallingford, CT 06492Fax: (203) 294-2150Email: townclerkwlfd@sbcglobal.net

Warren Warren Town Clerk50 Cemetery RoadWarren, CT 06754-1713Fax: (860) 868-7746Email: townclerk@warrenct.org

Washington Washington Town ClerkPO Box 383Washington, CT 06794-0383Fax: (860) 868-3103Email: townclerk@washingtonct.org

Waterbury Waterbury Town Clerk235 Grand StreetWaterbury, CT 06702-1983Fax: (203) 574-6887Email: aspinelli@waterburyct.org

Waterford Waterford Town Clerk15 Rope Ferry RoadWaterford, CT 06385-2806Fax: (860) 437-0352Email: clerk@waterfordct.org

Watertown Watertown Town Clerk37 DeForest StreetWatertown, CT 06795-2195Fax: (860) 945-4741Email: stewart@watertownct.org

West Hartford West Hartford Town Clerk50 South Main StreetWest Hartford, CT 06107-2431Fax: (860) 523-3200Email: essie.labrot@westhartford.org

West Haven West Haven Town Clerk355 Main StreetWest Haven, CT 06516-4310Fax: (203) 937-3504Email: debbie_collins@cityofwesthaven.com

Westbrook Westbrook Town Clerk1163 Boston Post Road, PO Box GWestbrook, CT 06498-0676Fax: (860) 399-3092Email: jangelini@westbrookct.us

Weston Weston Town ClerkPO Box 1007Weston, CT 06883-1007Fax: (203) 222-8871Email: danastasia@weston-ct.com

Westport Westport Town Clerk110 Myrtle AvenueWestport, CT 06880-3514Fax: (203) 341-1112Email: pstrauss@westportct.gov

Wethersfield Wethersfield Town Clerk505 Silas Deane HighwayWethersfield, CT 06109-2219ax: (860) 721-2994Email: dolores.sassano@wethersfieldct.com

Willington Willington Town Clerk40 Old Farms RoadWillington, CT 06279-1720Fax: (860) 487-3103Email: dhardie@willingtonct.org

Wilton Wilton Town Clerk238 Danbury RoadWilton, CT 06897-4008Fax: (203) 563-0299Email: mail@wiltonct.org

Winchester Winchester Town Clerk338 Main StreetWinchester, CT 06098-1697Fax: (860) 738-7053Email: townclerk@townofwinchester.org

Windham Windham Town ClerkPO Box 94Windham, CT 06226-0094Fax: (860) 465-3012Email: townclerksoffice@windhamct.com

Windsor Windsor Town ClerkPO Box 472Windsor, CT 06095-0472Fax: (860) 285-1909Email: townclerk@townofwindsorct.com

Windsor Locks Windsor Locks Town Clerk50 Church StreetWindsor Locks, CT 06096-2331Fax: (860) 292-1121Email: townclerk@wlocks.com

Wolcott Wolcott Town Clerk10 Kenea AvenueWolcott, CT 06716-2114Fax: (203) 879-8105Email: townclerk@wolcottct.org

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Woodbridge Woodbridge Town Clerk11 Meetinghouse LaneWoodbridge, CT 06525Fax: (203) 389-3473Email: sciarleglio@ci.woodbridge.ct.us

Woodbury Woodbury Town ClerkPO Box 369Woodbury, CTFax: (203) 263-4755Email: danastasia@westonct.gov

Woodstock Woodstock Town Clerk415 Route 169 Woodstock, CT 06281-3039Fax: (860) 963-7557Email: townclerk@woodstockct.gov

Delawarehttp://electionsncc.delaware.gov/absentee_de

Information is current as of November 2011. Check www.fvap.gov for updates.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all Federal elections heldthrough the next regularly scheduled general election.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, submit a completed FPCAindicating your new party preference to the local electionofficial. There are two periods during which you may notchange your political party affiliation: from 59 days beforethe Presidential Primary through the day of the Presidentialprimary, and from the last Saturday in May in the year ofthe general election through the day of the primary election.Political party affiliation is not required if only requestingabsentee ballots for general elections.

Your valid Delaware Driver's License number OR yourcomplete Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Blocks 5: Recommended but not required. Provide yourcontact information to allow your local election official tofollow up if more information is required.

Block 6: Delaware allows you to receive the blank ballot bymail, email or fax. Check how you would like to receiveyour absentee ballot. Provide your email address or faxnumber in Block 5. If you do not make a selection, thenyour local election official will mail your ballot to you.

Block 7: Complete street address of your Delaware votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: In addition to mailing a regular ballot, Delawareprovides a Special Write-In Absentee Ballot up to 90 daysbefore the general election to any voter unable to vote in theregular absentee voting process due to the requirements ofmilitary service or other contingencies. This ballot allowsyou to vote for local, State and Federal offices. To requestit, write in Block 9: “I am unable to vote by regularabsentee ballot or in person due to requirements of militaryservice. I request a special write-in ballot.”

Delaware allows you to submit the FPCA by mail, email, orfax.

State PrimarySeptember 11, 2012

Registration April 9, 2012 August 27, 2012 October 22, 2012

Ballot Request April 20, 2012 September 7, 2012 November 2, 2012

Ballot Return April 24, 2012 September 11, 2012 November 6, 2012

Delaware 2012-13 Voting Assistance Guide

If you choose to email your FPCA, send the form as asigned, scanned attachment. Email directly to your localelection office. Email addresses can be found at http://elections.delaware.gov/locations.shtml.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://elections.delaware.gov/locations.shtml. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office by phone, email,or fax or refer to Delaware’s voter registration verificationwebsite at: http://pollingplace.delaware.gov/. You cancheck the status of your ballot request during an electionyear at: http://absenteestatus.elections.delaware.gov.

Late Registration

Uniformed Service members, their families, and overseascitizens who return to the U.S. within 60 days of an electionand establish residence in Delaware can register to voteafter the registration deadline. Contact your local electionoffice for more information.

A U.S. citizen who was born abroad and has never lived inthe U.S. may register and vote in the Delaware countywhere a parent would be eligible to register and vote (forFederal offices only).

Voting Your Ballot Local election officials send ballots approximately 45 daysbefore primary and general elections.

Voted ballots must be received by your local electionoffice no later than 8 pm on Election Day.

You may return the voted ballot by mail, email, or fax inaccordance with the instructions sent with the ballot. Nowitness or notary is required on voted ballots.

You may track the status of your ballot at: http://absenteestatus.elections.delaware.gov.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Delaware allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in primary,special, and general elections for Federal, State, and localoffices and non-candidate ballot issues. Feel free to use theFWAB to vote anytime before an election.

2012-13 Voting Assistance Guide Delaware

Block 1: Delaware allows you to use this form forregistration.

Enter your valid Delaware Driver's License number, yourcomplete Social Security number, OR your State voterregistration number.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you want to change your political partyaffiliation, submit a completed Federal Post CardApplication indicating your new party preference to thelocal election official. There are two periods during whichyou may not change your political party affiliation: fromNovember 1 in the year before a general Presidentialelection through the day of the Presidential primary, andfrom March 31 in the year of the general election throughthe day of the primary election.

Block 7: Complete street address of your Delaware votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal, State, or local office in any election.To find out the races and candidates for which you can vote,go to sample ballots of the website for the county officewhere you are registered. You can find a link at http://elections.delaware.gov/locations.shtml. If voting in aprimary election, you must write in the name of a candidate.Once the ballot is complete, fold and place it in the securityenvelope and seal. Place only the voted ballot in thesecurity envelope and do not write on the security envelope.

If using the FWAB simultaneously as a registration form andvoted ballot, it must be received by the local election office bythe registration deadline.

If using the FWAB as a voted ballot only, it must bereceived by the local election office by the ballot returndeadline. If you receive the regular ballot after submittingthe voted FWAB, you may also vote and return the Stateballot. If both ballots are received by the deadline, only theState ballot will be counted.

Delaware allows you to submit the FWAB by mail, email,or fax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at http://elections.delaware.gov/locations.shtml.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers for election officialscan be found at http://elections.delaware.gov/. Includeballot, voter affirmation, and cover sheet with secrecywaiver. You may also use the DoD Electronic TransmissionService to fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Kent Department of Elections for Kent County100 Enterprise Pl, Suite 5Dover, DE 19904-8202Fax: (302) 739-4515Email: absenteekc@state.de.us

New Castle Department of Elections for New Castle County820 N French Street, Suite 400Wilmington, DE 19801-3531Fax: (302) 577-6545Email: absentee@state.de.us

Sussex Department of Elections for Sussex CountyPO Box 457Georgetown, DE 19947-0457Fax: (302) 856-5082Email: absenteesc@state.de.us

Delaware 2012-13 Voting Assistance Guide

District o

District of Columbiawww.dcboee.org

Information is current as of January 2012. Check www.fvap.gov for updates.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote and requests absentee ballots for any and all elections that fall within the election cycle in which the request was received, unless the voter requests absentee ballots for a different time period.

Complete the Following Blocks of the Federal Post Card Application (FPCA):

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are a registered non-partisan or undeclared and want to change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Your valid District of Columbia Driver's License numberOR the last four digits of your Social Security number isrequired for voter registration. If you do not possess eitherof these identification numbers, the District of Columbiashall assign a number that will serve to identify you forvoter registration purposes.

Block 5: Recommended but not required. Provide yourcontact information to allow the District of Columbia tofollow up if more information is required.

Block 6: The District of Columbia allows you to receiveyour blank ballot by mail, email, or fax. Please rank yourpreference of how you would like to receive your absenteeballot. Provide your email address or fax number in Block5. If you do not make a selection, then your ballot will bemailed to you.

Block 7: Complete street address of your District ofColumbia voting residence. A post office box is notsufficient. This address must be within the District ofColumbia.

Block 9: Provide any information that may assist yourelection official in accepting this application.

The District of Columbia allows you to submit the FPCAby mail, email or fax.

D.C. Board of Elections and Ethics441 4th Street, N.W., Suite 250 North

Washington, DC 20001-2745

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office at: uocava@dcboee.org.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to the D.C. Board of Elections and

District PrimaryApril 3, 2012

Registration March 5, 2012 March 5, 2012 October 9, 2012

Ballot Request March 27, 2012 March 27, 2012 October 30, 2012

Ballot Return Postmarked by: April 3, 2012Received by: April 13, 2012

Postmarked by: April 3, 2012Received by: April 13, 2012

Received by: November 16, 2012

District of Columbia 2012-13 Voting Assistance Guide

Ethics at (202) 347-2648. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

Follow-Up on Your FPCA:

To find out the status of your registration/absentee ballotrequest, refer to the links at http://www.dcboee.org.

A U.S. citizen born abroad who is eligible to vote and hasnever lived in the U.S. and is not registered to voteanywhere else in the U.S. is eligible to vote at the samevoting residence in the District of Columia where a parentor guardian would be eligible to register and vote.

Voting Your Ballot The District of Columbia sends absentee ballots no laterthan 45 days before the election.

Voted ballots must be postmarked no later than the dayof the election and must arrive no later than 10 daysafter the election.

You may return the voted ballot by mail (or by email or faxwith a statement that you relinquish your right to a secretballot.) Use the FPCA fax instructions under “How andWhere to Submit Your FPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service may usethe “Prepaid Expedited Mail- Label 11-DOD”. This label isavailable at APO/FPO locations and can only be used forthe general election. It provides expedited mail service upto seven days prior to the election. You can return yourballot with this label attached at any MPO/FPO, Americanembassy or consulate. A portion of the label is retained byyou for tracking your ballot through the U.S. Postal Service.A portion of the label is retained by you for tracking yourballot through the U.S. Postal Service.

You may track the status of your ballot by clicking on the link at http://www.dcboee.org.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!The District of Columbia allows you to use the FederalWrite-In Absentee Ballot (FWAB) for voting in primary,special, and general elections for Federal and local officesand non-candidate ballot issues. Feel free to use the FWABto vote anytime before an election.

Block 1: The District of Columbia allows you to use thisform for registration. It must be submitted by theregistration deadline.

2012-13 Voting Assistance Guide District of Columbia

District o

Enter your valid D.C. Driver's License number, the last fourdigits of your Social Security number, OR your voterregistration number.

Block 5: Recommended but not required. Provide yourcontact information to allow the District of Columbia tofollow up if more information is required.

Block 7: Complete street address of your D.C. votingresidence. A post office box is not sufficient. This addressmust be within the District of Columbia where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal or local office in a primary, special, orgeneral election. To find out the races and candidates forwhich you can vote, go to www.dcboee.org. For each officefor which you vote, write in either a candidate's name or apolitical party designation. The District of Columbia doesnot elect representatives to the U.S. Senate, however, itdoes participate in the election of the President and aDelegate to the House of Representatives is elected. TwoU.S . 'Shadow' Sena tors and one U.S . 'Shadow'Representative are also elected, whose offices are createdby local law and who are not members of the UnitedStates Congress.

If using the FWAB simultaneously as a registration form,ballot request form and voted ballot, it must be received by thelocal election office by the registration deadline.

If using the FWAB simultaneously as a ballot request form andvoted ballot, it must be received by the local election office bythe ballot request deadline.

If using the FWAB as a voted ballot only, it must be receivedby the local election office by the ballot return deadline. If youreceive the District of Columbia ballot after submitting thevoted FWAB, you may also vote and return the District ballot.If both ballots are received by the deadline, only the Districtballot will be counted.

The District of Columbia allows you to submit the FWABby mail, email or fax.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the form directly to:

D.C. Board of Elections and Ethics441 4th Street, N.W., Suite 250 North

If you choose to email your FWAB, you should send theballot as a signed, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaild i rec t ly to your loca l e l ec t ion o ff i ce a t :uocava@dcboee.org.

If you choose to fax your FWAB, it is recommended thatyou fax the FWAB directly to the D.C. Board of Electionsand Ethics at (202) 347-2648. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. You mayalso use the DoD Electronic Transmission Service to faxyour FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

District of Columbia 2012-13 Voting Assistance Guide

Floridahttp://elections.myflorida.com

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all elections through the end of thecalendar year of the second ensuing scheduled generalelections.

Block 2: To vote in party primary elections, you must enteryour political party affiliation. All qualified voters, regardlessof party affiliation, may vote in primary elections forcandidates for nonpartisan offices, for judicial retention, forissues included on the ballot, and for offices whose candidatesall have the same party affiliation and whose winner will notface opposition in the general election. Political partyaffiliation is not required if only requesting absentee ballots forgeneral elections.

Block 3: Name (Last, First, Middle), Suffix

Block 4: Requested but not required. Enter the choice that bestdescribes you from the following list: AI = American Indian orAlaskan Native; AP = Asian or Pacific Islander not NativeHawaiian; B = Black, not of Hispanic Origin; H = Hispanic; M= Multi-racial; NH = Native Hawaiian; W = White, not ofHispanic Origin; O = Other.

Date of Birth

Your valid Florida Driver's License or Florida IdentificationCard Number. If you do not have do not have a FloridaDriver’s License or State ID, provide the last four digits of

your Social Security number. If you have not been issued anyof these identification numbers, write “none.”

Block 6: Florida allows you to receive the ballot by mail, emailor fax. Please rank your preference of how you would liketo receive your absentee ballot. Provide your email address orfax number in Block 5. If you do not make a selection, then ourlocal election official will mail your ballot to you.

Block 7: Complete street address of your Florida votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 9: Requested but not required. Provide completeinformation on where you last registered and voted.

If you do not wish to receive ballots for all elections throughthe next two regularly scheduled general elections, you mayrequest a ballot for a specific election held in the next electionyear OR a ballot for only the next scheduled election by notingyour choice here.

In addition to mailing a regular ballot, Florida provides a StateWrite-In Absentee Ballot between 180 and 90 days before thegeneral election to any voter living outside the U.S. unable tovote in the regular absentee voting process due to military orother contingencies. This ballot allows you to vote for local,State and Federal offices in a general election only. To request

DEADLINES Presidential PrimaryJanuary 31, 2012

Registration January 3, 2012 July 16, 2012 October 9, 2012

Ballot Request January 25, 2012 August 8, 2012 October 31, 2012

Ballot Return Postmarked by: January 31, 2012

Received by: February 10, 2012

August 14, 2012 Postmarked by: November 6, 2012

Florida 2012-13 Voting Assistance Guide

it, write: “Due to military or other contingencies that precludenormal mail delivery, I cannot vote an absentee ballot duringthe normal voting period. I request a special write-in absenteeballot.”

Affirmation: Sign and date. No notary or witness is required.If you are registering to vote, read the following oath beforesigning, “I do solemnly swear (or affirm) that I will protect anddefend the Constitution of the United States and theConstitution of the State of Florida, that I am qualified toregister as an elector under the Constitution and laws of theState of Florida, and that all information provided in thisapplication is true.”

Florida allows you to submit the FPCA by mail, email or fax ifyou are already registered. If you are not already registered,you must submit your FPCA by mail.

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. Email directly to your localelection office. Email addresses can be found at http://elections.myflorida.com.

If you choose to fax your FPCA, fax the form directly to yourlocal election official. Fax numbers can be found at http://elections.myflorida.com. You may also use the DoD ElectronicTransmission Service to fax or email your FPCA toll-free. Touse the Electronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and email toets@fvap.gov or fax to: (703) 693-5527, DSN 223-5527, ortoll-free from the U.S., Canada, Guam, Puerto Rico, and theVirgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contact informationcan be found at: http://elections.myflorida.com.

You may track the status of your request at: http://registration.elections.myflorida.com/.

Late Registration

If an individual or accompanying family member is dischargedfrom the Uniformed Services or separated from employmentoutside the U.S. after the registration deadline, he or she maystill register with the Supervisor of Elections until 5 pm on theFriday before Election Day.

Ballot Request by Phone, Email, or Fax

You may request an absentee ballot by providing your name,date of birth, and address to the local election official. Contactinformation can be found at: http://elections.myflorida.com.

Voting Your Ballot Local election officials send absentee ballots no later than 45days before primary and general elections.

For Stateside Uniformed Service members and theirfamilies, voted ballots for primary and general electionsmust be returned by mail received by the local electionofficial by 7 pm on Election Day.

For all overseas voters, including Uniformed Service membersand their families stationed overseas, voted ballots for primaryelections may be returned by mail or fax but must be receivedby Election Day. For all overseas voters, voted ballots forgeneral elections may be returned by mail or fax but must becompleted and signed by 7pm on Election Day and receivedby the local election official no later than 10 days after theelection. However, if the voted ballot is received after 7pm onElection Day, only the votes cast for Federal office will becounted.

All overseas voters, including Uniformed Services membersand their families, may return the voted ballot by mail or fax.Stateside Uniformed Service members and their families mustreturn the voted ballot by mail. Use FPCA fax and mailinstructions under “How and Where to Submit Your FPCA.”

You may track the status of your ballot at: http://registration.elections.myflorida.com/.

2012-13 Voting Assistance Guide Florida

If you do not receive your State ballot by October 2, 2012,use the Federal Write-in Absentee Ballot. If you receiveyour State absentee ballot, vote and return it. If both ballotsare received by the deadline, only the State ballot will becounted.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Florida allows you to use the Federal Write-In Absentee Ballot(FWAB) for voting in elections for any Federal office and anyState and local office with two or more candidates. If you areregistered and have requested your absentee ballot, feel free touse the FWAB to vote anytime before an election.

Complete the Following Blocks of the FWAB’s VoterDeclaration/ Affirmation:

Block 1: Florida does not allow you to use this form forregistration. Do not check the registration block.

Block 3: Name (Last, First, Middle), Suffix

Date of Birth

Block 7: Complete street address of your Florida votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 9: Provide any information that may assist the localelection official in accepting this ballot.

Vote Your FWAB:

Vote for any Federal office and State and local electionsinvolving two or more candidates. To find out the races andcandidates for which you can vote, go to ht tp: / /elections.myflorida.com. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

The deadlines for submitting the FWAB are the same as forState absentee ballots. If you receive the State absentee ballotafter submitting the voted FWAB, you may also vote andreturn the State ballot. If both ballots are received by thedeadline, only the State ballot will be counted.

Florida allows you to submit the FWAB by mail or fax if youare an overseas Uniformed Service member, family member,or overseas citizen. If you are a Stateside Uniformed Servicemember or family member, you must submit your FWAB bymail.

If you choose to fax your FWAB, fax the FWAB directly toyour local election official. Fax numbers can be found at http://elections.myflorida.com. Include ballot, voter affirmation, andcover sheet with secrecy waiver. You may also use the DoDElectronic Transmission Service to fax your FWAB toll-free.To use the Electronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S., Canada,Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the inside backcover or at www.fvap.gov.

Alachua Alachua Supervisor of Elections111 SE 1st AvenueGainesville, FL 32601Fax: 352-374-5264Email: pwc@alachuacounty.us

Baker Baker Supervisor of ElectionsPO Box 505Macclenny, FL 32063-0505Fax: 904-259-2799Email: vote@bakercountyfl.org

Bay Bay Supervisor of Elections830 W. 11th StreetPanama City, FL 32401Fax: 850-784-6141Email: baysuper@bayvotes.org

Bradford Bradford Supervisor of ElectionsPO Box 58 Starke, FL 32091-0058Fax: 904-966-6165Email: bradsoe@bradford-co-fla.org

Brevard Brevard Supervisor of ElectionsPO Box 410819Melbourne, FL 32781-0819Fax: 321-264-6741Email: mailballot@votebrevard.com

Broward Broward Supervisor of ElectionsPO Box 029001Fort Lauderdale, FL 33302-9001Fax: 954-357-7070Email: absenteeballot@browardsoe.org

Calhoun Calhoun Supervisor of Elections20859 Central Avenue E, Room G-10County CourthouseBlountstown, FL 32424-2264Fax: 850-674-2449Email: soecalco@fairpoint.net

Charlotte Charlotte Supervisor of Elections226 Taylor Street, Unit 120Punta Gorda, FL 33950Fax: 941-637-2231Email: soe@charlottevotes.com

Citrus Citrus Supervisor of Elections120 N. Apopka AvenueInverness, FL 34450-4238Fax: 352-341-6749Email: vote@elections.citrus.fl.us

Clay Clay Supervisor of ElectionsPO Box 337 Green Cove Springs, FL 32043-0037Fax: 904-284-0935Email: cchambless@clayelections.com

Collier Collier Supervisor of Elections3295 Tamiami Trail East Naples, FL 34112-5758Fax: 239-252-9468Email: absenteeballot@colliergov.net

Columbia Columbia Supervisor of Elections971 W. Duval Street, Suite 102Lake City, FL 32055-3737Fax: 386-755-7233Email: absentee@votecolumbia.com

Dade (See Miami-Dade)De Soto De Soto Supervisor of Elections

PO Box 89Arcadia, FL 34265-0089Fax: 863-993-4875Email: info@votedesoto.com

Dixie Dixie Supervisor of ElectionsPO Box 2057 Cross City, FL 32628-2057Fax: 352-498-1218Email: dixiecountysoe@bellsouth.net

Duval Duval Supervisor of Elections105 E. Monroe StreetJacksonville, FL 32202-3213Fax: 904-630-2920Email: jholland@coj.net

Escambia Escambia Supervisor of ElectionsPO Box 12601Pensacola, FL 32591-2601Fax: 850-595-3914Email: soe@escambiavotes.com

Flagler Flagler Supervisor of ElectionsPO Box 901Bunnell, FL 32110-0901Fax: 386-313-4171Email: kweeks@flaglerelections.com

Franklin Franklin Supervisor of Elections47 Avenue FApalachicola, FL 32320-1723Fax: 850-653-9092Email: icelliott@votefranklin.com

Gadsden Gadsden County Supervisor of ElectionsPO Box 186Quincy, FL 32353-0186Fax: 850-627-6144Email: info@gadsdensoe.com

Gilchrist Gilchrist Supervisor of Elections112 S. Main Street, Room 128Trenton, FL 32693-3249Fax: 352-463-3196Email: elections@gilchrist.fl.us

Glades Glades Supervisor of ElectionsPO Box 668Moore Haven, FL 33471-0668Fax: 863-946-0313Email: hollywhiddon@embarqmail.com

Gulf Gulf Supervisor of Elections401 Long AvenuePort St. Joe, FL 32456-1707Fax: 850-229-8975Email: jhanlon@fairpoint.net

Hamilton Hamilton Supervisor of Elections1153 US Highway 41 NW, Ste. 1Jasper, FL 32052-5896Fax: 386-792-3205Email: elect@windstream.net

Hardee Hardee Supervisor of Elections311 N. 6th AvenueWauchula, FL 33873-2361Fax: 863-773-6813Email: hardeesoe@yahoo.com

Hendry Hendry Supervisor of ElectionsPO Box 174LaBelle, FL 33975-0174Fax: 863-675-7803Email: brenda@hendryelections.org

Hernando Hernando Supervisor of Elections20 N. Main Street, Room 165Brooksville, FL 34601-2850Fax: 352-754-4425Email: awilliams@hernandocounty.us

Highlands Highlands Supervisor of ElectionsPO Box 3448Sebring, FL 33871-3448Fax: 863-402-6657Email: soe@hcbcc.org

Hillsborough Hillsborough Supervisor of Elections2514 Falkenburg RoadTampa, FL 33619-0917Fax: 813-272-7043Email: absentee@hillsboroughcounty.org

Holmes Holmes Supervisor of Elections201 N. Oklahoma Street, Suite 102Bonifay, FL 32425-2243Fax: 850-547-4168Email: debbie@holmeselections.com

Indian River Indian River Supervisor of Elections4375 43rd AvenueVero Beach, FL 32967-1067Fax: 772-770-5367Email:mdiehl@voteindianriver.com

Jackson Jackson Supervisor of ElectionsPO Box 6046Marianna, FL 32447-6046Fax: 850-482-9102Email: email@jacksoncountysoe.org

Jefferson Jefferson Supervisor of Elections380 W. Dogwood StreetMonticello, FL 32344-1470Fax: 850-997-6958Email: Soejeffersonco@aol.com

Lafayette Lafayette Supervisor of ElectionsPO Box 76Mayo, FL 32066-0076Fax: 386-294-2164Email: lafayettesoe@alltel.net

2012-13 Voting Assistance Guide Florida

Lake Lake Supervisor of ElectionsPO Box 457Tavares, FL 32778-0457Fax: 352-343-3605Email: elections@lakecountyfl.gov

Lee Lee Supervisor of ElectionsPO Box 2545Fort Myers, FL 33902-2545Fax: 239-533-6310Email: asha@leeelections.com

Leon Leon Supervisor of ElectionsPO Box 7357Tallahassee, FL 32314-7357Fax: 850-606-8601Email: absentee@leoncountyfl.gov

Levy Levy Supervisor of Elections421 S. Court StreetBronson, FL 32621-6520Fax: 352-486-5146Email: elections@votelevy.com

Liberty Liberty Supervisor of ElectionsPO Box 597Bristol, FL 32321-0597Fax: 850-643-5648Email: vote@libertyelections.com

Madison Madison Supervisor of Elections229 SW Pinckney Street, Room 113 Madison, FL 32340-2466Fax: 850-973-3780Email: jwwilliams@votemadison.com

Manatee Manatee Supervisor of ElectionsPO Box 1000Bradenton, FL 34206-1000Fax: 941-741-3820Email: info@votemanatee.com

Marion Marion Supervisor of ElectionsPO Box 289Ocala, FL 34478-0289Fax: 352-620-3286Email: absentee@votemarion.com

Martin Martin Supervisor of ElectionsPO Box 1257Stuart, FL 34995-1257Fax: 772-288-5765Email: debbied@martinvotes.com

Miami-Dade Miami-Dade Supervisor of ElectionsPO Box 521550Miami, FL 33152-1550Fax: 305-468-2507Email:nessa@miamidade.gov

Monroe Monroe Supervisor of Elections530 Whitehead Street, #101Key West, FL 33040-6577Fax: 305-292-3406Email: info@keys-elections.org

Nassau Nassau Supervisor of Elections96135 Nassau Place, Suite # 3Yulee, FL 32097-8635Fax: 904-432-1400Email: lwilkinson@votenassau.com

Okaloosa Okaloosa Supervisor of Elections302 Wilson Street N, Suite 102Crestview, FL 32536-3440Fax: 850-689-5644Email: plux@co.okaloosa.fl.us

Okeechobee Okeechobee Supervisor of Elections304 NW 2nd Street, Room 101Okeechobee, FL 34972-4120Fax: 863-763-0152Email: diane@voteokeechobee.com

Orange Orange Supervisor of ElectionsPO Box 562001Orlando, FL 32856-2001Fax: 407-254-6596Email: voter@ocfelections.com

Osceola Osceola Supervisor of Elections2509 E. Irlo Bronson Memorial HwyKissimmee, FL 34744Fax: 407-742-6001Email: vannieleclaire@voteosceola.com

Palm Beach Palm Beach Supervisor of ElectionsPO Box 22309West Palm Beach, FL 33416-2309Fax: 561-656-6287Email:kbaker@pbcelections.org

Pasco Pasco Supervisor of ElectionsPO Box 300Dade City, FL 33526-0300Fax: 352-521-4319Email: mjuarez@pascovotes.com

Pinellas Pinellas Supervisor of Elections13001 Starkey RoadLargo, FL 33773-1416Fax: 727-464-7636Email: absentee@votepinellas.com

Polk Polk Supervisor of ElectionsPO Box 1460 Bartow, FL 33831-1460Fax: 863-534-5899Email:cathybridges@polkelections.com

Putnam Putnam Supervisor of Elections2509 Crill Ave., Suite 900Palatka, FL 32177-3603Fax: 386-329-0455Email: electionsoffice@putnam-fl.com

St. Johns St. Johns Supervisor of Elections4455 Avenue A, Suite 101St. Augustine, FL 32095-5200Fax: 904-823-2249Email: eward@sjcvotes.us

St. Lucie St. Lucie Supervisor of Elections4132 Okeechobee RoadFort Pierce, FL 34947-5412Fax: 772-337-5626Email: dhall@slcelections.com

Santa Rosa Santa Rosa Supervisor of Elections6495 Caroline Street, Suite F Milton, FL 32570-4592Fax: 850-983-1829Email: bodenstein@santarosa.fl.gov

Sarasota Sarasota Supervisor of ElectionsPO Box 4194Sarasota, FL 34230-4194Fax: 941-861-8609Email: kdent@SarasotaVotes.com

Seminole Seminole Supervisor of ElectionsPO Box 1479Sanford, FL 32772-1479Fax: 407-708-7705Email: ertel@voteseminole.org

Sumter Sumter Supervisor of Elections900 N. Main StreetBushnell, FL 33513-5008Fax: 352-793-0232Email: Kkrauss@sumterelections.org

Suwannee Suwannee Supervisor of Elections220 Pine Avenue, SWLive Oak, FL 32064-2315Fax: 386-364-5185Email: gwilliams@suwanneevotes.com

Taylor Taylor Supervisor of ElectionsPO Box 1060Perry, FL 32348-1060Fax: 850-838-3516Email: taylorelections@gtcom.net

Union Union Supervisor of Elections55 W. Main Street, Room 106Lake Butler, FL 32054-1654Fax: 386-496-1535Email: debbie.osborne@unionflvotes.com

Volusia Volusia Supervisor of Elections125 W. New York AvenueDeland, FL 32720-5415Fax: 386-822-5715Email: lewis@co.volusia.fl.us

Wakulla Wakulla Supervisor of ElectionsPO Box 305Crawfordville, FL 32326-0305Fax: 850-926-8104Email: hwells@mywakulla.com

Walton Walton Supervisor of Elections571 US Highway 90EDeFuniak Springs, FL 32433-1379Fax: 850-892-8113Email: vorbill@co.walton.fl.us

Washington Washington Supervisor of Elections1331 S. Boulevard, Suite 900Chipley, FL 32428-2233Fax: 850-638-6238Email: cgriffin@wcsoe.org

Georgiawww.sos.ga.gov/UOCAVA

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all primaries, runoffs, and generalelections involving Federal candidates, and any other electionsfor which you are eligible, for a period extending through thenext regularly scheduled general election.

Block 2: To vote in party primaries, you must indicate whichparty ballot you want to receive. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Date of Birth

Your Georgia Driver's License number, Georgia State issuedID number, OR the last four digits of your Social Securitynumber is required for voter registration. If you do not possesseither of these identification numbers, the State shall assign anumber that will serve to identify you for voter registrationpurposes.

Block 6: Georgia allows you to receive the blank ballot bymail or email. Please rank your preference of how youwould like to receive your absentee ballot. Provide youremail address in Block 5. If you do not make a selection,then your local election official will mail your ballot to you.

Block 7: Complete street address of your Georgia votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 9: A completed FPCA indicates that you want toreceive ballots for all primaries, runoffs, and general electionsinvolving Federal candidates, and any other elections forwhich you are eligible, for a period extending through the nextregularly scheduled general election. If only a single electionis being requested, you must specify that election here.

Georgia allows you to submit the FPCA by mail, email or fax.

March 6, 2012

State PrimaryJuly 31, 2012

August 21, 2012

Registration February 6, 2012 July 2, 2012 July 2, 2012 October 9, 2012

Ballot Request March 2, 2012 July 27, 2012 August 17, 2012 November 2. 2012

Ballot Return Postmarked by: March 6, 2012Received by: March 9, 2012

Postmarked by: July 31, 2012Received by:

August 3, 2012

Postmarked by: August 21, 2012

Received by: August 24, 2012

Georgia 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you should send the fromas a signed, scanned attachment. Email directly to your localelection office. Email addresses can be found atwww.sos.ga.gov/UOCAVA.

If you choose to fax your FPCA, fax the form directly to yourlocal election official. Fax numbers can be found atwww.sos.ga.gov/elections/contactinformation.htm. You mayalso use the DoD Electronic Transmission Service to fax yourFPCA toll-free. To use the Electronic Transmission Service,use the cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to Georgia’svoter registration verification website at: www.sos.ga.gov/MVP.

Your mother, father, grandparent, aunt, uncle, sister, brother,spouse, son, daughter, niece, nephew, mother-in-law, father-in-law, brother-in-law, sister-in-law, son-in-law, daughter-in-law,or grandchild (18 years of age or older) may request in writingto the local registrar that an absentee ballot be mailed to you ifyou are temporarily residing outside the county.

If a U.S. citizen outside the U.S. has never lived in the U.S. andeither parent is a qualified Georgia voter, then he or she iseligible to register and vote where his or her parent is aqualified voter.

Voting Your Ballot Local election officials begin mailing ballots approximately 45days before an election.

In addition to mailing a regular ballot, Georgia provides a StateSpecial Write-In Absentee Ballot with the regular ballot for usein potential runoff primaries and runoff elections. The SWABwill automatically be included with any absentee ballot sent tomilitary and overseas citizens for any general primary orgeneral election. The SWAB can also be downloaded at:www.sos.ga.gov/elections/uocava.

Voted ballots must be postmarked by Election Day andreceived by the local election official no later than threedays after the election.

You must sign the self-administered Oath of Elector. If youreceive assistance due to physical disability or illiteracy, the

person providing assistance must complete and sign thenecessary oath of assistance.

You may track the status of your ballot at: http://www.sos.georgia.gov/MVP.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Georgia allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in general, special,run-off, and primary elections for Federal, State, and localoffices. Feel free to use the FWAB to vote anytime before anelection.

2012-13 Voting Assistance Guide Georgia

Block 1: Georgia allows you to use this form for registration ifyou are otherwise eligible to vote in Georgia.

Enter your Georgia Driver's License number, Georgia Stateissued ID number, the last four digits of your Social Securitynumber, OR your State voter registration number.

Block 7: Complete street address of your Georgia votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote, goto www.sos.ga.gov/elections/UOCAVA. For each office forwhich you vote, write in either a candidate’s name or a politicalparty designation. Once the ballot is complete, fold and place itin the security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

The deadlines for submitting the FWAB are the same as forState absentee ballots. If you receive the regular ballot aftersubmitting the voted FWAB, you may also vote and return theState ballot. If both ballots are received by the deadline, onlythe State ballot will be counted.

Insert the sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and mail your FWABdirectly to your local election official.

Local Election Office AddressesCounty Mailing AddressAppling Election Superintendent

69 Tippins Street, Suite 205Baxley, GA 31513-1908Fax: (912) 367-5377Email: applingregdon@yahoo.com

Atkinson Election SuperintendentPO Box 518Pearson, GA 31642-0855

Street Address for Private Mail Carrier:Election Superintendent86 Main Street S.Pearson, GA 31642-0855Fax: (912) 422-3429Email: atcoelections@hotmail.com

Bacon Election SuperintendentPO Box 375Alma, GA 31510

Street Address for Private Mail Carrier:Election Superintendent232 West 12th StreetAlma, GA 31510Fax: (912) 632-0232Email: ann.russell@gmail.com

Baker Baker County Board of ElectionsPO Box 335Newton, GA 39870

Street Address for Private Mail Carrier:Baker County Board of Elections167 Baker PlaceNewton, GA 39870Fax: (229) 734-0889Email: bd.elect@bakercountyga.com

Baldwin Baldwin County Voter RegistrarP.O. Box 1804Milledgeville, GA 31059-1804

Street Address for Private Mail Carrier:Baldwin County Voter Registrar121 North Wilkinson Street, Suite 109Milledgeville, GA 31061-3399Fax: (478) 445-5756Email: baldwinuocava@baldwincountyga.com

Banks Banks County Registrars150 Hudson Ridge, Suite 2Homer, GA 30547-0172Fax: (706) 677-4102Email: registrars@co.banks.ga.us

Barrow Board of Elections and Registration233 East Broad StreetWinder, GA 30680-1973Fax: (770) 307-1054Email: mfranklin@barrowga.org

Bartow Bartow County Elections/Voter Registration135 West Cherokee Avenue, Suite 106Cartersville, GA 30120-3181Fax: (770) 606-2245Email: milamm@bartowga.org

Ben Hill Board of Elections and Voter Registration324-B East Pine StreetFitzgerald, GA 31750Fax: (229) 426-5152Email: electionsbenhill@aol.com

Berrien Board of Elections and Registration201 North Davis Street, Room 146Nashville, GA 31639Fax: (229) 686-2897Email: belections@windstream.net

Bibb Macon-Bibb County Board of Elections PO Box 6297Macon, GA 31208-6297

Street Address for Private Mail Carrier:Macon-Bibb County Board of Elections 2445 Pio Nono AvenueMacon, GA 31206Fax: (478) 784-9774Email: bibbcogauocava@co.bibb.ga.us

Bleckley Chief RegistrarBleckley County Courthouse112 North Second StreetCochran, GA 31014Fax: (478) 934-0822Email: bleckleyvr@bleckley.org

Brantley Board of Elections and RegistrationPO Box 326Nahunta, GA 31553

Street Address for Private Mail Carrier:Board of Elections33 Allen RdNahunta, GA 31553Fax: (912) 462-6197Email: voterreg@coastalbb.com

Brooks Election Supervisor610 South Highland RoadPO Box 5030Quitman, GA 31643Fax: (229) 263-5372Email: brookscoelections@windstream.net

Bryan Bryan County Voter Registration OfficePO Box 1526Pembroke, GA 31321-1526

Street Address for Private Mail Carrier:Bryan County Voter Registration Office151 South College StreetPembroke, GA 31321-1526Fax: (912) 653-3895Email: bryanUOCAVA@bryan-county.org

Bulloch Bulloch County Board of Elections and Voter Registration2 North Main Street, Room 104Statesboro, GA 30458Fax: (912) 764-8167Email: bullochUOCAVA@bulloch.net

Burke Director, Board of Elections and RegistrationPO Box 923Waynesboro, GA 30830-0923

Street Address for Private Mail Carrier:Director, Board of Elections and Registration602 N orth Liberty Street, Room 104Waynesboro, GA 30830-1417Fax: (706) 554-8764Email: burkereg@burkecounty-ga.gov

Butts Butts County Board of Elections and Voter Registration625 West Third Street, Suite 5Jackson, GA 30233-1965Fax: (770) 775-2765Email: buttsuocava@buttscounty.org

Calhoun Election SuperintendentPO Box 87Morgan, GA 39866-0087

Street Address for Private Mail Carrier:Election Superintendent31 Court St reet, Suite CMorgan, GA 39866-0087Fax: (229) 849-0071Email: cc.registrar@windstream.net

Camden Election SuperintendentPO Box 608Woodbine, GA 31569-0608

Street Address for Private Mail Carrier:Board of RegistrarsCourt House Square (Historic Court House)200 East Fourth StreetWoodbine, GA 31569-0608Fax: (912) 576-8176Email: makicklighter@co.camden.ga.us

Candler Board of Elections and Registration432 North Rountree StreetMetter, GA 30439Fax: (912) 685-2189Email: voteregister@pineland.net

County Mailing AddressCarroll Election and Registration Supervisor

PO Box 338Carrollton, GA 30112-0338

Street Address for Private Mail Carrier:Election and Registration Supervisor423 College Street, Room 302Carrollton, GA 30117-0338Fax: (770) 214-3594Email: elections@carrollcountyga.com

Catoosa Board of Elections and Voter Registration7658 Nashville StreetRinggold, GA 30736Fax: (706) 935-2538Email: tonya.moore@catoosa.com

Charlton Charlton County Board of Elections and RegistrationCourthouse Annex68 Kingsland Drive, Suite EFolkston, GA 31537Fax: (912) 496-2608Email: charltonUOCAVA@windstream.net

Chatham Chatham County Voter RegistrationPO Box 13757Savannah, GA 31416

Street Address for Private Mail Carrier:Chatham County Voter Registration1117 Eisenhower Drive, Suite ESavannah, GA 31406Fax: (912) 790-1519Email: voter@chathamcounty.org

Chattahoochee Chief Duputy RegistrarPO Box 125Cusseta, GA 31805-0125

Street Address for Private Mail Carrier:Chief Registrar377 Broad StreetCusseta, GA 31805-0125Fax: (706) 989-2005Email: cbjewell25@yahoo.com

Chattooga Chattooga County RegistrarPO Box 165Summerville, GA 30747

Street Address for Private Mail Carrier:Chattooga County Registrar10017 Commerce StreetSummerville, GA 30747Fax: (706) 857-0877Email: pledger991@hotmail.cm

Cherokee Cherokee County Elections and Voter Registration400 East Main StreetCanton, GA 30114-2802Fax: (770) 479-9791Email: kstancil@cherokeega.com

Clarke Athens-Clarke County Board of Elections PO Box 1828Athens, GA 30603

Street Address for Private Mail Carrier:Athens-Clarke County Board of Elections 155 East Washington StreetAthens, GA 30601Fax: (706) 613-3840Email: UOCAVA@co.clarke.ga.us

Clay Election SuperintendentPO Box 448Fort Gaines, GA 31751

Street Address for Private Mail Carrier:Election Superintendent210 South Washington StreetFort Gaines, GA 31751Fax: (229) 768-2710Email: clayprobate@hotmail.com

Clayton Director, Board of Elections and Registration121 South McDonough StreetJonesboro, GA 30236-3636Fax: (770) 477-4521Email: claytonuocava@co.clayton.ga.us

Clinch Clinch County Board of Elections and Registration25 Court Square, Suite AHomerville, GA 31634Fax: (912) 487-5162Email: clinchelections@windstream.net

Cobb Board of Elections and RegistrationPO Box 649Marietta, GA 30061-0649

Street Address for Private Mail Carrier:Board of Elections and Registration736 Whitlock AvenueMarietta, GA 30064Fax: (770) 528-2519Email: Absentee@cobbcounty.org

Coffee Elections and Registration 224 West Ashley StreetDouglas, GA 31533Fax: (912) 384-1343Email: jfoskey@coffeecountygov.com

Colquitt Colquitt Board of RegistrarsPO Box 517Moultrie, GA 31776-0517

Street Address for Private Mail Carrier:Board of Registrars101 East Central AvenueMoultrie, GA 31776-0517Fax: (229) 616-7498Email: colquittuocava@ccboc.com

Columbia Election SupervisorPO Box 919Evans, GA 30809-0919

Street Address for Private Mail Carrier:Election Supervisor500 Faircloth Dr, Bldg EEvans, GA 30809-0919Fax: (706) 868-3358Email: jmharris@columbiacountyga.gov

Cook Cook Board of Elections/Registrars1200 South Hutchinson AvenueAdel,GA 31620Fax: (229) 896-6888Email: cookelections@windstream.net

Coweta Election Superintendent22 East Broad StreetNewnan, GA 30263Fax: (770) 683-2800Email: jhamilton@coweta.ga.us

Crawford Crawford Board of ElectionsPO Box 732Roberta, GA 31078-0739

Street Address for Private Mail Carrier:Crawford Board of Elections1011 US Highway 341 North, Room 14Roberta, GA 31078-0739Fax: (478) 836-1879Email: bpeacockcrawfordco@yahoo.com

Crisp Election SupervisorCrisp County Government Center210 South 7th Street, Room 103Cordele, GA 31015-4295Fax: (229) 276-2735Email: brenda.turner@crispcounty.com

Dade Dade Board of Elections and RegistrationPO Box 152Trenton, GA 30752-0152

Street Address for Private Mail Carrier:Board of Elections and Registration71 Case AvenueTrenton, GA 30752-0152Fax: (706) 657-2048Email: tvaughan@dadega.com

Dawson Election Supervisor96 Academy AvenueDawsonville, GA 30534-0436Fax: (706) 344-3642Email: uocava@dawsoncounty.org

County Mailing AddressDecatur Decatur County Board of Elections & Registration

PO Box 7428Bainbridge, GA 39818

Street Address for Private Mail Carrier:Decatur County Board of Elections & Registration112 West Water StreetBainbridge, GA 39818Fax: (229) 248-3743Email: decaturcoregclerk@bellsouth.net

DeKalb Election Supervisor4380 Memorial Drive, Suite 300Decatur, GA 30032Fax: 404-298-4038Email: uocava@dekalbcountyga.gov

Dodge Dodge County Elections OfficePO Box 514Eastman, GA 31023-0514

Street Address for Private Mail Carrier:Election Superintendent5401 Anson AvenueCourthouse CircleEastman, GA 31023-0514Fax: (478) 374-8124Email: dc.registrar.ga@hotmail.com

Dooly Dooly Board of Registrars402 Hawkinsville Rd, Room 9PO Box 322Vienna, GA 31092-0304Fax: (229) 268-9325Email: dooly.county.elections@gmail.com

Dougherty Election SupervisorPO Box 1827Albany, GA 31702-1827

Street Address for Private Mail Carrier:Election Supervisor222 Pine AvenueAlbany, GA 31702-1827Fax: (229) 438-3975Email: sarmbrust@dougherty.ga.us

Douglas Voter Registration8700 Hospital Drive, Room A1003Douglasville, GA 30134-2264Fax: (770) 920-7583Email: voterreg@co.douglas.ga.us

Early Early County Board of Registrars15157 River StreetBlakely, GA 39823Fax: (229) 723-8477Email: earlyuocava@gmail.com

Echols Election SupervisorPO Box 118Statenville, GA 31648-0118

Street Address for Private Mail Carrier:Election Supervisor110 Highway 94 EastStatenville, GA 31648-0118Fax: (229) 559-8128Email: judgerogers@planntel.net

Effingham Board of Elections and Registration284 Highway 119 SouthSpringfield, GA 31329Fax: (912) 754-8408Email: boe@effinghamcounty.org

Elbert Board of RegistrarsElbert County Courthouse45 Forest Avenuenue, Room 42Elberton, GA 30635-1840Fax: (706) 283-0216Email: votecw@elberton.net

Emanuel Emanuel County Board of Elections and Registration105 South Main StreetSwainsboro, GA 30401Fax: (478) 237-5998Email: emanuel.elections@yahoo.com

Evans Board of RegistrarsPO Box 652Claxton, GA 30417-0652

Street Address for Private Mail Carrier:Board of Registrars201 Freeman Street, Suite 10Claxton, GA 30417-0652Fax: (912) 739-4425Email: evanscountyregistrar@hotmail.com

Fannin Board of Elections and Voter RegistrationFannin County Courthouse400 West Main Street, Suite 301Blue Ridge, GA 30513Fax: (706) 258-5164Email: maconner@fannincountyga.org

Fayette Board of Elections and Voter Registration140 Stonewall Avenue, Suite 208Fayetteville, GA 30214Fax: (770) 305-5449Email: bjones@fayettecountyga.gov

Floyd Board of Elections and Voter Registration12 East Fourth Avenue, Suite 20Rome, GA 30161Fax: (706) 233-0019Email: waddellv@floydcountyga.org

Forsyth Board of Elections and Voter Registration110 East Main Street, Suite 200Cumming, GA 30040-2468Fax: (706) 886-2825Email: mbsmith@forsythco.com

Franklin Elections and Registration OfficePO Box 313Carnesville, GA 30521

Street Address for Private Mail Carrier:Elections and Registration Office211 Athens StreetCarnesville, GA 30521Fax: (706) 384-3506Email: teubanks@franklincountyga.com

Fulton Fulton County Board of Elections and Voter Registration130 Peachtree Street, Suite 2186FAtlanta, GA 30303Fax: 404-730-8839Email: FULTONUOCAVA@fultoncountyga.gov

Gilmer Board of Registrars1 Broad Street, Suite 107Ellijay, GA 30540Fax: (706) 635-4647Email: registrar@ellijay.com

Glascock Glascock Board of RegistrarsPO Box 68Gibson, GA 30810

Street Address for Private Mail Carrier:Glascock Board of Registrars676 West Main StreetGibson, GA 30810Fax: (706) 598-3638Email: uge3125@uga.edu

Glynn Board of Elections and Voter Registration1815 Gloucester StreetBrunswick, GA 31520Fax: (912) 261-3819Email: glynncountyUOCAVA@glynncounty-ga.gov

Gordon Board of Elections and Voter RegistrationPO Box 715Calhoun, GA 30703-0715

Street Address for Private Mail Carrier:Board of Elections and Voter Registration101 South Piedmont StreetCalhoun, GA 30703-0715Fax: (706) 629-7198Email: shicks@gordoncounty.org

Grady Board of Registrars250 North Broad Street, Box 3Cairo, GA 39828Fax: (229) 377-5410Email: gradyregistrar@windstream.net

County Mailing AddressGreene Board of Elections and Registration

1180 C. Weldon Smith Drive, Suite 120Greensboro, GA 30642Fax: (706) 453-9438Email: greenecountyUOCAVA@greenecountyga.gov

Gwinnett Board of Registration and Elections75 Langley DriveLawrenceville, GA 30046Fax: 678 226-7209Email: absentee@gwinnettcounty.com

Habersham Board of Registrars555 Monroe Street, Unit 45Clarkesville, GA 30523Fax: (706) 754-5836Email: ljones@habershamga.com

Hall Board of Elections and Voter RegistrationPO Box 1435Gainesville, GA 30501-1435

Street Address for Private Mail Carrier:Board of Elections and Voter Registration2285 Browns Bridge RdGainesville, GA 30501-4733Fax: (770) 531-3931Email: csosebee@hallcounty.org

Hancock Board of RegistrarsPO Box 118Sparta, GA 31087-0118

Street Address for Private Mail Carrier:Board of RegistrarsCourthouse Square12630 Broad StreetSparta, GA 31087-0118Fax: (706) 444-0989Email: hancockvoting@bellsouth.net

Haralson Board of Elections and Voter RegistrationPO Box 1119Buchanan, GA 30113-1119

Street Address for Private Mail Carrier:Board of Elections and Voter Registration4485 Georgia Highway 120Buchanan, GA 30113-1119Fax: (770) 646-1523Email: hcelections@bellsouth.net

Harris Board of Elections and Voter RegistrationPO Box 123Hamilton, GA 31811-0123

Street Address for Private Mail Carrier:Board of Elections and Voter Registration104 North College StreetHamilton, GA 31811-0123Fax: (706) 628-4223Email: sjarrett@harriscountyga.gov

Hart Board of RegistrarsPO Box 426Hartwell, GA 30643-0426

Street Address for Private Mail Carrier:Board of Registrars185 West Franklin StreetHartwell, GA 30643-0426Fax: (706) 376-6911Email: P

Heard Board of RegistrarsPO Box 427Franklin, GA 30217-0427

Street Address for Private Mail Carrier:Board of RegistrarsCourthouse215 East Court SquareFranklin, GA 30217-0427Fax: (706) 675-0819Email: tadams@heardcountyga.com

Henry Elections and Registration345 Phillips DriveMcDonough, GA 30253Fax: (770) 288-6468Email: jshellnutt@co.henry.ga.us

Houston Board of Elections and Voter RegistrationPO Box 945Perry, GA 31069-0945

Street Address for Private Mail Carrier:Board of Elections and Voter Registration801 Main Street, Room 237Perry, GA 31069-3825Fax: (478) 988-0699Email: elections.houstonga@gmail.com

Irwin Board of Registrars207 South Irwin AvenueOcilla, GA 31774-0514Fax: (229) 468-9672Email: mdenney@alltel.net

Jackson Voter Registration67 Athens StreetJefferson, GA 30549Fax: (706) 367-1193Email: lwurtz@jacksoncountygov.com

Jasper Board of RegistrarsCourthouse126 West Greene Street, Suite 3Monticello, GA 31064Fax: (706) 468-1485Email: jregistrar@bellsouth.net

Jeff Davis Jeff Davis Board of RegistrarsPO Box 552Hazlehurst, GA 31539

Street Address for Private Mail Carrier:Jeff Davis Board of Elections and Voter Registration14 Jeff Davis StreetHazlehurst, GA 31539Fax: (912) 379-0340Email: elections@jeffdavisga.com

Jefferson Board of Registrars415 Green StreetLouisville, GA 30434Fax: (478) 625-7124Email: sgray@jeffersoncountyga.gov

Jenkins Jenkins Board of RegistrarsPO Box 510Millen, GA 30442

Street Address for Private Mail Carrier:Board of Registrars611 East Winthrope AvenueMillen, GA 30442Fax: (478) 982-4380Email: jenkinscountyreg@bellsouth.net

Johnson Johnson Board of Elections and Voter RegistrationPO Box 255Wrightsville, GA 31096-0255

Street Address for Private Mail Carrier:Board of Elections and Voter Registration6816 East College StreetWrightswille, GA 31096-0255Fax: 478 864-2019Email: dkillingsworth@johnsonco.org

Jones Board of Elections and Voter RegistrationPO Box 1417Gray, GA 31032-1417

Street Address for Private Mail Carrier:Board of Elections and Voter Registration166 Industrial Blvd, Suite 102Government CenterGray, GA 31032-1417Fax: 474-986-9682Email: marion.hatton@jonescountyga.org

Lamar Board of Elections and Registration408 Thomaston Street, Suite DBarnesville, GA 30204Fax: (770) 358-5445Email: lamarcountyregistrars@yahoo.com

Lanier Lanier County Board of Registrars56 West Main Street, Suite 8Lakeland, GA 31635-1189Fax: 229 482-3680Email: laniercountyvotes@yahoo.com

County Mailing AddressLaurens Board of Registrars

PO Box 2102Dublin, GA 31040-2102

Street Address for Private Mail Carrier:Board of Registrars117 East Jackson Street, Suite ADublin, GA 31021-0000Fax: (478) 277-2933Email: regsitrars@dlcga.com

Lee Board of Elections and Voter RegistrationPO Box 326Leesburg, GA 31763-0326

Street Address for Private Mail Carrier:Board of Elections and Voter RegistrationT. Page Tharp Governmental Building102 Starksville Avenue, NorthLeesburg, GA 31763-0326Fax: (229) 759-3348Email: vjohnson@lee.ga.us

Liberty Board of Elections and Voter RegistrationPO Box 557Hinesville, GA 31313-0557

Street Address for Private Mail Carrier:Board of Elections and Voter Registration102 South Commerce StreetHinesville, GA 31313-3612Fax: (912) 876-2538Email: ella.golden@libertycountyga.com

Lincoln Lincoln County Board of RegistrarsPO Box 1419Lincolnton, GA 30817-1419

Street Address for Private Mail Carrier:Board of Elections160 May AvenueLincolnton, GA 30817-1419Fax: (706) 359 7396Email: lbolton@lincolncountyga.com

Long Long County RegistrarPO Box 669Ludowici, GA 31316

Street Address for Private Mail Carrier:Board of Registrars459 South McDonald StreetLudowici, GA 31316Fax: (912) 545-3446Email: longcoregistrar@yahoo.com

Lowndes Board of Elections and Voter RegistrationPO Box 10130Valdosta, GA 31604

Street Address for Private Mail Carrier:Board of Elections and Voter Registration2808 North Oak StreetValdosta, GA 31603-1349Fax: (229) 333-5199Email: elections@lowndescounty.com

Lumpkin Lumpkin County Elections and Voter Registration99 Courthouse Hill, Suite GDahlonega, GA 30533Fax: (706)864-0731Email: elections@lumpkincounty.gov

McDuffie Board of Elections and Voter RegistrationPO Box 600Thomson, GA 30824

Street Address for Private Mail Carrier:Board of Elections and Voter Registration337 Main Street, Suite 101Thomson, GA 30824Fax: (706) 595-0460Email: kwilliams@thomson-mcduffie.net

McIntosh McIntosh Board of RegistrarsPO Box 1987Darien, GA 31305-1987

Street Address for Private Mail Carrier:Board of Elections and Voter Registration103 Jefferson StreetDarien, GA 31305-1987Fax: (912) 437-5041Email: egale@darientel.net

Macon Board of Elections and Voter RegistrationPO Box 415Oglethorpe, GA 31068-0415

Street Address for Private Mail Carrier:Board of Elections and Voter Registration121 South Sumter StreetOglethorpe, GA 31068-0415Fax: (478) 472-8522Email: macoboer@alltel.net

Madison Madison Board of RegistrarsPO Box 328Danielsville, GA 30633-0328

Street Address for Private Mail Carrier:Board of RegistrarsGovernment Complex91 Albany AvenueDanielsville, GA 30633-0328Fax: (706) 795-2233Email: madisonUOCAVA@madisonco.us

Marion Marion Board of Elections and Voter RegistrationPO Box 444Buena Vista, GA 31803-0444

Street Address for Private Mail Carrier:Board of Elections and Voter Registration100 Burkhalter AvenueBuena Vista, GA 31803-0444Fax: (229) 649-3928Email: marioncountyelect@yahoo.com

Meriwether Board of Elections and Voter RegistrationPO Box 219Greenville, GA 30222

Street Address for Private Mail Carrier:Board of Elections and Voter Registration137 South Court SquareGreenville, GA 30222Fax: (706) 672-9584Email: p.threadgill@meriwethercountyga.gov

Miller Miller County Board of Registrars155 South First StreetColquitt, GA 39837Fax: (229) 758-8133Email: probjudge@millercountyga.com

Mitchell Board of RegistrarsPO Box 229Camilla, GA 31730-0229

Street Address for Private Mail Carrier:Board of Registrars11 West Broad Street, Room 102Camilla, GA 31730-0229Fax: (229) 336-2354Email: klewis@camillaga.net

Monroe Board of RegistrarsPO Box 1245Forsyth, GA 31029-0357

Street Address for Private Mail Carrier:Board of Registrars550 North Lee StreetForsyth, GA 31029-0357Fax: (478) 994-7624Email: ndumas@monroecountygeorgia.com

Montgomery Montgomery Board of RegistrarsPO Box 363Mount Vernon, GA 30445-0363

Street Address for Private Mail Carrier:Board of Registrars400 South Railroad AvenueMount Vernon, GA 30445-0363Fax: (912) 583-4343Email: montgomeryuocava@yahoo.com

County Mailing AddressMorgan Morgan County Board of Elections and Registration

434 Hancock StreetMadison, GA 30650-1383Fax: (706) 343-6496Email: uocava@morganga.org

Murray Board of RegistrarsPO Box 1015Chatsworth, GA 30705-1015

Street Address for Private Mail Carrier:Voter Registrars121 North 4th AvenueChatsworth, GA 30705-1015Fax: (706) 695-9755Email: vote1@windstream.net

Muscogee Board of Elections and Voter RegistrationPO Box 1340Columbus, GA 31902-1340

Street Address for Private Mail Carrier:Board of Elections and Voter Registration100 10th StreetColumbus, GA 31901-2376Fax: (706) 653-4394Email: nboren@columbusga.org

Newton Board of Elections and Voter RegistrationPO Box 1274Covington, GA 30015-1274

Street Address for Private Mail Carrier:Board of Elections and Voter Registration1113 Usher Street, Suite 103Covington, GA 30014-1274Fax: (770) 784-2057Email: newtonuocava@co.newton.ga.us

Oconee Board of Elections and Voter RegistrationPO Box 958Watkinsville, GA 30677

Street Address for Private Mail Carrier:Board of Elections and Voter Registration10 Court StreetWatkinsville, GA 30677Fax: (706) 310-3486Email: camos@oconee.ga.us

Oglethorpe Oglethorpe Board of RegistrarsPO Box 190Lexington, GA 30648-0232

Street Address for Private Mail Carrier:Board of Registrars111 West Main StreetLexington, GA 30648-0232Fax: (706) 743-3514Email: voterregistration@windstream.net

Paulding Board of Elections and RegistrationWatson Government Complex240 Constitution Blvd.Dallas, GA 30132Fax: (770) 443-7848Email: gpenegar@paulding.gov

Peach Board of Elections Registration205 West Church Street, Suite 102Fort Valley, GA 31030-0853Fax: (478) 825-2187Email:michelle-riley@peachcounty.net

Pickens County Board of Elections and Voter Registration83 Pioneer RoadJasper, GA 30143Fax: 706 253 8782Email: jroberts@pickenscountyga.gov

Pierce Pierce Board of Elections and Registration312 Nichols Street, Suite 2Blackshear, GA 31516Fax: (912) 807-9940Email: sboatright@piercecountyga.org

Pike Pike Board of RegistrarsPO Box 1032Zebulon, GA 30295-1032

Street Address for Private Mail Carrier:Board of Registrars16001 Barnesville StreetZebulon, GA 30295-1032Fax: (770) 567-7280Email: schamblin_pikeco@bellsouth.net

Polk Polk County Board of Elections and Voter Registration144 West Avenue, Suite DCedartown, GA 30125Fax: (770) 749-2194Email: UOCAVA@polkga.org

Pulaski Board of RegistrarsPO Box 448Hawkinsville, GA 31036

Street Address for Private Mail Carrier:Board of RegistrarsCommunity Service Building105 North Lumpkin, Room 107Hawkinsville, GA 31036Fax: (478) 783-0696Email: voterregistrar@comsouth.net

Putnam Putnam County Board of Registrars100 South Jefferson Avenue, Suite 217 Eatonton, GA 31024Fax: (706) 485-9684Email: bersanders@gmail.com

Quitman Board of RegistrarsPO Box 447Georgetown, GA 39854-0447

Street Address for Private Mail Carrier:Board of RegistrarsOld Jail Building115 Main StreetGeorgetown, GA 39854-0447Fax: (229) 334-2151Email: quitco8@eufaula.rr.com

Rabun Board of Elections and Registration19 Jo Dotson CircleSuite 201Clayton, GA 30525Fax: (706) 782-3754Email: twhitmire@rabuncountygov.com

Randolph Board of RegistrarsPO Box 532Cuthbert, GA 39840-0323

Street Address for Private Mail Carrier:Board of Registrars93 Front StreetCuthbert, GA 39840-0323Fax: (229) 732-5781Email: JimmyLHoover@gmail.com

Richmond Richmond County Board of Elections and Voter Registration530 Greene Street, Room 104Augusta, GA 30901Fax: (706) 821-2814Email: richmondelections@augustaga.gov

Rockdale Board of Elections and Voter Registration1400 Parker Road, Lobby CConyers, GA 30094-5953Fax: (770) 785-6932Email: absentee@rockdalecounty.org

Schley Board of RegistrarsPO Box 385Ellaville, GA 31806-0385

Street Address for Private Mail Carrier:Board of Registrars14 South Broad StreetEllaville, GA 31806-0385Fax: (229) 937-5588Email: registrars_schley@yahoo.com

Screven Board of RegistrarsScreven County Courthouse216 Mims Road, Room 114Sylvania, GA 30467Fax: (912) 564-5617Email: dorothyhglisson@yahoo.com

Seminole Seminole Board of Registrars200 South Knox AvenueDonalsonville, GA 39845Fax: (229) 524-8644Email: Lesliejohnson76@hotmail.com

County Mailing AddressSpalding Board of Elections and Voter Registration

PO Box 1087Griffin, GA 30224

Street Address for Private Mail Carrier:Board of Elections and Voter RegistrationCourthouse Annex119 East Soloman Street, Room 110Griffin, GA 30223-3341Fax: (770) 467-4278Email: spaldingelections@spaldingcounty.com

Stephens Board of Elections and Voter RegistrationPO Box 1557Toccoa, GA 30577-1557

Street Address for Private Mail Carrier:Board of Elections and Voter RegistrationStephens County Government Building70 North Alexander Street, Room 102Toccoa, GA 30577-1557Fax: (706) 886-2631Email: scvote@windstream.net

Stewart Board of Elections and Voter RegistrationPO Box 713Lumpkin, GA 31815-0713

Street Address for Private Mail Carrier:Board of Elections and Voter RegistrationStewart County Courthouse552 MLK StreetLumpkin, GA 31815-0713Fax: (229) 838-9856Email: tnelson@stewartcountyga.gov

Sumter Board of Elections and Voter RegistrationPO Box 1263Americus, GA 31709

Street Address for Private Mail Carrier:Board of Elections and Voter Registration500 West Lamar StreetAmericus, GA 31709Fax: (229) 928-4589Email: sratliff@sumtercountyga.us

Talbot Talbot County Board of Elections and RegistrationPO Box 8Talbotton, GA 31827-0008

Street Address for Private Mail Carrier:125 West Monroe StreetTalbotton, GA 31827-0008Fax: (706) 665-2152Email: tgcounty@gmail.com

Taliaferro Board of RegistrarsPO Box 9Crawfordville, GA 30631-0009

Street Address for Private Mail Carrier:Board of Registrars113 Monument StreetCrawfordville, GA 30631-0009Fax: (706) 456-2904Email: registrars131@yahoo.com

Tattnall Board of Elections and Voter RegistrationPO Box 1098Reidsville, GA 30453-1098

Street Address for Private Mail Carrier:Board of Elections and Voter Registration114 West Brazell StreetReidsville, GA 30453-1098Fax: (912) 557-3005Email: tattnall_elections_24@yahoo.com

Taylor Board of RegistrarsPO Box 2044Butler, GA 31006-2044

Street Address for Private Mail Carrier:Board of Registrars1B Ivy StreetButler, GA 31006-2044Fax: (478) 862-3992Email: votetaylor@yahoo.com

Telfair Board of Registrars91 Telfair AvenueMcRae, GA 31055-1604Fax: (229) 868-2266Email: telfair.registrar@hotmail.com

Terrell Board of Elections and Voter RegistrationPO Box 525Dawson, GA 39842-0525

Street Address for Private Mail Carrier:Board of Elections and Voter Registration955 Forrester Dr SEDawson, GA 39842-0525Fax: (229) 995-4320Email: TerrellUOCAVA@hotmail.com

Thomas Board of RegistrarsPO Box 110Thomasville, GA 31799-0110

Street Address for Private Mail Carrier:Board of Elections325 North Madison StreetThomasville, GA 31792-0110Fax: (229) 225-3133Email: tcmail@rose.net

Tift Board of Elections and Voter RegistrationPO Box 826Tifton, GA 31793-0826

Street Address for Private Mail Carrier:Board of Elections and Voter Registration222 Chestnut AvenueTifton, GA 31793-0826Fax: (229) 386-7996Email: jean.edwards@tiftcounty.org

Toombs Board of Elections and RegistrationPO Box 897Lyons, GA 30436

Street Address for Private Mail Carrier:Board of Elections and Registration125 West Lincoln AvenueLyons, GA 30436Fax: (912) 526-9420Email: hwms46@yahoo.com

Towns Board of Registrars91 Berrong StreetHiawassee, GA 30546Fax: (706) 896-2689Email: townsregistrar@yahoo.com

Treutlen Board of RegistrarsCourthouse Annex650 Second Street SouthSoperton, GA 30457Fax: (912) 529-6838Email: jdycrtr@yahoo.com

Troup Board of RegistrarsTroup County Government Center100 Ridley AvenueLaGrange, GA 30240Fax: (706) 883-1692Email: ahyatt@troupco.org

Turner Turner Board of Elections and Voter Registration1807 US Highway 41 SouthSycamore, GA 31790Fax: (229) 567-2909Email: turnercoelec@windstream.net

County Mailing AddressTwiggs Board of Elections and Voter Registration

PO Box 130Jeffersonville, GA 31044-0130

Street Address for Private Mail Carrier:Board of Elections and Voter Registration425 Railroad Street North, Room 123Jeffersonville, GA 31044-0130Fax: (478) 945-3477Email: mfair@twiggscounty.us

Union Board of Registrars65 Courthouse Street, Box 9Blairsville, GA 30512Fax: (706) 439-6015Email: ucregistrar@uniongov.com

Upson Board of Elections and Voter RegistrationPO Box 547Thomaston, GA 30286-0547

Street Address for Private Mail Carrier:Board of Elections and Voter Registration305 South Hightower Street, Room 130Thomaston, GA 30286-0547Fax: (706) 646-3168Email: bdawson@upsoncountyga.org

Walker Board of Elections and Voter RegistrationPO Box 1105LaFayette, GA 30728-1105

Street Address for Private Mail Carrier:Board of Elections and Voter Registration103 South Duke Street, Room 110LaFayette, GA 30728-1105Fax: (706) 639-3346Email: elections@walkerga.us

Walton Board of Elections and Voter Registration303 South Hammond Drive, Suite 111Monroe, GA 30655Fax: (770) 267-1408Email: sgregg@co.walton.ga.us

Ware Board of Elections and Voter Registration800 Church Street, Room B68Waycross, GA 31501-3596Fax: (912) 287-4364Email: wareuocava@warecounty.com

Warren Board of RegistrarsPO Box 186Warrenton, GA 30828-0186

Street Address for Private Mail Carrier:Board of Registrars48 Warren StreetWarrenton, GA 30828-0186Fax: (706) 465-2576Email: warrenvotereg@classicsouth.net

Washington Board of Registrars132 West Haynes Street, Room 108PO Box 5856Sandersville, GA 31082Fax: (478) 552-3304Email: washcoreg150@yahoo.com

Wayne Board of RegistrarsPO Box 1092Jesup, GA 31598-1092

Street Address for Private Mail Carrier:Board of Registrars174 North Brunswick StreetJesup, GA 31546-1092Fax: (912) 588-0184Email: WAYNEUOCAVA@CO.WAYNE.GA.US

Webster Board of Elections and Voter RegistrationPO Box 29Preston, GA 31824-0029

Street Address for Private Mail Carrier:Board of Elections and Voter Registration6622 Cass StreetPreston, GA 31824-0029Fax: (229) 828-2105Email: websterfinance@windstream.net

Wheeler Board of RegistrarsPO Box 431Alamo, GA 30411-0431

Street Address for Private Mail Carrier:Board of RegistrarsWheeler County CourthouseAlamo, GA 30411-0431Fax: (912) 568-7856Email: wprobate@hotmail.com

White Board of Registrars59 South Main Street, Suite HCleveland, GA 30528Fax: (706) 219-1511Email: lmanning@whitecounty.net

Whitfield Board of Elections and Voter RegistrationWhitfield County Courthouse205 North Selvidge Street, Suite KDalton, GA 30720-4298Fax: (706) 226-0792Email: WhitfieldUOCAVA@whitfieldcountyga.com

Wilcox Board of Registrars377 College StreetPO Box 308Abbeville, GA 31001-1000Fax: (229) 467-2000Email: wilcoxprobate@yahoo.com

Wilkes Board of Registrars23 Court Street, Room 113Washington, GA 30673-1594Fax: (706) 678-3458Email: wilkescovoter@hotmail.com

Wilkinson Board of Elections and Voter RegistrationPO Box 186Irwinton, GA 31042-0186

Street Address for Private Mail Carrier:Board of Elections and Voter Registration100 Bacon Street, Suite 133Irwinton, GA 31042-0186Fax: (478) 946-4388Email: elections@wilkinsoncounty.net

Worth Board of Elections and Registration201 North Main Street, Room 10Sylvester, GA 31791Fax: (229) 776-8258Email: Sue_worthcoelections@yahoo.com

Guamwww.gec.guam.gov

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all elections through the nextregularly scheduled general election. Voters should submit anew application after January 1 of each year.

The last four digits of your Social Security number arerequired for voter registration.

Block 6: Guam does not allow you to receive your blankballot by email or fax. More transmission options may beavailable. Check www.fvap.gov for updates.

Block 7: Complete street address of your Guam votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

You must mail your FPCA directly to:

Guam Election CommissionP.O. Box BG

Hagatna, GU 96932-8958

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contactinformation can be found at: www.gec.guam.gov.

Voting Your Ballot Local election officials mail ballots approximately 45 daysbefore an election.

Voted ballots be received by the Election Commission nolater than 8 pm on Election Day.

There is no notary requirement on elections for Federaloffices.

DEADLINES Presidential PrimaryN/A

Territory PrimarySeptember 1, 2012

Registration N/A August 22, 2012 October 26, 2012

Ballot Request N/A August 29, 2012 November 2, 2012

Ballot Return N/A 8 pm, September 1, 2012 8 pm, November 6, 2012

Guam 2012-13 Voting Assistance Guide

For the s ta tus o f your ba l lo t send an emai l to :vote@gec.guam.gov or: tom.sanagustin@gec.guam.gov.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Guam allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in primary and general electionsfor Federal office. If you have requested your absenteeballot, feel free to use the FWAB to vote anytime before anelection.

Block 1: Guam does not allow you to use this form forregistration. Do not check the registration block.

Enter the last four digits of your Social Security number.

Block 7: Complete street address of your Guam votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.gec.guam.gov. For each office for which youvote, write in either a candidate's name or a political partydesignation. Guam does not elect members to the U.S.Senate or directly participate in the election of the Presidentand Vice President of the U.S. At the Federal level, only aDelegate to the House of Representatives is elected.

The deadlines for submitting the FWAB are the same as forregular State absentee ballots. If you receive the regular ballotafter submitting the voted FWAB, you may also vote andreturn the regular ballot. If both ballots are received by thedeadline, only the regular ballot will be counted.

Guam Election CommissionP.O. Box BG

Hagatna, GU 96932-8958

Hawaiiwww.hawaii.gov/elections

*Hawaii has a Caucus system for selecting Presidential Nominees.

Block 4: Sex

Date of Birth

Enter your Social Security number. If you do not have aSocial Security number, provide a copy of a documentissued from the Social Security Administration stating thatyou were never issued one. The local election office shallassign you a number for voter registration purposes.

Block 6: Hawaii allows you to receive your ballot by fax oremail. Please rank your preference of how you would liketo receive your absentee ballot. Provide your fax number oremail address in Block 5. If you do not make a selection,your local election official will mail your ballot to you.

Block 7: Complete street address of your Hawaii votingresidence. A post office box is not sufficient. If your

address includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Affirmation: Sign and date. No witness or notary required.If you are unable to sign, your mark must be witnessed byanother individual 18 years or older.

Hawaii allows you to submit the FPCA by mail, email orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found at:www.hawaii.gov/elections.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found atwww.hawaii.gov/elections. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-

Registration N/A July 12, 2012 October 8, 2012

Ballot Return N/A August 11, 2012 November 6, 2012

Hawaii 2012-13 Voting Assistance Guide

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contactinformation can be found at: www.hawaii.gov/elections.

U.S. citizens who have never resided in the U.S. but have aparent who is eligible to vote in Hawaii are eligible to voteat the same voting residence claimed by their parent (forFederal office ballots only).

Voting Your Ballot Local election officials send ballots no later than 45 daysbefore an election.

Voted ballots must be received by the local electionoffice by the close of polls on Election Day.

You may return the voted ballot by mail (or by fax only ifyou requested the blank ballot by fax within 5 days beforethe election). If returning the ballot by fax, you must submita waiver of secrecy with it. The faxed waiver and ballotmust be received by the local election office no later than 6pm on Election Day. Use FPCA fax instructions under“How and Where to Submit Your FPCA.”

Once received at the local election office, you may alsotrack the status of your voted ballot at: http://hawaii.gov/elections/info/uocava_receipt_of_ballots.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Hawaii allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in general elections for Federaloffice. If you have requested your absentee ballot, feel freeto use the FWAB to vote anytime before an election.

Block 1: Hawaii does not allow you to use this form forregistration. Do not check the registration box.

Enter your Social Security number or your assigned voterregistration number.

Block 7: Complete street address of your Hawaii votingresidence. A post office box is not sufficient. If your

2012-13 Voting Assistance Guide Hawaii

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go towww.hawaii.gov/elections. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

When mailing your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into the

mailing envelope and mail your FWAB to your localelection official.

You may also use the DoD Electronic Transmission Serviceto fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov. Include ballot, voteraffirmation, and cover sheet with secrecy waiver.

Local Election Office AddressesAddressee Mailing Address

Hawaii Hawaii County Clerk25 Aupuni Street, Room 1502Hilo, HI 96720-4245Fax: (808) 961-8673Email: hiloelec@co.hawaii.hi.us

Honolulu Honolulu County Clerk530 S. King Street, Room 100Honolulu, HI 96813-3099Fax: (808) 527-6888Email: clerks@honolulu.gov

Kauai Kauai County Clerk4386 Rice Street, Room 101Lihue, HI 96766-1819Fax: (808) 241-6207Email: elections@kauai.gov

Maui Maui County Clerk200 S. High Street, Room 708Wailuku, HI 96793-2155Fax: (808) 270-7171Email: county.clerk@mauicounty.us

Hawaii 2012-13 Voting Assistance Guide

Idahohttp://www.idahovotes.gov/

* Idaho has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee Ballot The Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted. Votersshould submit a new application after January 1 of each year toqualify for all upcoming Federal elections.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to vote for partisancontests in primary elections, you must affiliate with theConstitution, Democratic, Republican, or Libertarian party.If you are not affiliated with a political party, you are onlyentitled to receive an non-partisan ballot unless a partyelects to open its primary to unaffliated voters. Politicalparty affiliation is not required if only requesting absenteeballots for general elections.

Block 4: Sex

Date of Birth

Your valid Idaho Driver's License number OR the last fourdigits of your Social Security number is required for voterregistration. If you do not possess either of these identificationnumbers, the State shall assign a number that will serve toidentify you for voter registration purposes.

Block 6: Idaho allows you to receive your ballot by mail,email, or fax. Please rank your preference of how youwould like to receive your absentee ballot. Provide youremail address or fax number in Block 5. If you do not makea selection, your local election official will mail your ballotto you.

Block 7: Complete street address of your Idaho votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Idaho allows you to submit the FPCA by mail, email or fax ifyou are already registered. If you are not already registered,you must submit your FPCA by mail.

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. You must also submit theFPCA by mail. Email directly to your local election office.Email addresses can be found at www.idahovotes.gov/clerk.htm.

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the form

DEADLINES Presidential PrimaryN/A*

Registration N/A April 20, 2012 October 12, 2012

Ballot Request N/A May 9, 2012 October 31, 2012

Ballot Return N/A 8 pm, May 15, 2012 8 pm, November 6, 2012

Idaho 2012-13 Voting Assistance Guide

directly to your local election official. Fax numbers can befound at www.idahovotes.gov/clerk.htm. You may also use theDoD Electronic Transmission Service to fax your FPCA toll-free. To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be found on theinside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contact informationcan be found at: www.idahovotes.gov/clerk.htm.

Your jurisdiction will contact you if your application is denied.

If you are already registered, you may submit a letter to yourlocal election official to request an absentee ballot by the ballotrequest deadline. The letter must include your name asregistered, your voting residence address, your county, and theaddress to which the absentee ballot should be sent. The lettermust be personally signed and dated.

Voting Your BallotLocal election officials mail ballots approximately 45 daysbefore primary and general elections.

Voted ballots must be received by the local election officeby 8 pm on Election Day.

Voted ballots must be returned by mail. In certain emergencysituations as declared by the Secretary of State, Idaho mayallow you to return your voted ballot by email or fax.

You may track the status of your ballot at: http://www.idahovotes.gov/AbsenteeBallot/Default.aspx.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Idaho allows you to use the Federal Write-In Absentee Ballot(FWAB) voting in any election for Federal, State, and localoffices and non-candidate ballot issues. Feel free to use theFWAB to vote anytime before an election.

Block 1: Idaho does not allow you to use this form forregistration. Do not check the registration block.

Block 6: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to vote for partisancontests in primary elections, you must affiliate with theConstitution, Democratic, Republican, or Libertarian party.If you are not affiliated with a political party, you are onlyentitled to receive an non-partisan ballot unless a partyelects to open its primary to unaffliated voters. Political

2012-13 Voting Assistance Guide Idaho

party affiliation is not required if only requesting absenteeballots for general elections.

Block 7: Complete street address of your Idaho votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote, goto www.idahovotes.gov. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

Idaho does not allow you to return the FWAB by emailor fax unless a special declaration is made by theSecretary of State before the election. Please refer towww.idahovotes.gov to see if a declaration has beenmade.

Insert the sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and mail your FWAB toyour local election official.

Ada Ada County Clerk 400 N. Benjamin Lane, Suite 100Boise, ID 83704Fax: 208-287-6939Email: elections@adaweb.net

Adams Adams County Clerk PO Box 48Council, ID 83612-0048Fax: 208-253-4880Email: ppinkal@co.adams.id.us

Bannock Bannock County Clerk PO Box 6094Pocatello, ID 83205-6094Fax: 208-236-7073Email: marlam@bannockcounty.us

Bear Lake Bear Lake County Clerk PO Box 190Paris, ID 83261-0190Fax: 208-945-2248Email: blclean@dcdi.net

Benewah Benewah County Clerk 701 W. College Avenue, Suite 101Saint Maries, ID 83861-1852Fax: 208-245-9152Email: mmcdaniel@benewahcounty.org

Bingham Bingham County Clerk 501 N. Maple Street, #205Blackfoot, ID 83221-1776Fax: 208-785-4131Email: mjensen@co.bingham.id.us

Blaine Blaine County Clerk 206 1st Avenue South, #200Hailey, ID 83333-8429Fax: 208-788-5501Email: election@co.blaine.id.us

Boise Boise County Clerk PO Box 1300Idaho City, ID 83631-1300Fax: 208-392-4473Email: kvedros@co.boise.id.us

Bonner Bonner County Clerk 1500 Highway 2, Suite 337Sandpoint, ID 83864-1794Fax: 208-263-9178Email: mscott@co.bonner.id.us

Bonneville Bonneville County Clerk 605 N. Capital AvenueIdaho Falls, ID 83402-3582Fax: 208-529-1188Email: bjockumsen@co.bonneville.id.us

Boundary Boundary County Clerk PO Box 419Bonners Ferry, ID 83805-0419Fax: 208-267-7814Email: gposton@boundarycountyid.org

Butte Butte County Clerk PO Box 737Arco, ID 83213-0737Fax: 208-527-3295Email: butteclerk@atcnet.net

Camas Camas County Clerk PO Box 430Fairfield, ID 83327-0430Fax: 208-764-2349Email: camasclerk@rtci.net

Canyon Canyon County Clerk 1102 E. ChicagoCaldwell, ID 83605-3522Fax: 208-454-6899Email: electionsclerk@canyonco.org

Caribou Caribou County ClerkPO Box 775Soda Springs, ID 83276-0775Fax: 208-547-4759Email: vmascaremas@co.caribou.id.us

Cassia Cassia County Clerk1459 Overland AvenueBurley, ID 83318-1862Fax: 208-878-8825Email: twoodbury@cassiacounty.org

Clark Clark County ClerkPO Box 205Dubois, ID 83423-0205Fax: 208-374-5609Email: clarkclk@mudlake.net

Clearwater Clearwater County ClerkPO Box 586Orofino, ID 83544-0586Fax: 208-476-9315Email: vote@clearwatercounty.org

Custer Custer County ClerkPO Box 385Challis, ID 83226-0385Fax: 208-879-5246Email: lbaker@co.custer.id.us

Idaho 2012-13 Voting Assistance Guide

Elmore Elmore County Clerk150 S. 4th E., #3Mountain Home, ID 83647-3000Fax: 208-587-2159Email: vgarcia@elmorecounty.org

Franklin Franklin County Clerk39 W. OneidaPreston, ID 83263-1232Fax: 208-852-1094Email: camille@plmw.com

Fremont Fremont County Clerk151 W. 1st N., #12Saint Anthony, ID 83445-1548ax: 208-624-7335Email: llewis@co.fremont.id.us

Gem Gem County Clerk415 E. MainEmmett, ID 83617-3096Fax: 208-365-7795Email: elections@co.gem.id.us

Gooding Gooding County ClerkPO Box 417Gooding, ID 83330-0417Fax: 208-934-5085Email: jshephard@co.gooding.id.us

Idaho Idaho County Clerk320 W. Main, Rm 5Grangeville, ID 83530-1948Fax: 208-938-1428Email: kackerman@idahocounty.org

Jefferson Jefferson County Clerk210 Courthouse Way, Suite 100Rigby, ID 83442-5294Fax: 208-745-9397Email: cboulter@co.jefferson.id.us

Jerome Jerome County Clerk300 N. Lincoln, Room 301Jerome, ID 83338-2344Fax: 208-644-2709Email: memerson@co.jerome.id.us

Kootenai Kootenai County ClerkPO Box 9000Coeur d'Alene, ID 83816-9000Fax: 208-446-1039Email: kcelections@kcgov.us

Latah Latah County ClerkPO Box 8068Moscow, ID 83843-0568Fax: 208-883-7203Email: cnauman@latah.id.us

Lemhi Lemhi County Clerk206 Courthouse DriveSalmon, ID 83467-3900Fax: 208-756-8424Email: clerk.lemhicounty@centurytel.net

Lewis Lewis County Clerk510 Oak Street, Room 1Nezperce, ID 83543-5065Fax: 208-937-9234Email: cbradley@lewiscountyid.org

Lincoln Lincoln County Clerk111 W. B Street, Suite CShoshone, ID 83352-5364Fax: 208-886-2798Email: elections@lincolncountyid.us

Madison Madison County ClerkPO Box 389Rexburg, ID 83440-0389Fax: 208-356-8396Email: srindlisbacher@co.madison.id.us

Minidoka Minidoka County ClerkPO Box 368Rupert, ID 83350-0368Fax: 208-436-0737Email: patty.temple@co.minidoka.id.us

Nez Perce Nez Perce County ClerkPO Box 896Lewiston, ID 83501-0896Fax: 208-799-3070Email: pattyweeks@co.nezperce.id.us

Oneida Oneida County Clerk10 Court StreetMalad City, ID 83252-1200Fax: 208-766-2448Email: lcolton@co.oneida.id.us

Owyhee Owyhee County ClerkPO Box 128Murphy, ID 83650-0128Fax: 208-495-1173Email: jwylie@co.owyhee.id.us

Payette Payette County Clerk1130 3rd Avenue N., Room 104Payette, ID 83661-2473Fax: 208-642-6011Email: bdressen@payettecounty.org

Power Power County Clerk543 Bannock AvenueAmerican Fall, ID 83211-1200Fax: 208-226-7612Email: csteinlicht@co.power.id.us

Shoshone Shoshone County Clerk700 Bank Street, #120Wallace, ID 83873-2348Fax: 208-752-1896Email: jshiner@co.shoshone.id.us

Teton Teton County Clerk150 Courthouse DriveDriggs, ID 83422Fax: 208-354-8410Email: clerk@co.teton.id.us

Twin Falls Twin Falls County ClerkPO Box 126Twin Falls, ID 83303-0126Fax: 208-736-4182Email: lhaycock@co.twin-falls.id.us

Valley Valley County ClerkPO Box 1350 Cascade, ID 83611-1350Fax: 208-382-7107Email: jfly@co.valley.id.us

Washington Washington County ClerkPO Box 670Weiser, ID 83672-0670Fax: 208-414-3925Email: wcclerk@co.washington.id.us

Illino

Illinoishttp://www.elections.il.gov/

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted.Voters should submit a new application after January 1 ofeach year.

Registration is not required for Uniformed Servicemembers, family members, and overseas citizens. You muststill complete the FPCA to request an absentee ballot.Registration is required only for overseas citizens whowould like to receive absentee ballots for State and localoffices.

If you are a U.S. citizen residing temporarily overseas andwould like to register, you must submit your FPCA so thatit is received by the local election office no later than 30days before the election.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Your valid Illinois Driver's License number OR the last fourdigits of your Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Illinois allows you to receive the absentee ballot bymail, email, fax or via Illinois’ secured ballot upload system.Please rank your preference of how you would like toreceive your absentee ballot. Provide your email address orfax number in Block 9. If you do not make a selection, yourlocal election official will mail your ballot to you.

Block 7: Complete street address of your Illinois votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Affirmation: Sign and date. No notary or witness required.

Illinois allows you to submit the FPCA by mail, email, orfax.

DEADLINES Presidential PrimaryMarch 20, 2012

State PrimaryMarch 20, 2012

Registration Not Required Not Required Not Required

Ballot Request March 12, 2012 March 12, 2012 October 29, 2012

Ballot Return April 3, 2012 April 3, 2012 November 20, 2012

Illinois 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. You must also submit theFPCA by mail. Email directly to your local election office.Contact information available at www.elections.il.gov.

If you choose to fax your FPCA, fax the form directly to yourlocal election official. You must also submit the FPCA bymail. Fax numbers can be found at www.elections.il.gov.You may also use the DoD Electronic Transmission Serviceto fax your FPCA toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your absentee ballot request,contact your local election office. Contact information canbe found at www.elections.il.gov.

If you are a member of the U.S. Uniformed Services, andyour spouse, dependent, mother, father, sister, or brother isregistered to vote in your election precinct, he or she mayuse a special application provided by the election official torequest an absentee ballot on your behalf.

Late Registration

Uniformed Service members discharged within 60 days ofan election, and their families, who return to Illinois afterthe registration deadline may vote in person in that electionby affidavit.

A U.S. citizen who was born abroad, who is eligible to voteand who has never lived in the U.S. may register and votein the county where a parent would be eligible to registerand vote. Use the most recent residential address in Illinoisof a parent.

Voting Your Ballot Local election officials send ballots 45 days before anelection.

If regular absentee ballots are not available 60 days beforethe general election, local election officials mail a SpecialWrite-In Ballot with a list of candidates and referenda forwhich the voter is qualified to vote.

Voted ballots must be received by the local electionoffice by 7 pm on Election Day or by the 14th day afterthe election if postmarked by the day before ElectionDay.

You may return the voted ballot and signed affidavit bymail, email, fax, or Illinois’ secure ballot upload system.However, you must return the hard copy ballot, along withyour original signature, in order for the ballot to be counted.Use FPCA mail, email and fax instructions under “How andWhere to Submit Your FPCA.” To use the secure ballotupload system, you must have received a user ID andpassword from your local election official.

You may track the status of your ballot at: https://move.elections.il.gov/.

2012-13 Voting Assistance Guide Illinois

Illino

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Illinois allows you to use the Federal Write-In AbsenteeBallot (FWAB) when voting in primary, special, run-off,and general elections for Federal, State, and local officesand non-candidate ballot issues. If you have requested yourabsentee ballot, feel free to use the FWAB to vote anytimebefore an election.

Block 1: Illinois does not require voter registration. Do notcheck the registration block.

Enter your valid Illinois Driver's License number, the lastfour digits of your Social Security number, OR your Statevoter registration number.

Block 6: Enter your political party preference if you arevoting in primary elections.

Block 7: Complete street address of your Illinois votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Affirmation: Sign and date. No notary or witness required.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.elections.il.gov. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

Illinois allows you to submit the FWAB by mail, email, orfax. However, you must return the hard copy FWAB, alongwith your original signature, in order for the FWAB to becounted.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at www.elections.il.gov.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers for election officialscan be found at www.elections.il.gov. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. You mayalso use the DoD Electronic Transmission Service to faxyour FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Adams Adams County Clerk507 Vermont, PO Box 1169Quincy, IL 62306-1169Fax: 217-277-2155Email: countyclerk@co.adams.il.us

Alexander Alexander County Clerk2000 WashingtonCairo, IL 62914-1717Fax: (618) 734-7002Email: acc@lazernetwireless.net

Bond Bond County Clerk203 W. CollegeGreenville, IL 62246Fax: (618) 664-9414Email: countyclerk@bondcountyil.com

Boone Boone County Clerk1212 Logan Avenue, Suite 103Belvidere, IL 61008Fax: (815) 547-8701Email: msteurer@boonecountyil.org

Brown Brown County Clerk200 Court Street, Room 4Mount Sterling, IL 62353-1285Fax: 217-773-2233Email: jlham1009@hotmail.com

Bureau Bureau County Clerk700 S. Main, Room 104Princeton, IL 61356-2078Fax: 815-879-4803Email:bureaucckami@yahoo.com

Calhoun Calhoun County Clerk102 County RoadHardin, IL 62047-0187Fax: (618) 576-2895Email: calhouncoclk@frontiernet.net

Carroll Carroll County Clerk301 N. MainMount Caroll, IL 61053-1044Fax: 815-244-3709Email: bw.clerk@hotmail.com

Cass Cass County ClerkCourthouse100 E. Springfield StreetVirginia, IL 62691-1322Fax: (217) 452-7219Email: casselection@casscom.com

Champaign Champaign County Clerk1776 E. WashingtonUrbana, IL 61802-4578Fax: 217-384-1241Email: mail@champaigncountyclerk.com

Christian Christian County Clerk 101 South MainPO Box 647Taylorville, IL 62568-0647Fax: 217-824-5105Email: ccclerk@ctitech.com

Clark Clark County ClerkCourthouse501 Archer AvenueMarshall, IL 62441-1275Fax: 217-826-2519Email: clerk@clarkcountyil.org

Clay Clay County Clerk111 ChestnutLouisville, IL 62858-0160Fax: (618) 665-3607Email: claycoclk@wabash.net

Clinton Clinton County Clerk850 FairfaxPO Box 308Carlyle, IL 62231-0308Fax: 618-594-0195Email: ccclerk@clintonco.illinois.gov

Coles Coles County Clerk651 Jackson Avenue, Room 122Charleston, IL 61920-2053Fax: 217-348-7337Email: countyclerk@co.coles.il.us

Cook Cook County Clerk69 W. Washington, 5th FloorChicago, IL 60602-1304Fax: (312) 603-9788Email: absenteeballot@cookcountygov.com

Crawford Crawford County Clerk100 DouglasPO Box 616Robinson, IL 62454-0602Fax: (618) 546-0140Email: plycan@crawfordcountycentral.com

Cumberland Cumberland County Clerk140 Courthouse SquarePO Box 146Toledo, IL 62468-0146Fax: (217) 849-2968Email: clerk-recorder@cumberlandco.org

De Kalb De Kalb County Clerk110 E. SycamoreSycamore, IL 60178-1497Fax: 815-895-7148Email: jacardo@dekalbcounty.org

De Witt De Witt County Clerk201 W. Washington Street, PO Box 439Clinton, IL 61727-1628Fax: (217) 935-7789Email: dsmith@dewittcountyill.com

Douglas Douglas County Clerk401 S. CenterPO Box 467Tuscola, IL 61953-0467Fax: 217-253-2233Email: clerk@douglascountyil.com

Edgar Edgar County Clerk115 W. Court Street, Room JParis, IL 61944-1785Fax: (217) 466-7430Email: aqgriffin@edgarcounty-il.gov

Edwards Edwards County Clerk50 E. Main StreetAlbion, IL 62806-1262Fax: 618-445-4941Email: edcc@fairfieldwireless.net

Effingham Effingham County Clerk101 N. 4th, Box 628Effingham, IL 62401-0628Fax: (217) 342-3577Email: countyclerk@co.effingham.il.us

Fayette Fayette County Clerk221 South 7th StreetPO Box 401Vandalia, IL 62471-0401Fax: (618) 283-5004Email: fayettecountyclerk@gmail.com

Ford Ford County Clerk200 W. State Street, Room 101Paxton, IL 60957-1199Fax: (217) 379-9409Email: clerk@fordcountycourthouse.com

Franklin Franklin County Clerk202 W. Main, PO Box 607Benton, IL 62812-0607Fax: (618) 439-3029Email: dobill@franklincountyil.org

Fulton Fulton County Clerk100 N. MainLewistown, IL 61542-0226Fax: (309) 547-3326Email: jnelson@fultonco.org

Illino

Gallatin Gallatin County Clerk484 N. LincolnPO Box 550Shawneetown, IL 62984-0550Fax: (618) 269-3343Email: gallatinco@frontier.com

Greene Greene County Clerk519 N. MainCarrollton, IL 62016-0133Fax: (217) 942-9323Email: grctyclk@hotmail.com

Grundy Grundy County Clerk111 E. Washington, PO Box 675Morris, IL 60450-0675Fax: 815-942-2222Email: lphillips@grundyco.org

Hamilton Hamilton County ClerkCourthouse100 S. Jackson StreetMcLeansboro, IL 62859-1489Fax: (618) 643-2756Email: coclerk@hamiltonco.us

Hancock Hancock County ClerkCourthouse500 Main StreetPO Box 39Carthage, IL 62321-0039Phone: (217) 357-3911Email: handcockcovoters@hotmail.com

Hardin Hardin County ClerkCourthouseMain & Market StreetsPO Box 187Elizabethtown, IL 62931-0187Fax: (618) 287-2661Email: hcdenton@shawneelink.net

Henderson Henderson County ClerkCourthouse4th & WarrenPO Box 308Oquawka, IL 61469-0308Fax: (309) 867-2033Email: coclerk@mchsi.com

Henry Henry County Clerk307 W. Center StreetCambridge, IL 61238-1232Fax: 309-937-2796Email: blink@henrycty.com

Iroquois Iroquois County Clerk1001 E. GrantWatseka, IL 60970-1882Fax: 815-432-3894Email: iroquoiscountyclerk@co.iroquois.il.us

Jackson Jackson County ClerkCourthouse1001 WalnutMurphysboro, IL 62966-2177Fax: (618) 687-7359Email: jackson.county@live.com

Jasper Jasper County Clerk204 W. Washington, Suite 2Newton, IL 62448-1973Fax: 618-783-4137Email: lindadg@psbnewton.com

Jefferson Jefferson County Clerk100 S. 10th Street, Room 105Mount Vernon, IL 62864-4012Fax: (618) 244-8023Email: jeffcoclerk@jeffil.us

Jersey Jersey County Clerk200 N. LaFayetteJerseyville, IL 62052-1662Fax: 618-498-7721Email: countyclerk@jerseycounty-il.us

Jo Daviess Jo Daviess County Clerk330 N. BenchGalena, IL 61036-1323Fax: (815) 777-3688Email: jdimke@jodaviess.org

Johnson Johnson County Clerk117 North 5thPO Box 96 Vienna, IL 62995-0096Fax: 618-658-9665Email: macabud@hotmail.com

Kane Kane County Clerk719 S. Batavia, PO Box 70Geneva, IL 60134-0070Fax: 630-232-5870Email: elections@co.kane.il.us

Kankakee Kankakee County Clerk189 E. Court StreetKankakee, IL 60901-3892Fax: 815-939-8831Email: countyclerk@k3county.net

Kendall Kendall County Clerk111 W. FoxYorkville, IL 60560-1621Fax: 630-553-4119Email: dgillette@co.kendall.il.us

Knox Knox County ClerkCourthouse200 S. Cherry StreetGalesburg, IL 61401-4991Fax: 309-343-3801Email: serickson@knoxclerk.org

Lake Lake County Clerk18 N. County Road, Room 101Waukegan, IL 60085-4364Fax: 847-360-3608Email: countyclerk@lakecounty.il.gov

La Salle La Salle County Clerk707 Etna RoadOttawa, IL 61350-0430Fax: 815-434-8319Email: countyclerk@lasallecounty.org

Lawrence Lawrence County ClerkCourthouse1100 State StreetLawrenceville, IL 62439-2341Fax: (618) 943-3786Email: lawcoclerk@hotmail.com

Lee Lee County Clerk112 E. 2ndPO Box 329Dixon, IL 61021-0385Fax: 815-288-6492Email: cmyers@countyoflee.org

Livingston Livingston County Clerk112 W. Madison StreetPontiac, IL 61764-1629Fax: (815) 842-1844Email: coclerk@maxwire.net

Logan Logan County Clerk601 BroadwayPO Box 278Lincoln, IL 62656-0278Fax: 217-732-6064Email: sfitzpatrick@co.logan.il.us

Macon Macon County Clerk141 S. Main, Room 104Decatur, IL 62523-1235Fax: 217-423-0922Email: sbean@co.macon.il.us

Macoupin Macoupin County Clerk201 E. MainPO Box 107Carlinville, IL 62626-0107Fax: 217-854-8461Email: pete.duncan@macoupincountyil.gov

Madison Madison County Clerk157 N. Main Street, Suite 109Edwardsville, IL 62025-0218Fax: 618-692-8903Email: mavonnida@co.madison.il.us

Marion Marion County Clerk100 E. MainPO Box 637Salem, IL 62881-0637Fax: 618-548-2226Email: ilmarioncountyclerk@ussonet.net

Marshall Marshall County Clerk122 N. Prairie, PO Box 328Lacon, IL 61540-0328Fax: (309) 246-3667Email: aplatt@marshallcountyillinois.com

Mason Mason County Clerk100 North BroadwayPO Box 77Havana, IL 62644-0077Fax: (309) 543-2085Email: cclerk@grics.net

Massac Massac County Clerk1 Superman SquarePO Box 429Metropolis, IL 62960-0429Fax: (618) 542-8514Email: massaccountyclerk@hotmail.com

McDonough McDonough County Clerk# 1 Courthouse SquareMacomb, IL 61455-2200Fax: (309) 836-3368Email: gdejaynes@mcdonoughcountyclerk.org

McHenry McHenry County Clerk2200 N. Seminary AvenueWoodstock, IL 60098-2693Fax: 815-334-8727Email: kcschult@co.mchenry.il.us

McLean McLean County Clerk115 E. Washington, Room 102Bloomington, IL 61701-2400Fax: 309-888-5932Email: kathy.michael@mcleancountyil.gov

Menard Menard County Clerk102 S. 7thPO Box 465Petersburg, IL 62675-0465Fax: (217) 632-4301Email: gtreseler@co.menard.il.us

Mercer Mercer County Clerk100 S. E. 3rd StreetPO Box 66Aledo, IL 61231-0066Fax: (309) 582-7622Email: pbewley@mercercountycourthouse.com

Monroe Monroe County Clerk100 S. MainWaterloo, IL 62298-1399Fax: 618-939-8639Email: moclerk@htc.net

Montgomery Montgomery County Clerk1 Courthouse SquarePO Box 595Hillsboro, IL 62049-0465Fax: (217) 532-9581Email: sandyleitheiser@hotmail.com

Morgan Morgan County Clerk300 W. StatePO Box 1387Jacksonville, IL 62651-1387Fax: 217-243-8368Email: jwaggener@morgancounty-il.com

Moultrie Moultrie County ClerkCourthouse10 S. Main, Suite 6Sullivan, IL 61951-1969Fax: (217) 728-8178Email: ctyclrk@moultrie.com

Ogle Ogle County ClerkCourthouse105 S. 5th, Suite 104Oregon, IL 61061-0357Fax: 815-732-3477Email: countyclerk@oglecounty.org

Peoria Peoria County ClerkCourthouse324 Main Street, Room 101Peoria, IL 61602-1319Fax: 309-672-6063Email: elections@peoriacounty.org

Perry Perry County Clerk3764 State Route 13/127PO Box 438Pinckneyville, IL 62274-0438Fax: (618) 357-3194Email: kkern@onecliq.net

Piatt Piatt County Clerk101 W. Washington, PO Box 558 Monticello, IL 61856-0558Fax: (217) 762-7563Email: countyclerk@piattcounty.org

Pike Pike County ClerkCourthouse,121 E. Washington StreetPittsfield, IL 62363-1496Fax: 217-285-5820Email: donnieapps@adams.net

Pope Pope County ClerkCourthouse310 E. MainPO Box 216Golconda, IL 62938-0216Fax: (618) 683-4466Email: popeco76@shawneelink.com

Pulaski Pulaski County ClerkCourthouse500 Illinois AvenuePO Box 118Mound City, IL 62963-0109Fax: 618-748-9305Email: juliesauerbrunn@yahoo.com

Putnam Putnam County ClerkCourthouse120 N. 4thPO Box 236Hennepin, IL 61327-0236Fax: 815-925-7549Email: dankuhn@mchsi.com

Randolph Randolph County ClerkCourthouse1 Taylor Street, Room 202Chester, IL 62233-0309Fax: 618-826-3750Email: gwaly@email.com

Richland Richland County ClerkCourthouse103 W. Main StreetOlney, IL 62450-2170Fax: (618) 393-4005Email: countyclerk@richlandcogov.com

Rock Island Rock Island County ClerkCounty Building1504 3rd AvenueRock Island, IL 61204-8646Fax: 309-786-7381Email: coclerk@ricountyclerk.org

Saline Saline County ClerkCourthouse10 E. PoplarHarrisburg, IL 62946-1703Fax: (618) 252-3073Email: salinecoclerk@salinecountyil.com

Sangamon Sangamon County Clerk200 S. 9th Street, Room 105 Springfield, IL 62701-1632Fax: (217) 753-6639Email: sancoele@co.sangamon.il.us

Schuyler Schuyler County ClerkCourthouse102 S. CongressPO Box 200Rushville, IL 62681-0200Fax: (217) 322-6164Email: clerk85@frontiernet.net

Illino

Scott Scott County ClerkCourthouse35 E. Market StreetWinchester, IL 62694-1238Fax: (217) 742-5853Email: scottcoclerk@frontier.com

Shelby Shelby County ClerkCourthouse301 E. MainPO Box 230Shelbyville, IL 62565-0230Fax: (217) 774-5291Email: shelbycc@consolidated.net

Stark Stark County Clerk130 W. Main, PO Box 97Toulon, IL 61483-0097Fax: (309) 286-4039Email: starkcoclerk@starkco.illinois.gov

St. Clair St. Clair County Clerk10 Public SquareBelleville, IL 62220-1639Fax: 618-277-8783Email: elections@co.st-clair.il.us

Stephenson Stephenson County Clerk50 W. Douglas, Suite 500Freeport, IL 61032-4399Fax: (815) 235-8378Email: votte@co.stephenson.il.us

Tazewell Tazewell County Clerk11 S. 4th St.Suite 203Pekin, IL 61554-4281Fax: 309-477-2244Email: cwebb@tazewell.com

Union Union County ClerkCourthouse309 W. Market, PO Box HJonesboro, IL 62952-0478Fax: (618) 833-8712Email: btolerjr@hotmail.com

Vermilion Vermilion County ClerkCourthouse6 N. Vermilion Danville, IL 61832-5879Fax: 217-555-1914Email: coclerk@vercounty.org

Wabash Wabash County ClerkCourthouse401 Market StreetPO Box 277Mt. Carmel, IL 62863-0277Fax: (618) 263-3751Email: wccr1@shawneelink.net

Warren Warren County ClerkCourthouse100 W. BroadwayMonmouth, IL 61462-1797Fax: (309) 734-7406Email: warrencountyclerk@yahoo.com

Washington Washington County Clerk101 E. St Louis StreetNashville, IL 62263-1100Fax: (618) 327-3582Email: wcclerk2@hotmail.com

Wayne Wayne County ClerkCourthouse301 E. MainPO Box 187Fairfield, IL 62837-0187Fax: (618) 842-6427Email: countyclerk@waynecountygovil.com

White White County ClerkCourthouse301 E. MainPO Box 339Carmi, IL 62821-0339Fax: (618) 382-2322Email: clerk@whitecounty-il.gov

Whiteside Whiteside County ClerkCouthouse200 E. KnoxMorrison, IL 61270-2819Fax: 815-772-7673Email: dnelson@whiteside.org

Will Will County Clerk302 N. ChicagoJoliet, IL 60432-4060Fax: 815-740-4699Email: coclrk@willcountyillinois.com

Williamson Williamson County Clerk407 N. Monroe St, Suite 119Marion, IL 62959-2321Fax: 618-993-2071Email: williamsoncountyclerk@yahoo.com

Winnebago Winnebago County Clerk404 Elm StreetRockford, IL 61101-1276Fax: 815-969-1974Email: mmullins@co.winnebago.il.us

Woodford Woodford County Clerk115 N. Main, Room 202Eureka, IL 61530-1274Fax: 309-467-7391Email: debbieh@mtco.com

County Board of Election Commissioners:

Dupage Dupage County Board of Election Commissioners421 N. County Farm RoadWheaton, IL 60189-1087Fax: (630) 407-5630Email: ecommission1@dupageco.org

City Board of Election Commissioners:

City Mailing Address

Aurora Aurora City Board of Election Commissioners323 W. Galena Blvd. Aurora, IL 60506Fax: (630) 897-4060Email: lfechner@aec-il.org

Bloomington Bloomington City Board of Election Commissioners115 E. Washington Street, Room 403Bloomington, IL 61702Fax: (309) 888-5776Email: becvote@becvote.org

Chicago Chicago City Board of Election Commissioners69 W. Washington, Suite 600-800Chicago, IL 60602-3012Fax: (312) 269-0003Email: fpca@chicagoelections.com

Danville Danville City Board of Election Commissioners6 N. VermillionDanville, IL 61832-5842Fax: (217) 554-1933Email: eleccomm@vercounty.org

E. St. Louis E. St. Louis City Board of Election Commissioners8740 State Street, Suite 200E. St. Louis, IL 62203-2099Fax: (618) 398-4125Email: eslbec@eslbec.org

Galesburg Galesburg City Board of Election Commissioners55 W. Tompkins, PO Box 1387Galesburg, IL 61402-1387Fax: (309) 345-5706Email: lwatson@ci.galesburg.il.us

Peoria BEC Peoria BEC City Board of Election Commissioners542 SW AdamsPeoria, IL 61602-1553Fax: (309) 494-8140Email: tbride@peoriaelections.org

Rockford Rockford City Board of Election Commissioners301 S. 6th StreetRockford, IL 61104-2195Fax: (815) 987-5757Email: ken.harper@rockfordboe.org

Indianawww.in.gov/sos/elections

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections conducted until December 31 following the dateof the receipt of the application.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference to the local election official no later than45 days prior to the election. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Your valid Indiana Driver's License number is required. If youdo not possess an Indiana Driver’s License, provide the lastfour digits of your Social Security number. If you do notpossess either of these identification numbers, the State shallassign a number that will serve to identify you for voterregistration purposes.

Blocks 5: Recommended but not required. Provide yourcontact information to allow your local election official tofollow up if more information is required. You must provide anemail address to vote by email.

Block 6: Indiana allows you to receive your ballot by mail,email or fax. Please rank your preference of how you wouldlike to receive your absentee ballot. Provide your emailaddress or fax number in Block 5. If you do not make aselection, then your local election official will mail your ballotto you.

Blocks 7: Complete street address of your Indiana votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Indiana allows you to submit the FPCA by mail, email or fax.

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. Email directly to your localelection office. Email addresses can be found at www.in.gov/sos/elections.

If you choose to fax your FPCA, fax the form directly to yourlocal election official. Fax numbers can be found atwww.in.gov/sos/elections. You may use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheet available

DEADLINES Presidential PrimaryMay 8, 2012

Registration April 28, 2012 April 28, 2012 October 27, 2012

Ballot Request April 30, 2012 April 30, 2012 October 29, 2012

Ballot Return May 8, 2012 May 8, 2012 November 6, 2012

Indiana 2012-13 Voting Assistance Guide

in Chapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the inside backcover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to Indiana’svoter registration website at: http://www.indianavoters.com.

Late Registration

Uniformed Service members and their families may registerafter the registration deadline if their registration is receivedbefore poll books are prepared. After the poll books areprepared, members and their familes may still register if thevoter was absent from Indiana before the registration deadline,returns to Indiana after the registration deadline, AND showsthe local election office a discharge or a governmentmovement order dated on or after the beginning of the lastregistration period.

Voting Your Ballot Local election officials mail ballots no later than 45 daysbefore primary, general and special elections to previouslyapproved absentee ballot applicants.

Voted ballots mailed from within the U.S. must be receivedby the local election official before the close of polls onElection Day.

Voted ballots mailed from outside the U.S. must bepostmarked no later than Election Day and received by thelocal election official no later than noon 10 days after theelection.

Voted ballots may be returned by mail, email or fax. If youreceived your ballot by mail, it must be returned by mail. Toemail your voted ballot, you may return it directly to yourcounty election office or you may send it as an attachment tothe DoD Electronic Transmission Service at: ets@fvap.govwith instructions to forward the email to your local electionoffice. To fax your voted ballot, use FPCA fax instructionsunder “How and Where to Submit Your FPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD”. This

label is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You canreturn your ballot with this label attached at any MPO/FPO,American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

You may track the status of your ballot at: https://indianavoters.com, and click link for “Confirm MyVoter Registration” and then the link for “Absentee.”

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Indiana allows you to use the Federal Write-In Absentee Ballot(FWAB) for voting in any Federal, State, and local election. Ifyou are registered and have requested your absentee ballot, feelfree to use the FWAB to vote anytime before an election.

2012-13 Voting Assistance Guide Indiana

Block 1: Indiana does not allow you to use this form forregistration or ballot request. Do not check the registration box.

Your valid Indiana Driver's License number is required. If youdo not possess an Indiana Driver’s License, provide the lastfour digits of your Social Security number. If you do notpossess either of these identification numbers, the State shallassign a number that will serve to identify you for voterregistration purposes.

Block 7: Complete street address of your Indiana votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote, goto www.in.gov/sos/elections. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

Indiana allows you to submit the FWAB by mail, email, orfax.

If you choose to mail your FWAB, the deadlines for mailingthe FWAB are the same as for State absentee ballots. Insert the

sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and mail the ballotdirectly to your local election office. Addresses can befound below.

If you choose to email your FWAB, you should send theballot as a signed, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at www.indianavoters.com, and click on “ContactMy County Election Office.”

If you choose to fax your FWAB, it is recommended thatyou fax the ballot directly to your local election official.Fax numbers can be found at www.indianavoters.com abdclick on “Contact My County Election Office”. Include ballot,voter affirmation, and cover sheet with secrecy waiver. Youmay also use the DoD Electronic Transmission Service tofax your FWAB tol l - f ree . To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Local Election Office AddressesCounty Address

Adams Adams County Circuit Court Clerk112 S. SecondDecatur, IN 46733-0189Fax: (260) 724-5313Email: g.reinhart@co.adams.in.us

Allen Allen County Board of Voter Registration1 W. Superior StreetFort Wayne, IN 46802Fax: (260)449-7908Email: electionboard@co.allen.in.us

Bartholomew Bartholomew County Circuit Court Clerk234 Washington StreetColumbus, IN 47201Fax: (812) 379-1675Email: voters@bartholomewco.com

Benton Benton County Circuit Court Clerk706 E. 5th Street, Suite 37Fowler, IN 47944-1556Fax: (765) 884-0322Email: jhasser@bentoncounty.in.gov

Blackford Blackford County Circuit Court ClerkCourthouse 110 W. Washington StreetHartford City, IN 47348-2298Fax: (765) 348-7234Email:sschumacher@blackfordcounty.com

Boone Boone County Circuit Court ClerkCourthouse Square, Room 212Lebanon, IN 46052-2100Fax: (765) 485-0150Email: sschumacher@co.boone.in.us

Brown Brown County ElectionsPO Box 85Nashville, IN 47448Fax: (812) 988-5562Email: porterba@browncounty-in.us

Carroll Carroll County Circuit Court Clerk101 W. Main StreetDelphi, IN 46923-1566Fax: (765) 564-1835Email: ccclerk@carrollcountyin.gov

Cass Cass County Circuit Court Clerk200 Court Park, Room 103Logansport, IN 46947-3192Fax: (574) 753-3512Email: beth.liming@co.cass.in.us

Clark Clark County Circuit Court Clerk 501 E. Court Avenue, Room 137Jeffersonville, IN 47130-4090Fax: (812) 280-5652Email: tbratcher@co.clark.in.us

Clay Clay County Circuit Court Clerk609 E. National Avenue, Room 211Brazil, IN 47834-0033Fax: (812) 446-9602Email: jacobsj@claycountyin.gov

Clinton Clinton County Circuit Court Clerk265 Courthouse SquareFrankfort, IN 46041-1993Fax: (765) 659-6391Email: clinton@elections.in.gov

Crawford Crawford County Circuit Court Clerk715 Judicial Plaza DriveEnglish, IN 47118-0375Fax: (812) 338-2507Email: clerk@crawfordcountyin.com

Daviess Daviess County Circuit Court Clerk200 E. Walnut StreetWashington, IN 47501-0739Fax: (812) 254-8698Email: clerk@daviess.org

Dearborn Dearborn County Circuit Court Clerk215 W. High StreetLawrenceburg, IN 47025-1909Fax: (812) 537-4295Email: dearborn@elections.in.gov

Decatur Decatur County Circuit Court Clerk150 Courthouse Square, Suite 244Greensburg, IN 47240-2080Fax: (731) 852-2059Email: votereg@decaturcounty.in.gov

De Kalb De Kalb County Circuit Court Clerk100 S. Main StreetAuburn, IN 46706-0230Fax: (260) 925-5126Email: kbishop@co.dekalb.in.us

Delaware Delaware County Board of Voter Registration100 W. Main Street, Room 200Muncie, IN 47305-2836Fax: (765) 747-7768Email: scraycraft@co.delaware.in.us

Dubois Dubois County Circuit Court ClerkOne Courthouse SquareJasper, IN 47546-3058Fax: (812) 481-70445Email: clerk@duboiscountyin.gov

Elkhart Elkhart County Board of Voter RegistrationCounty Office Building117 N. 2nd StreetGoshen, IN 46526-3243Fax: (574) 535-6471Email: elkhartcoabsentee@elections.in.gov

Fayette Fayette County Circuit Court Clerk401 Central Avenue Courthouse Connersville, IN 47331-0607Fax: (765) 827-4936Email: clerk@co.fayette.in.us

Floyd Floyd County Circuit Court Clerk311 Hauss Square, Room 235New Albany, IN 47150-1056Fax: (812) 948-4711Email: elections@iec.in.gov

County Address

Fountain Fountain County Circuit Court ClerkCourthouse301 Fourth StreetCovington, IN 46932-0183Fax: (795) 793-2129Email: pgritten@fountaincounty.net

Franklin Franklin County Circuit Court Clerk 459 Main StreetBrookville, IN 47012-1486Fax: (765) 647-3224Email: clerk@franklincounty.in.gov

Fulton Fulton County Circuit Court Clerk815 Main StreetRochester, IN 46975-0524Fax: (574) 223-8304Email: fcclerk@rtcol.com

Gibson County Circuit Court Clerk101 N. Main StreetPrinceton, IN 47670-0630Fax: (812) 385-5025Email: bwoodburn@gibsoncounty-in.gov

Grant Grant County Circuit Court ClerkCourthouse101 E. 4th StreetMarion, IN 46952-4055Fax: (765) 664-4515Email: votersregistration@grantcounty.net

Greene Greene County Circuit Court ClerkCourthouse Wash/Main Bloomfield, IN 47424-0229Fax: (812) 384-8458Email: registration@co.greene.in.us

Hamilton Hamilton County Board of Voter Registration1 Hamilton County Square, Room 106Noblesville, IN 46060-2230Fax: (317)776-8218Email: linda.stoner@hamiltoncounty.in.gov

Hancock Hancock County Board of Voter Registration9 E. Main Street, Room 213Greenfield, IN 46140-2320Fax: (317)477-1163Email: w.ruff@hancockcoingov.org

Harrison Harrison County Circuit Court Clerk Courthouse, Room 203300 N. Capitol AvenueCorydon, IN 47112-1155Fax: (812) 738-1153Email: sherrybrown@harrisoncounty.in.gov

Hendricks Hendricks County Circuit Court Clerk355 S. Washington Street, Ste. 218Danville, IN 46122-1798Fax: (317) 745-9306Email: lherzog@co.hendricks.in.us

Henry Henry County Board of Voter RegistrationJustice Center1215 Race StreetNew Castle, IN 47362-1044Fax: (765) 521-7046Email: elections@henryco.net

Howard Howard County Board of Voter Registration104 N. Buckeye Street, Room 114Kokomo, IN 46901-9004Fax: (765) 456-2267Email: mona.myers@co.howard.in.us

Huntington Huntington County Circuit Court ClerkPO Box 228Huntington, IN 46750-2896Fax: (260) 358-4880Email: pam.fowler@huntington.in.us

Jackson Jackson County Circuit Court Clerk111 S. Main Street, P.O. Box 318Brownstown, IN 47220Fax: (812) 358-3704Email: jacksonco@celections.in.gov

Jasper Jasper County Circuit Court Clerk115 W. Washington, Room 204Rensselaer, IN 47978-2829Fax: (219) 866-4940Email: vickie.bozell@co.jasper.in.us

County Address

2012-13 Voting Assistance Guide Indiana

Jay Jay County Circuit Court ClerkCourthouse120 N. CourtPortland, IN 47371-2195Fax: (260) 726-6922Email: ecoats@co.jay.in.us

Jefferson Jefferson County Circuit Court ClerkCourthouse, Room 203300 E. Main StreetMadison, IN 47250-3594Fax: (812) 273-5428Email: jeffersonco@elections.in.gov

Jennings Jennings County Circuit Court ClerkCourthouse24 Pike StreetVernon, IN 47282-0385Fax: (812) 352-3081Email: vote@jenningscounty-in.gov

Johnson Johnson County Board of Voter RegistrationPO Box 451Franklin, IN 46131-0451Fax: (317) 736-3749Email: johnsoncountyvoter@co.johnson.in.us

Knox Knox County Circuit Court Clerk111 N. 7th Street- Courthouse, Ste. 28Vincennes, IN 47591-2022Fax: (812) 895-4929Email: voters@co.knox.in.us

Kosciusko Kosciusko County Circuit Court Clerk121 N. Lake StreetWarsaw, IN 46580-2788Fax: (574) 372-2338Email: kosciusko@elections.in.gov

LaGrange LaGrange County Circuit Court Clerk105 N. Detroit Street- CourthouseLaGrange, IN 46761-1801Fax: (260) 463-2187Email: voterregistration@lagrangecounty.org

Lake Lake County Board of Voter Registration2293 N. Main StreetCrown Point, IN 46307-1854Fax: (219) 755-3801Email: lcabsenteevoting@hotmail.com

La Porte La Porte County Board of Voter Registration813 Lincolnway Courthouse, Room 105La Porte, IN 46350-3401Fax: (219) 326-5615Email: jblake@laportecounty.org

Lawrence Lawrence County Circuit Court ClerkCourthouse916 15th Street, Room 31Bedford, IN 47421-3800Fax: (812) 277-2024Email: hdelacruz@lawrencecounty.in.gov

Madison Madison County Board of Voter Registration16 E. 9th Street- CourthouseAnderson, IN 46016-1588Fax: (765) 640-4203Email: pjones@madisoncty.com

Marion Marion County Board of Voter Registration200 E. Washington, Room W131C/C BuildingIndianapolis, IN 46204-3355Fax: (317) 327-3893Email: elections@indy.gov

Marshall Marshall County Circuit Court Clerk211 W. Madison StreetPlymouth, IN 46563-1762Fax: (574) 936-8893Email: voter@co.marshall.in.us

Martin Martin County Circuit Court ClerkPO Box 120111 Main StreetShoals, IN 47581-0120Fax: (812) 247-2791Email: jhollis@martincounty.in.gov

Miami Miami County Circuit Court Clerk25 N. Broadway- CourthousePeru, IN 46970-0184Fax: (765) 472-1778Email: Spayne@miamicountyin.gov

County Address

Monroe Monroe County Board of Voter Registration214 W. 7th StreetJustice Center, Room 201Bloomington, IN 47404-3932Fax: (812) 349-2610Email: elections@co.monroe.in.us

Montgomery Montgomery County Circuit Court Clerk100 E. Main Street, Room 203Crawfordsville, IN 47933-0768Fax: (765) 364-6355Email: karyn.douglas@montgomeryco.net

Morgan Morgan County Circuit Court ClerkCourthouse180 S. Main Street, Ste. 1Martinsville, IN 46151-1556Fax: (765) 349-5370Email: elections@morgancounty.in.gov

Newton Newton Circuit County Court ClerkPO Box 49- Courthouse 201 N. ThirdKentland, IN 47951-0049Fax: (219) 474-5749Email: clerk@newtoncountyin.us

Noble Noble County Circuit Court Clerk101 N. Orange StreetAlbion, IN 46701-1092Fax: (260) 636-4000Email: dschultz@nobleco.org

Ohio Ohio County Circuit Court Clerk314 Main Street Rising Sun, IN 47040-0185Fax: (812) 438-1215Email: ohioclerk@hotmail.com

Orange Orange County Circuit Court Clerk1 Court Street- CourthousePaoli, IN 47454-9632Fax: (812) 723-4603Email: countyclerk@co.orange.in.us

Owen Owen County Circuit Court ClerkCourthousePO Box 146Spencer, IN 47460-0146Fax: (812) 829-0239Email: owenco@elections.in.gov

Parke Parke County Circuit Court Clerk116 W. High Street, Room 204Rockville, IN 47872-1781Fax: (765) 569-4037Email: pcclerk@parkecountyin.gov

Perry Perry County Circuit Court Clerk2219 Payne StreetTell City, IN 47586-2832Fax: (812) 547-9782Email: circlerk@psci.net

Pike Pike County Circuit Court Clerk801 Main Street, 2nd FloorPO Box 125Petersburg, IN 47567-1298Fax: (812) 354-6369Email: pcoclerk@blueriver.net

Porter Porter County Board of Voter RegistrationAdministration Center 155 Indiana Avenue, Suite 105Valparaiso, IN 46383-5555Fax: (219) 465-3592Email:kkozuszek@porterco.org

Posey Posey County Circuit Court ClerkPO Box 606- Courthouse300 Main StreetMount Vernon, IN 47620-0606Fax: (812) 838-1307Email: pcoelectionoff@yahoo.com

Pulaski Pulaski County Circuit Court Clerk112 E. Main, Room 230CourthouseWinamac, IN 46966-1394Fax: (574) 946-4953Email: pcoclerk@sugardog.com

County Address

Putnam Putnam County Circuit Court ClerkCourthouse1 Courthouse Square, Room 23Greencastle, IN 46135-0546Fax: (765) 653-7030Email: voterregistration.putnam@airhop.com

Randolph Randolph County Circuit Court ClerkCourthouse100 S. Main StreetWinchester, IN 47394-0230Fax: (765) 584-7186Email: rcvoters@yahoo.com

Ripley Ripley County Circuit Court ClerkCourthouse115 N. Main StreetVersailles, IN 47042-0177Fax: (812) 689-6000Email: manccioy@ripleycounty.com

Rush Rush County Circuit Court Clerk101 E. 2nd Street, Room 209Rushville, IN 46173-0429Fax: (765) 938-1163Email: voter@rushcounty.in.gov

St Joseph St Joseph County Board of Voter RegistrationCity-County Building 227 W. Jefferson Boulevard, 4th FloorS. Bend, IN 46601-1871Fax: (574) 235-9838Email: kjusinski73@gmail.com

Scott Scott County Circuit Court Clerk1 E. McClain Avenue #120Scottsburg, IN 47170-1885Fax: (812) 752-5459Email: scottcoclerk@iglou.com

Shelby Shelby County Circuit Court Clerk407 S. Harrison, Room 111Shelbyville, IN 46176-0198Fax: (317) 392-6339Email: john.williams@co.shelby.in.us

Spencer Spencer County Circuit Court ClerkPO Box 12, 200 MainRockport, IN 47635-0012Fax: (812) 649-2139Email: spcoelections@psci.net

Starke Starke County Circuit Court ClerkCourthouse53 E. Washington StreetKnox, IN 46534-1197Fax: (574) 772-9160Email: clerk75@co.starke.in.us

Steuben Steuben County Circuit Court Clerk55 S. Public SquareAngola, IN 46703-1945Fax: (260) 668-3702Email: dpenick@co.steuben.in.us

Sullivan Sullivan County Circuit Court Clerk100 Courthouse SquareSullivan, IN 47882-0370Fax: (812) 268-7027Email: rocwp7@hotmail.com

Switzerland Switzerland County Circuit Court ClerkCourthouse212 W. MainVevay, IN 47043-1180Fax: (812) 427-2017Email: clerk@switzerlandcountycourthouse.org

Tippecanoe Tippecanoe County Board of Voter Registration301 Main StreetLafayette, IN 47901-1360Fax: (765) 423-9386Email: jbond@tippecanoe.in.gov

Tipton Tipton County Circuit Court ClerkCourthouse101 E. Jefferson StreetTipton, IN 46072-1901Fax: (765) 675-4103Email: countyclerk@tiptoncounty.in.gov

County Address

Union Union County Circuit Court ClerkCourthouse26 W. Union StreetLiberty, IN 47353-1396Fax: (765) 458-5263Email: ucsray@verizon.net

Vanderburgh Vanderburgh County Board of Voter RegistrationCivic Center Complex 1 NW Martin Luther King Jr., Blvd. Room 106Evansville, IN 47708-1828Fax: (812) 435-5849Email: abushrod@vanderburghgov.org

Vermillion Vermillion County Circuit Court Clerk PO Box 10- Courthouse255 Main StreetNewport, IN 47966-0008Fax: (765) 492-5001Email: fapvermcoclerk@yahoo.com

Vigo Vigo County Board of Voter Registration Courthouse33 S. 3rd StreetTerre Haute, IN 47808-3472Fax: (812) 232-3113Email: vigoregistration@vigocounty.in.gov

Wabash Wabash County Circuit Court ClerkCounty Judicial Center69 W. Hill StreetWabash, IN 46992-3175Fax: (260) 569-1352Email: wabashvr@frontier.com

Warren Warren County Circuit Court Clerk125 N. Monroe Street, Suite 11Williamsport, IN 47993-1198Fax: (765) 762-7251Email: clerk_86@yahoo.com

Warrick Warrick County Circuit Court ClerkCounty Judicial Center1 County Square, Suite 220Boonville, IN 47601-1594Fax: (812) 897-6400Email: election@warrickcounty.gov

Washington Washington County Circuit Court Clerk Courthouse99 Public Square N., Room 102Salem, IN 47167-2098Fax: (260) 824-6559Email: clerk@washingtoncounty.in.gov

Wayne Wayne County Circuit Court ClerkCourthouse301 E. Main StreetRichmond, IN 47374Fax: (765) 973-9490Email: voters@co.wayne.in.us

Wells Wells County Circuit Court ClerkCourthouse102 W. Market Street, Suite 201Bluffton, IN 46714-2091Fax: (260) 824-6559Email: clerk@wellscounty.org

White White County Circuit Court ClerkCourthouse110 Main StreetMonticello, IN 47960-0350Fax: (574) 583-1532Email: plante@whitecountyindiana.us

Whitley Whitley County Circuit Court Clerk101 W. Van Buren StreetCourthouse, Room 10Columbia City, IN 46725-2087Fax: (260) 248-3137Email: wcclerk@whitleygov.com

County Address

Iowawww.sos.state.ia.us

* Iowa has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotA Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted.

Iowa does not have registration deadlines for UniformedService members, their families, and overseas citizens. Youmust still register and request an absentee ballot using theform and submit it in time for the ballot to be sent to you,voted, and returned by the ballot return deadline.

Block 4: Sex

Date of Birth

Your valid Iowa Driver's License number OR the last fourdigits of your Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers you must write “none” in the spaceprovided. The State shall assign a number that will serve toidentify you for voter registration purposes.

Block 6: Iowa allows you to receive your blank ballot bymail, email or fax. Please rank your preference of how youwould like to receive your absentee ballot. Provide youremail address or fax number in Block 5. If you do not makea selection, then your local election official will mail yourballot to you.

Registration N/A No State Deadline No State Deadline

Ballot Request N/A Request mailed ballot by: 5 pm, June 1, 2012

Request email/fax ballot by: 5 pm, June 4, 2012

Request mailed ballot by: 5 pm, November 2, 2012Request email/fax ballot by: 5 pm, November 5,

Ballot Return N/A Return by Mail:Postmarked by: June 4,

2012Received by:

12 pm, June 11, 2012Return by Fax/Email:

Received by: 9 pm, June 5, 2012

Return by Mail:Postmarked by:

November 5, 2012Received by:

12 pm, November 12, 2012Return by Fax/Email:

Received by:9 pm, November 6, 2012

Iowa 2012-13 Voting Assistance Guide

Block 7: Complete street address of your Iowa votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county in Iowa whereyou claim legal voting residence.

Block 9: If you wish to receive ballots for local elections aswell as Federal elections please indicate that here.

In addition to mailing a regular ballot, Iowa provides a StateWrite-In Absentee Ballot 90 days before the generalelection to any overseas voter unable to vote in the regularabsentee voting process. This ballot allows you to vote forlocal, State and Federal offices in the general election. Torequest it, write in: “To the best of my belief I will beoutside the continental United States and unable to vote andreturn a regular absentee ballot by normal mail deliverywithin the period provided for regular absentee ballots. Irequest a special write-in absentee ballot.”

Iowa allows you to submit the FPCA by mail, email, or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly touocava@sos.state.ia.us.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found atwww.sos.state.ia.us. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to Iowa’svoter registration verification website at: https://

www.sos.state. ia.us/elections/votereg/regtovote/search.aspx.

To find out the status of your ballot, refer to Iowa’s voterballot tracking website at: https://www.sos.ia.us/elections/absenteeballotstatus/search.aspx.

Registration/Ballot Request by Proxy

Within 70 days of the general election, your spouse, parent,parent-in-law, adult brother, adult sister, or adult child whoresides in your Iowa county of voting residence may requestregistration and an absentee ballot on your behalf from thelocal election office. These proxy requests must be on theofficial form, available from local election offices and the IowaSecretary of State.

Late Registration

Uniformed Service members who have been discharged withinthirty days of an election, and their families, may register andvote in that election by providing the local election office withtheir discharge papers.

Voting by Citizens Who Have Never Lived in the U.S.

If a U.S. citizen outside the U.S. has never lived in the U.S. andeither parent is a qualified Iowa voter, then that person iseligible to register and vote where his or her parent is aqualified voter.

Voting Your Ballot Local election officials send ballots approximately 45 daysbefore primary and general elections.

Voted ballots must be postmarked no later than the daybefore the election and received by the local election officeno later than noon on the Monday after the election.

The mandatory voter’s affidavit on the ballot return envelopeacts a registration form. You will be registered to vote whenyou return the voted ballot, if you are not already registered.

Iowa allows voters who are casting the ballot from an areain which members of the Uniformed Services are eligibleto receive imminent danger pay to return the voted ballotby email or fax. All other Uniformed Service members,family members, and overseas citizens must return thevoted ballot by mail.

2012-13 Voting Assistance Guide Iowa

You may track the status of your ballot at: https://www.sos.state.ia.us/elections/AbsenteeBallotStatus/search.aspx.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Iowa allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in Federalgeneral, special, and primary elections for State, Federal,and local offices and non-candidate ballot issues. Feel freeto use the FWAB to vote anytime before an election.

Block 1: Iowa allows you to use this form for registration ifyou are otherwise eligible to vote in Iowa.

Your valid Iowa Driver's License number OR the last fourdigits of your Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers you must write “none” in the spaceprovided. The State shall assign a number that will serve toidentify you for voter registration purposes.

Block 6: If you are using this form to register and wish votein primary elections, you must enter your political partyaffiliation. If you want to change your political partyaffiliation, submit a completed Federal Post CardApplication indicating your new party preference to thelocal election official.

Block 7: Complete street address of your Iowa votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county in Iowa whereyou claim legal voting residence.

Vote Your FWAB:

Vote for any Federal, State or local office in any Federalgeneral, special, or primary election. To find out the racesand cand ida tes fo r which you can vo te , go towww.sos.state.ia.us. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

The deadlines for submitting the FWAB are the same as forState absentee ballots. If you receive the State ballot aftersubmitting the voted FWAB, you may also vote and returnthe State ballot. If both ballots are received by the deadline,only the State ballot will be counted.

Iowa allows only Uniformed Service members who areeligible to receive imminent danger pay to return theFWAB by email or fax. All other Uniformed Servicemembers, family members, and overseas citizens mustreturn the voted ballot by mail.

If you are required to or choose to mail your FWAB, insertthe sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and mail the FWABdirectly to your local election office. Addresses can befound below.

If you choose to email your FWAB, you should send theballot as a signed, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to uocava@sos.state.ia.us.

If you choose to fax your FWAB, it is recommended thatyou fax the ballot directly to your local election official.Fax numbers can be found at www.sos.state.ia.us. Includeballot, voter affirmation, and cover sheet with secrecywaiver. You may also use the DoD Electronic TransmissionService to fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Adair Adair County Auditor400 Public Square, Ste 5Greenfield, IA 50849-1259Fax: (641)743-2565Email: adairaud@iowatelecom.net

Adams Adams County AuditorPO Box 28Corning, IA 50841-0028Fax: (641)322-4647Email: acaudit@frontier.com

Allamakee Allamakee County Auditor110 Allamakee StreetWaukon, IA 52172-1744Fax: (563)568-4978Email: pbenjegerdes@co.allamakee.ia.us

Appanoose Appanoose County Auditor201 N. 12th StreetCenterville, IA 52544-1711Fax: (641)856-8023Email: ldemry@appanoosecounty.net

Audubon Audubon County Auditor318 Leroy Street #4Audubon, IA 50025-0549Fax: (712)563-2556Email: audcoaud@iowatelecom.net

Benton Benton County AuditorPO Box 549Vinton, IA 52349-4712Fax: (319)472-3692Email: bcauditor@co.benton.ia.us

Black Hawk Black Hawk County Auditor316 E. 5th StreetWaterloo, IA 50703-3922Fax: (319)833-3119Email: gveeder@co.black-hawk.ia.us

Boone Boone County Auditor201 State StreetBoone, IA 50036-3536Fax: (515)432-8102Email: boonecoaud@co.boone.ia.us

Bremer Bremer County Auditor415 E. Bremer AvenueWaverly, IA 50677-0317Fax: (319)352-0290Email: swolf@co.bremer.ia.us

Buchanan Buchanan County AuditorPO Box 317Independence, IA 50644-0220Fax: (319)334-4234Email: cgosse@co.buchanan.ia.us

Buena Vista Buena Vista CountyAuditorPO Box 220Storm Lake, IA 50588-0325Fax: (712)732-2603Email: slloyd@co.buena-vista.ia.us

Butler Butler County AuditorPO Box 325Allison, IA 50602-1428Fax: (319)267-2625Email: auditor@butlercoiowa.org

Calhoun Calhoun County Auditor416 4th Street Ste 1Rockwell City, IA 50579-2400Fax: (712)297-7382Email: jhowrey@calhouncountyiowa.com

Carroll Carroll County Auditor114 E. 6th StreetCarroll, IA 51401-2400Fax: (712)775-2148Email: ccaud@co.carroll.ia.us

Cass Cass County Auditor5 W. 7th StreetAtlantic, IA 50022-1461Fax: (712)243-6660Email: auditor@casscoia.us

Cedar Cedar County Auditor400 Cedar StreetTipton, IA 52772-1748Fax: (563)886-3339Email: cgritton@cedarcounty.org

Cerro Gordo Cerro Gordo County Auditor220 N. Washington Ave.Mason City, IA 50401-3220Fax: (641)421-3139Email: kkline@co.cerro-gordo.ia.us

Cherokee Cherokee County Auditor520 W. Main Drawer HCherokee, IA 51012-1700Fax: (712)225-6708Email: kglienke@co.cherokee.ia.us

Chickasaw Chickasaw County AuditorBox 311New Hampton, IA 50659-0311Fax: (641)394-5541Email: ccauditor@hotmail.com

Clarke Clarke County Auditor100 S. MainOsceola, IA 50213-2411Fax: (641)342-1592Email: ccaudjc@iowatelecom.net

Clay Clay County Auditor300 W. 4th Street Ste. 4Spencer, IA 51301-3806Fax: (712)262-5793Email: mpitts@co.clay.ia.us

Clayton Clayton County AuditorPO Box 416Elkader, IA 52043-0416Fax: (563)245-2353Email: dfreitag@claytoncountyiowa.net

Clinton Clinton County AuditorPO Box 2957Clinton, IA 52733-2957Fax: (563)243-5869Email: vanlancker@clintoncountyiowa.com

Crawford Crawford County Auditor1202 Broadway, Ste. 5Denison, IA 51442-2646Fax: (712)263-8382Email: tmartens@crawfordcounty.org

Dallas Dallas County Auditor801 Court St. Rm 200Adel, IA 50003-1490Fax: (515)993-6930Email: gkrumm@co.dallas.ia.us

Davis Davis County Auditor100 Courthouse Square Ste. 2Bloomfield, IA 52537-1600Fax: (641)664-1395Email: auditor@daviscountyiowa.org

Decatur Decatur County Auditor207 N. Main StreetLeon, IA 50144-1647Fax: (641)446-7159Email: aud-dec@grm.net

Delaware Delaware County Auditor301 E. Main St. Rm 210Manchester, IA 52057-1739Fax: (563)927-6423Email: cbecker@co.delaware.ia.us

Des Moines Des Moines County AuditorPO Box 784Burlington, IA 52601-0784Fax: (319)753-8227Email: copelandc@co.des-moines.ia.us

Dickinson Dickinson County Auditor1802 Hill AvenueSpirit Lake, IA 51360-1259Fax: (712)336-2677Email: nreiman@co.dickinson.ia.us

Dubuque Dubuque County Auditor720 Central AvenueDubuque, IA 52001-7079Fax: (563)589-4478Email: auditor@dbqco.org

Emmet Emmet County Auditor609 1st Avenue N.Estherville, IA 51334-2245Fax: (712)362-7454Email: emmetaud@netins.net

Fayette Fayette County AuditorPO Box 267West Union, IA 52175-0267Fax: (563)422-9201Email: lmoellers@co.fayette.ia.us

Floyd Floyd County Auditor101 S. Main Street #302Charles City, IA 50616-2756Fax: (641)257-6112Email: gcarr@floydcoia.org

Franklin Franklin County AuditorPO Box 26Hampton, IA 50441-0026Fax: (641)456-6001Email: auditor@co.franklin.ia.us

Fremont Fremont County Auditor506 FilmoreSidney, IA 51652-0610Fax: (712)374-4523Email: jkirk@co.fremont.ia.us

Greene Greene County Auditor114 N. ChestnutJefferson, IA 50129-2144Fax: (515)386-2216Email: greeneau@netins.net

Grundy Grundy County Auditor706 G AvenueGrundy Center, IA 50638-1456Fax: (319)824-6098Email: rdeters@gccourthouse.org

Guthrie Guthrie County Auditor200 N. 5th StreetGuthrie Center, IA 50115-1300Fax: (641)747-3027Email: guthriecauditor@netins.net

Hamilton Hamilton County Auditor2300 Superior StreetWebster City, IA 50595-3158Fax: (515)832-9514Email: kschaa@hamiltoncounty.org

Hancock Hancock County Auditor855 State St. PO Box 70Garner, IA 50438-0070Fax: (641)923-4191Email: hanauddb@hancockcountyia.org

Hardin Hardin County Auditor1215 Edgington Avenue Ste 1Eldora, IA 50627-1700Fax: (641)939-8245Email: rmcclellan@co.hardin.ia.us

Harrison Harrison County Auditor111 N. 2nd AvenueLogan, IA 51546-1370Fax: (712)644-2643Email: auditor@harrisoncountyia.org

Henry Henry County Auditor100 E. Washington Street, Ste. 202Mount Pleasant, IA 52641-0149Fax: (319)385-3601Email: sbarber@henrycountyiowa.us

Howard Howard County Auditor137 N. Elm StreetCresco, IA 52136-1501Fax: (563)547-2629Email: jchapman@co.howard.ia.us

Humboldt Humboldt County AuditorPO Box 100Dakota City, IA 50529-0100Fax: (515)332-1738Email: price@humboldtcountyia.org

Ida Ida County Auditor401 Moorehead StreetIda Grove, IA 51445-1429Fax: (712)364-3929Email: idacoaud@longlines.com

Iowa Iowa County Auditor970 Court AvenueMarengo, IA 52301-0126Fax: (319)642-7637Email: kmiller@co.iowa.ia.us

Jackson Jackson County Auditor201 W. Platt StreetMaquoketa, IA 52060-2243Fax: (563)652-6975Email: jdeppe@co.jackson.ia.us

Jasper Jasper County AuditorPO Box 944Newton, IA 50208-0944Fax: (641)792-1053Email: auditor@co.jasper.ia.us

Jefferson Jefferson County Auditor51 E. BriggsFairfield, IA 52556-2820Fax: (641)472-2597Email: jeffaud@iowatelecom.net

Johnson Johnson County Auditor913 S. Dubuque St., Ste 101Iowa City, IA 52240-4273Fax: (319)356-6086Email: tslocket@co.johnson.ia.us

Jones Jones County AuditorPO Box 109Anamosa, IA 52205-0109Fax: (319)462-5815Email: auditor@co.jones.ia.us

Keokuk Keokuk County Auditor101 S. MainSigourney, IA 52591-1419Fax: (641)622-2286Email: auditor@keokukcountyia.com

Kossuth Kossuth County Auditor114 W. State StreetAlgona, IA 50511-2613Fax: (515)295-3071Email: agarman@co.kossuth.ia.us

Lee Lee County AuditorCounty Office Bldg., PO Box 190Fort Madison, IA 52627-0190Fax: (319)372-7033Email: apedersen@leecounty.org

Linn Linn County AuditorPO Box 1328Cedar Rapids, IA 52406-1328Fax: (319)892-5359Email: auditor@linncounty.org

Louisa Louisa County AuditorPO Box 186Wapello, IA 52653-0186Fax: (319)523-3713Email: auditr58@louisacomm.net

Lucas Lucas County Auditor916 Braden AvenueChariton, IA 50049-1700Fax: (641)774-2993Email: mastersj@lucasco.org

Lyon Lyon County Auditor206 S. 2nd AvenueRock Rapids, IA 51246-1538Fax: (712)472-3800Email: wgrooters@co.lyon.ia.us

Madison Madison County AuditorPO Box 152Winterset, IA 50273-0152Fax: (515)462-5888Email: aud61@l-rule.net

Mahaska Mahaska County Auditor106 S. 1st StreetOskaloosa, IA 52577-2869Fax: (641)673-8979Email: auditor@mahaskacounty.org

Marion Marion County Auditor214 E. MainKnoxville, IA 50138-2545Fax: (641)828-6351Email: jgrandia@co.marion.ia.us

Marshall Marshall County Auditor1 E. Main StreetMarshalltown, IA 50158-4915Fax: (641)754-6321Email: auditor@co.marshall.ia.us

Mills Mills County Auditor418 Sharp StreetGlenwood, IA 51534-1774Fax: (712)527-1579Email: crobertson@millscoia.us

Mitchell Mitchell County Auditor508 State StreetOsage, IA 50461-1250Fax: (641)732-5218Email: ltesch@mitchellcoia.us

Monona Monona County Auditor610 Iowa AvenueOnawa, IA 51040-1626Fax: (712)433-3203Email: mocoaud@longlines.com

Monroe Monroe County Auditor10 Benton Avenue EAlbia, IA 52531-2056Fax: (641)932-5905Email: auditor@monroecoia.us

Montgomery Montgomery County AuditorPO Box 469Red Oak, IA 51566-0469Fax: (712)623-2346Email: tschoonover@montgomerycoia.us

Muscatine Muscatine County Auditor414 E. 3rd StreetMuscatine, IA 52761-4141Fax: (563)263-7248Email: auditor@co.muscatine.ia.us

O'Brien O'Brien County AuditorPO Box MPrimghar, IA 51245-0803Fax: (712)957-0425Email: brienaud@tcaexpress.net

Osceola Osceola County Auditor300 7th StreetSibley, IA 51249-1648Fax: (712)754-3743Email: bechter@osceolacoia.org

Page Page County Auditor112 E. MainClarinda, IA 51632-2141Fax: (712)542-5019Email: mwellhausen@co.page.ia.us

Palo Alto Palo Alto County AuditorPO Box 95Emmetsburg, IA 50536-0095Fax: (712)852-4671Email: gleonard@co.palo-alto.ia.us

Plymouth Plymouth County Auditor215 4th Avenue SELe Mars, IA 51031-2169Fax: (712)546-5784Email: sfeldman@co.plymouth.ia.us

Pocahontas Pocahontas County Auditor99 Court SquarePocahontas, IA 50574Fax: (712)335-4502Email: mbunda@pocahontascoia.us

Polk Polk County Auditor120 2nd AvenueDes Moines, IA 50309-4757Fax: (515)286-3608Email: jfitzge@co.polk.ia.us

Pottawattamie Pottawattamie County AuditorPO Box 649Council Bluffs, IA 51501-0649Fax: (712)328-4740Email: pottauditor@pottcounty.com

Poweshiek Poweshiek County AuditorPO Box 57Montezuma, IA 50171-0057Fax: (641)623-2363Email: ddawley@poweshiekcounty.org

Ringgold Ringgold County Auditor109 W. MadisonMount Ayr, IA 50854-1642Fax: (641)464-0663Email: rcauditor@iowatelecom.net

Sac Sac County Auditor100 NW State Street, Box 1Sac City, IA 50583-0001Fax: (712)662-7879Email: sacoaud@saccounty.org

Scott Scott County Auditor600 W. 4th StreetDavenport, IA 52801-1030Fax: (563)326-1004Email: rmoritz@scottcountyiowa.com

Shelby Shelby County Auditor612 Court StreetHarlan, IA 51537-1464Fax: (712)755-3200Email: mcarter@shco.org

Sioux Sioux County AuditorPO Box 18Orange City, IA 51041-0018Fax: (712)737-2537Email: loish@siouxcounty.org

Story Story County Auditor900 6th StreetNevada, IA 50201-2004Fax: (515)382-7221Email: lmartin@storycounty.com

Tama Tama County AuditorPO Box 61Toledo, IA 52342-0061Fax: (641)484-5127Email: lkopsa@tamacounty.org

Taylor Taylor County Auditor405 Jefferson StreetBedford, IA 50833-1300Fax: (712)523-2274Email: auditor@frontiernet.net

Union Union County Auditor300 N. Pine St. Ste.2Creston, IA 50801-2400Fax: (641)782-1709Email: uncoaud@iowatelecom.net

Van Buren Van Buren County AuditorPO Box 475Keosauqua, IA 52565-0475Fax: (319)293-6404Email: jfinney@vbcoia.org

Wapello Wapello County Auditor101 W. 4thOttumwa, IA 52501-2510Fax: (641)683-0053Email: wapauditor@pcsia.net

Warren Warren County Auditor301 N. Buxton Ste. 101Indianola, IA 50125-1801Fax: (515)961-1049Email: traciv@co.warren.ia.us

Washington Washington County AuditorPO Box 889Washington. IA 52353-0889Fax: (319)653-7788Email: bfredrick@co.washington.ia.us

Wayne Wayne County AuditorPO Box 435Corydon, IA 50060-0435Fax: (641)872-2843Email: aud@grm.net

Webster Webster County Auditor703 Central AvenueFort Dodge, IA 50501-3872Fax: (515)574-3714Email: auditor@webstercountyia.org

Winnebago Winnebago County Auditor126 S. Clark StreetForest City, IA 50436-1706Fax: (641)585-9302Email: winnaudofc@wctatel.net

Winneshiek Winneshiek County Auditor201 W. Main StreetDecorah, IA 52101-1713Fax: (563)387-4083Email: bsteines@co.winneshiek.ia.us

Woodbury Woodbury County Auditor620 Douglas St., Rm 103Sioux City, IA 51101-1248Fax: (712)279-6629Email: pgill@sioux-city.org

Worth Worth County Auditor1000 Central AvenueNorthwood, IA 50459-1539Fax: (641)324-3682Email: auditor@worthcounty.org

Wright Wright County AuditorPO Box 147Clarion, IA 50525-0147Fax: (515)532-2669Email: auditor@co.wright.ia.us

Kansashttp://www.sos.ks.gov/elections/elections.html

Registering and Requesting Your Absentee BallotRegistration is not required. You must still complete theFederal Post Card Application to request an absentee ballot.Submission of this form serves as a request to receiveballots for all elections held through the calendar year.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are a registered non-partisan or undeclared, you must indicate which party ballotyou want to receive. If you want to change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference to the local election official. Politicalparty affiliation is not required if only requesting absenteeballots for general elections.

Your valid Kansas Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Kansas allows you to receive the blank ballot bymail, fax, or email. Please rank your preference of how youwould like to receive your absentee ballot. Provide your faxnumber or email address in Block 5. If you do not make a

selection, then your local election official will mail yourballot to you.

Block 7: Complete street address of your Kansas votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Kansas allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found athttp://www.sos.ks.gov/elections/elections.html.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found athttp://www.sos.ks.gov/elections/elections.html. You mayalso use the DoD Electronic Transmission Service to faxyour FPCA toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-free

Registration N/A Not Required Not Required

Kansas 2012-13 Voting Assistance Guide

numbers can be found on the inside back cover or atwww.fvap.gov.

To find out the status of your absentee ballot request,contact your local election office or refer to Kansas’ voterreg i s t ra t ion ve r i f i ca t ion webs i t e a t : h t tps : / /myvoteinfo.voteks.org.

Late Registration

Discharged Uniformed Service members and citizensterminated from overseas employment who return toKansas after the registration deadline can still register tovote no later than noon on the day before the election.

Register Online

If you have a valid Kansas State Driver's License or Stateidentification card, you may complete your voterregistration online at https://myvoteinfo.voteks.org.

Voting Your Ballot Local election officials mail ballots no later than 45 daysbefore the election.

Voted ballots must be received by the local electionofficial no later than the close of polls on Election Day.

Kansas allows you to return the voted ballot by mail, faxor email. Use the FPCA fax instructions under “How andWhere to Submit Your FPCA.”

You may track the status of your ballot at: https://myvoteinfo.voteks.org.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Kansas allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in general elections for Federaloffice. Feel free to use the FWAB to vote anytime before anelection.

Block 1: Kansas does not require voter registration. Do notcheck the registration block.

Enter your valid Kansas Driver's License number, the lastfour digits of your Social Security number, OR your Statevoter registration number.

2012-13 Voting Assistance Guide Kansas

Block 7: Complete street address of your Kansas votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Affirmation: Sign and date. No witness or notaryrequired.

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go to http://www.sos.ks.gov/elections/elections.html. For each officefor which you vote, write in either a candidate's name or apolitical party designation. Once the ballot is complete, foldand place it in the security envelope and seal. Place only thevoted ballot in the security envelope and do not write on thesecurity envelope.

Kansas allows you to submit the FWAB by mail, email, orfax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at http://www.sos.ks.gov/elections/elections.html.

If you choose to fax your FWAB, fax the ballot directly toyour local election official. Fax numbers can be found athttp://www.sos.ks.gov/elections/elections.html. Includeballot, voter affirmation, and cover sheet with secrecywaiver. You may also use the DoD Electronic TransmissionService to fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.

International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Allen Allen County ClerkIola, KS 66749-2895Fax: (620) 365-1441Email: coclerk@allencounty.org

Anderson Anderson County ClerkGarnett, KS 66032-1596Fax: (785) 448-5621Email: an_county_clerk@wan.kdor.state.ks.us

Atchison Atchison County ClerkAtchison, KS 66002Fax: (913) 367-0227Email: at_county_clerk@wan.kdor.state.ks.us

Barber Barber County ClerkMedicine Lodge, KS 67104-1499Fax: (620) 886-5425Email: BA_county_clerk@wan.kdor.state.ks.us

Barton Barton County ClerkGreat Bend, KS 67530-1089Fax: (620) 793-1990Email: clerk@bartoncounty.org

Bourbon Bourbon County ClerkFort Scott, KS 66701-1328Fax: (620) 223-5832Email: countyclerk@bourboncountyks.org

Brown Brown County ClerkHiawatha, KS 66434-2283Fax: (785) 742-7705Email: br_county_clerk@wan.kdor.state.ks.us

Butler Butler County ClerkEl Dorado, KS 67042-2193Fax: (316) 321-1011Email: elections@bucoks.com

Chase Chase County ClerkCottonwood Falls, KS 66845-0547Fax: (620) 273-6617Email: cs_county_clerk@wan.kdor.state.ks.us

Chautauqua Chautauqua County ClerkSedan, KS 67361-1395Fax: (620) 725-5801Email: cqclerk@yahoo.com

Cherokee Cherokee County ClerkColumbus, KS 66725-0014Fax: (620) 429-1042Email: crystal.clerk@cherokeecounty-ks.gov

Cheyenne Cheyenne County ClerkSaint Francis, KS 67756-0985Fax: (785) 332-8825Email: cn_county_clerk@wan.kdor.state.ks.us

Clark Clark County ClerkAshland, KS 67831-0886Fax: (620) 635-2051Email: cacoclrk@ucom.net

Clay Clay County ClerkClay Center, KS 67432-0098Fax: (785) 632-5856Email: cyclerk@claycountykansas.org

Cloud Cloud County ClerkConcordia, KS 66901-3415Fax: (785) 243-8123Email: cd_county_clerk@wan.kdor.state.ks.us

Coffey Coffey County ClerkBurlington, KS 66839-1796Fax: (620) 364-8975Email: CF_county_clerk@wan.kdor.state.ks.us

Comanche Comanche County ClerkColdwater, KS 67029-0397Fax: (620) 582-2426Email: cm_county_clerk@wan.kdor.state.ks.us

Cowley Cowley County ClerkWinfield, KS 67156-2864Fax: (620) 221-5498Email: kdefore@cowleycounty.org

Crawford Crawford County ClerkGirard, KS 66743-0249Fax: (620) 724-6007Email: countyclerk@ckt.net

Decatur Decatur County ClerkOberlin, KS 67749-0028Fax: (785) 475-8150Email: DC_county_clerk@wan.kdor.state.ks.us

Dickinson Dickinson County ClerkAbilene, KS 67410-0248Fax: (785) 263-2045Email: dk_county_clerk@wan.kdor.state.ks.us

Doniphan Doniphan County ClerkTroy, KS 66087-0278Fax: (785) 985-3723Email: dpcoclerk@rainbowtel.net

Douglas Douglas County ClerkLawrence, KS 66044-3096Fax: (785) 832-5192Email: elections@douglas-county.com

Edwards Edwards County ClerkKinsley, KS 67547-1099Fax: (620) 659-2583Email: edwardsclerk@edwards.kscoxmail.com

Elk Elk County ClerkHoward, KS 67349-0606Fax: (620) 374-2771Email: ekclerk@sktc.net

Ellis Ellis County ClerkHays, KS 67601-3899Fax: (785) 628-9413Email: elliscoclk@ellisco.net

Ellsworth Ellsworth County ClerkEllsworth, KS 67439-3118Fax: (785) 472-3818Email: ewclerk@kans.com

Finney Finney County ClerkGarden City, KS 67846-0450Fax: (620) 272-3890Email: eulrich@finneycounty.org

Ford Ford County ClerkDodge City, KS 67801-1575Fax: (620) 227-4699Email: sseibel@fordcounty.net

Franklin Franklin County ClerkOttawa, KS 66067-2331Fax: (785) 229-3419Email: sperry@mail.franklincoks.org

Geary Geary County ClerkJunction City, KS 66441-2589Fax: (785) 238-5419Email: rebecca.bossemeyer@gearycounty.org

Gove Gove County ClerkGove, KS 67736-0128Fax: (785) 938-4486Email: go_county_clerk@wan.kdor.state.ks.us

Graham Graham County ClerkHill City, KS 67642-1697Fax: (785) 421-6374Email: grahcocl@ruraltel.net

Grant Grant County ClerkUlysses, KS 67880-2599Fax: (620) 356-3081Email: clerk@pld.com

Gray Gray County ClerkCimarron, KS 67835-0487Fax: (620) 855-3107Email: bswartz@grayco.org

Greeley Greeley County ClerkTribune, KS 67879-0277Fax: (620) 376-2294Email: gl_county_clerk@wan.kdor.state.ks.us

Greenwood Greenwood County ClerkEureka, KS 67045-0268Fax: (620) 583-8124Email: gw_county_clerk@wan.kdor.state.ks.us

Hamilton Hamilton County ClerkSyracuse, KS 67878-8025Fax: (620) 384-5853Email: hm_county_clerk@wan.kdor.state.ks.us

Harper Harper County ClerkAnthony, KS 67003-2748Fax: (620) 842-3455Email: clerk@harpercountyks.gov

Harvey Harvey County ClerkNewton, KS 67114-0687Fax: (316) 284-6856Email: rpiepho@harveycounty.com

Haskell Haskell County ClerkSublette, KS 67877-0518Fax: (620) 675-2681Email: HS_county_clerk@wan.kdor.state.ks.us

Hodgeman Hodgeman County ClerkJetmore, KS 67854-0247Fax: (620) 357-6313Email: hg_county_clerk@wan.kdor.state.ks.us

Jackson Jackson County ClerkHolton, KS 66436-1787Fax: (785) 364-4204Email: ja_county_clerk@wan.kdor.state.ks.us

Jefferson Jefferson County ClerkOskaloosa, KS 66066-0321Fax: (785) 863-3135Email: lbuttron@jfcountyks.com

Jewell Jewell County ClerkMankato, KS 66956-2095Fax: (785) 378-3037Email: jw_county_clerk@wan.kdor.state.ks.us

Johnson Johnson County Election CommissionerOlathe, KS 66061-6002Fax: (913) 791-1753Email: brian.newby@jocogov.org

Kearny Kearny County ClerkLakin, KS 67860-0086Fax: (620) 355-7382Email: ke_county_clerk@wan.kdor.state.ks.us

Kingman Kingman County ClerkKingman, KS 67068-1697Fax: (620) 532-2037Email: km_county_clerk@wan.kdor.state.ks.us

Kiowa Kiowa County ClerkGreensburg, KS 67054-2294Fax: (620) 723-3234Email: kw_county_clerk@wan.kdor.state.ks.us

Labette Labette County ClerkOswego, KS 67356-0387Fax: (620) 795-2928Email: lschreppel@labettecounty.com

Lane Lane County ClerkDighton, KS 67839-0788Fax: (620) 397-5419Email: LE_county_clerk@wan.kdor.state.ks.us

2012-13 Voting Assistance Guide Kansas

Leavenworth Leavenworth County ClerkLeavenworth, KS 66048-2748Fax: (913) 680-1489Email: jklasinski@leavenworthcounty.org

Lincoln Lincoln County ClerkLincoln, KS 67455-2098Fax: (785) 524-5008Email: LC_county_clerk@wan.kdor.state.ks.us

Linn Linn County ClerkMound City, KS 66056-0350Fax: (913) 795-2889Email: dlamb@linncountyks.com

Logan Logan County ClerkOakley, KS 67748-1233Fax: (785) 672-3341Email: lg_county_clerk@wan.kdor.state.ks.us

Lyon Lyon County ClerkEmporia, KS 66801-7212Fax: (620) 341-3415Email: lyclerk@lyoncounty.org

McPherson McPherson County ClerkMcPherson, KS 67460-0676Fax: (620) 241-1168Email: smeng@mcphersoncountyks.us

Marion Marion County ClerkMarion, KS 66861-0219Fax: (620) 382-3420Email: MN_county_clerk@wan.kdor.state.ks.us

Marshall Marshall County ClerkMarysville, KS 66508-1844Fax: (785) 562-5262Email: msctyclk@bluevalley.net

Meade Meade County ClerkMeade, KS 67864-0278Fax: (620) 873-8713Email: jhale@meadeco.org

Miami Miami County ClerkPaola, KS 66071-1795Fax: (913) 294-9544Email: countyclerk@miamicountyks.org

Mitchell Mitchell County ClerkBeloit, KS 67420-0190Fax: (785) 738-5524Email: mitchell_co@nckcn.com

Montgomery Montgomery County ClerkIndependence, KS 67301-0446Fax: (620) 330-1202Email: cassschmidt@mgcountyks.org

Morris Morris County ClerkCouncil Grove, KS 66846-1791Fax: (620) 767-6861Email: morris@cgtelco.net

Morton Morton County ClerkElkhart, KS 67950-1116Fax: (620) 697-2159Email: mgilmore@elkhart.com

Nemaha Nemaha County ClerkSeneca, KS 66538-1795Fax: (785) 336-3373Email: nmclerk@carsoncomm.com

Neosho Neosho County ClerkErie, KS 66733-0138Fax: (620) 244-3810Email: no_county_clerk@wan.kdor.state.ks.us

Ness Ness County ClerkNess City, KS 67560-1558Fax: (785) 798-3180Email: ns_county_clerk@wan.kdor.state.ks.us

Norton Norton County ClerkNorton, KS 67654-0070Fax: (785) 877-5794Email: nt_county_clerk@wan.kdor.state.ks.us

Osage Osage County ClerkLyndon, KS 66451-0226Fax: (785) 828-4749Email: os_county_clerk@wan.kdor.state.ks.us

Osborne Osborne County ClerkOsborne, KS 67473-2302Fax: (785) 346-5252Email: ob_county_clerk@wan.kdor.state.ks.us

Ottawa Ottawa County ClerkMinneapolis, KS 67467-2140Fax: (785) 392-2011Email: occlerk@nckcn.com

Pawnee Pawnee County ClerkLarned, KS 67550-3098Fax: (620) 285-2559Email: pn_county_clerk@wan.kdor.state.ks.us

Phillips Phillips County ClerkPhillipsburg, KS 67661-1929Fax: (785) 543-6827Email: PL_county_clerk@wan.kdor.state.ks.us

Pottawatomie Pottawatomie County ClerkWestmoreland, KS 66549-9998Fax: (785) 457-3507Email: sfigge@pottcounty.org

Pratt Pratt County ClerkPratt, KS 67124-0885Fax: (620) 672-9541Email: skruse@prattcounty.org

Rawlins Rawlins County ClerkAtwood, KS 67730-1896Fax: (785) 626-9019Email: ra_county_clerk@wan.kdor.state.ks.us

Reno Reno County ClerkHutchinson, KS 67501-5245Fax: (620) 694-2534Email: shari.gagnebin@renogov.org

Republic Republic County ClerkBelleville, KS 66935-0429Fax: (785) 527-2668Email: vhall@nckcn.com

Rice Rice County ClerkLyons, KS 67554-2799Fax: (620) 257-3039Email: ashow@ricecocthse.com

Riley Riley County ClerkManhattan, KS 66502-0109Fax: (785) 537-6394Email: rvargo@rileycountyks.gov

Rooks Rooks County ClerkStockton, KS 67669-1666Fax: (785) 425-6015Email: ro_county_clerk@wan.kdor.state.ks.us

Rush Rush County ClerkLaCrosse, KS 67548-0220 Fax: (785) 222-3559Email: rh_county_clerk@wan.kdor.state.ks.us

Russell Russell County ClerkRussell, KS 67665-0113Fax: (785) 483-5725Email: RS_county_clerk@wan.kdor.state.ks.us

Saline Saline County ClerkSalina, KS 67401-2396 Fax: (785) 309-5826Email: don.merriman@saline.org

Scott Scott County ClerkScott City, KS 67871-1197Fax: (620) 872-7145Email: sc_county_clerk@wan.kdor.state.ks.us

Sedgwick Sedgwick County Election CommissionerWichita, KS 67203-3798Fax: (316) 660-7125Email: tlehman@sedgwick.gov

Seward Seward County ClerkLiberal, KS 67901-3473Fax: (620) 626-3211Email: SW_county_clerk@wan.kdor.state.ks.us

Shawnee Shawnee County Election CommissionerTopeka, KS 66611-2378Fax: (785) 266-0299Email: electionoffice@snco.us

Sheridan Sheridan County ClerkHoxie, KS 67740-0899Fax: (785) 675-3487Email: sdcoclk@ruraltel.net

Sherman Sherman County ClerkGoodland, KS 67735-0011Fax: (785) 890-4809Email: sh_county_clerk@wan.kdor.state.ks.us

Smith Smith County ClerkSmith Center, KS 66967-2798Fax: (785) 282-5114Email: sm_county_clerk@wan.kdor.state.ks.us

Stafford Stafford County ClerkSaint John, KS 67576-2042Fax: (620) 549-3481Email: coclerk@stjohnks.net

Stanton Stanton County ClerkJohnson, KS 67855-0190Fax: (620) 492-2688Email: st_county_clerk@wan.kdor.state.ks.us

Stevens Stevens County ClerkHugoton, KS 67951-2606Fax: (620) 544-4094Email: sv_county_clerk@wan.kdor.state.ks.us

Sumner Sumner County ClerkWellington, KS 67152-4070Fax: (620) 326-2116Email: dnorris@co.sumner.ks.us

Thomas Thomas County ClerkColby, KS 67701-2421Fax: (785) 460-4503Email: th_county_clerk@wan.kdor.state.ks.us

Trego Trego County ClerkWaKeeney, KS 67672-2187Fax: (785) 743-5594Email: tr_county_clerk@wan.kdor.state.ks.us

Wabaunsee Wabaunsee County ClerkAlma, KS 66401-9797Fax: (785) 765-3704Email: wb_county_clerk@wan.kdor.state.ks.us

Wallace Wallace County ClerkSharon Springs, KS 67758-0070Fax: (785) 852-4783Email: wa_county_clerk@wan.kdor.state.ks.us

Washington Washington County ClerkWashington, KS 66968-1985Fax: (785) 325-2303Email: ws_county_clerk@wan.kdor.state.ks.us

Wichita Wichita County ClerkLeoti, KS 67861-0279Fax: (620) 375-4350Email: coclerk@wbsnet.org

Wilson Wilson County ClerkFredonia, KS 66736-1382Fax: (620) 378-3841Email: wilsoncoclerk1@twinmounds.com

Woodson Woodson County ClerkYates Center, KS 66783-1497Fax: (620) 625-8670Email: coclerk@woodsoncounty.net

Wyandotte Wyandotte County Election Office850 State AvenueKansas City, KS 66101-2502Fax: (913) 573-8580Email: bnewby@wycokck.org

Kentuckywww.elect.ky.gov

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all elections after the date theapplication is received up to and including the next generalelection.

Block 2: You must register as Democrat or Republican tovote in that party's primaries. If you register as “other,” youcan only vote in nonpartisan primaries. If you want tochange your political party affiliation, submit a completedFPCA indicating your new party preference to the localelection official. Political party affiliation is not required ifonly requesting absentee ballots for general elections.

Social Security number. If you do not possess a SocialSecurity number, the State shall assign a number that willserve to identify you for voter registration purposes.

Block 6: Kentucky allows you to receive the blank ballotby email, mail or fax. Please rank your preference of howyou would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Kentucky votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Kentucky allows you to submit the FPCA by email, mail orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found athttp://www.elect.ky.gov/countyclerks.htm.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://www.elect.ky.gov/countyclerks.htm.You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

Kentucky 2012-13 Voting Assistance Guide

To find out the status of your registration/absentee ballotrequest, contact your local election office, refer toKentucky's voter registration verification website at:www.elect.ky.gov/vic, or refer to Kentucky's voterregistration verification website at: www.elect.ky.gov/registrationinfo/military_overseas.htm.

Voting Your BallotLocal county election officials send absentee ballots 50days before primary and general elections.

Voted ballots must be received by the local electionoffice by close of polls on Election Day.

You may track the status of your ballot at: https://cdcbps.ky.gov/ABD2Web/.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Kentucky allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in general elections for Federaloffice. If you are registered, feel free to use the FWAB tovote anytime before an election.

Complete Following Blocks of the FWAB’s VoterDeclaration/ Affirmation:

Block 1: Kentucky does not allow you to use this form forregistration. Do not check the registration box.

Block 7: Complete street address of your Kentucky votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go towww.elect.ky.gov. For each office for which you vote, writein either a candidate's name or a political party designation.Once the ballot is complete, fold and place it in the security

2012-13 Voting Assistance Guide Kentucky

envelope and seal. Place only the voted ballot in thesecurity envelope and do not write on the security envelope.

Adair Adair County Clerk 424 Public Square, Suite 3Columbia, KY 42728-1493Fax: 270-384-4805Email: sheila.blair@ky.gov

Allen Allen County Clerk201 West Main Street, Room 6Scottsville, KY 42164Fax: 270-237-9206Email: beverly.calvert@ky.gov

Anderson Anderson County Clerk151 South Main StreetLawrenceburg, KY 40342-1192Fax: 502-839-3043Email: jason.denny2@ky.gov

Ballard Ballard County ClerkPO Box 145Wickliffe, KY 42087-0145Fax: 270-335-3081Email: lynnw.lane@ky.gov

Barren Barren County Clerk117 North Public Square, Suite 1AGlasgow, KY 42141Fax: 270-651-1083Email: joanne.london@ky.gov

Bath Bath County ClerkPO Box 609Owingsville, KY 40360-0609Fax: 606-674-9526Email: carolyn.rogers@ky.gov

Bell Bell County ClerkPO Box 157Pineville, KY 40977-0157Fax: 606-337-5415Email: becky.blevins@ky.gov

Boone Boone County ClerkPO Box 874Burlington, KY 41005-0874Fax; 859-334-2234Email: kennyr.brown@ky.gov

Bourbon Bourbon County ClerkPO Box 312Paris, KY 40361-0312Fax: 859-987-5660Email: richard.eads@ky.gov

Boyd Boyd County ClerkPO Box 523Catlettsburg, KY 41129-0523Fax: 606-739-0430Email: debbiea.jones@ky.gov

Boyle Boyle County Clerk321 West Main Street, Suite 123Danville, KY 40422-1848Fax: 859-238-1114Email: trille.bottom@ky.gov

Bracken Bracken County ClerkPO Box 147Brooksville, KY 41004-0147Fax: 606-735-2687Email: raejean.poe@ky.gov

Breathitt Breathitt County Clerk1137 Main StreetJackson, KY 41339-1194Fax: 606-666-3817Email: tony.watts@ky.gov

Breckinridge Breckinridge County ClerkPO Box 538Hardinsburg, KY 40143-0538Fax: 270-756-1569Email: jill.irwin@ky.gov

Bullitt Bullitt County ClerkPO Box 6Shepherdsville, KY 40165-0006Fax: 502-543-9121Email: kevin.mooney@ky.gov

Butler Butler County ClerkPO Box 449Morgantown, KY 42261-0449Fax: 270-526-2658Email: shirley.givens@ky.gov

Caldwell Caldwell County Clerk100 East Market Street, Room 23Princeton, KY 42445-1696Fax: 270-365-7447Email: toni.watson@ky.gov

Calloway Calloway County Clerk101 South 5th Street, Suite 5Murray, KY 42071-2569Fax: 270-759-9611Email: ray.coursey@ky.gov

Campbell Campbell County Clerk1098 Monmouth StreetNewport, KY 41071Fax: 859-292-3887Email: jack.snodgrass@ky.gov

Carlisle Carlisle County ClerkPO Box 176Bardwell, KY 42023-0176Fax: 270-628-0191Email: theresa.owens@ky.gov

Carroll Carroll County Clerk440 Main StreetCarrollton, KY 41008-1064Fax: 502-732-7007Email: alice.marsh@ky.gov

Carter Carter County Clerk300 West Main Street, Room 232Grayson, KY 41143-1298Fax: 606-474-2719Email: mike.johnston@ky.gov

Casey Casey County ClerkPO Box 310Liberty, KY 42539-0310Fax: 606-787-9155Email: casey.davis@ky.gov

Christian Christian County Clerk511 South Main Street, Suite 15Hopkinsville, KY 42240-2300Fax: 270-887-4186Email: michael.kem@ky.gov

Clark Clark County ClerkPO Box 4060,Winchester, KY 40392-4060Fax: 859-745-4251Email: anitas.jones@ky.gov

Clay Clay County Clerk102 Richmond Road, Suite 101Manchester, KY 40962-1392Fax: 606-599-0603Email: michaeld.baker@ky.gov

Clinton Clinton County Clerk100 South Cross StreetAlbany, KY 42602-1263Fax: 606-387-5258Email: jim.elmore@ky.gov

Crittenden Crittenden County Clerk107 South Main Street, Suite 203Marion, KY 42604-1563Fax: 270-965-3447Email: carolyn.byford@ky.gov

Cumberland Cumberland County ClerkPO Box 275Burkesville, KY 42717-0275Fax: 270-864-5884Email: kim.king@ky.gov

Daviess Daviess County ClerkPO Box 609 Owensboro, KY 42302-0609Fax: 270-686-7111Email: david.osborne@ky.gov

Edmonson Edmonson County ClerkPO Box 830,Brownsville, KY 42210-0830Fax: 270-597-9714Email: larry.carroll@ky.gov

Elliott Elliott County ClerkPO Box 225Sandy Hook, KY 41171-0225Fax: 606-738-4462Email: sheilal.blevins@ky.gov

Estill Estill County ClerkPO Box 59Irvine, KY 40336-0059Fax: 606-723-5108Email: sherry.fox@ky.gov

Fayette Fayette County Clerk162 East Main Street, Room 131Lexington, KY 40507-1334Fax: 859-253-8390Email: info@fayettecountyclerk.com

Fleming Fleming County Clerk100 Court SquareFlemingsburg, KY 41041-1398Fax: 606-845-0212Email: jarrod.fritz@ky.gov

Floyd Floyd County ClerkPO Box 1089Prestonsburg, KY 41653-5089Fax: 606-886-8089Email: chris.waugh@ky.gov

Franklin Franklin County ClerkPO Box 338Frankfort, KY 40602-0338Fax: 502-875-8718Email: guy.zeigler@ky.gov

Fulton Fulton County ClerkPO Box 126Hickman, KY 42050-0126Fax: 270-236-2522Email: betty.abernathy@ky.gov

Gallatin Gallatin County ClerkPO Box 1309Warsaw, KY 41095Fax: 859-567-5444Email: tracy.miles@ky.gov

Garrard Garrard County Clerk15 Public Square, Suite 5Lancaster, KY 40444Fax: 859-792-6751Email: stacy.may@ky.gov

Grant Grant County Clerk107 North Main StreetWilliamstown, KY 41097-1107Fax: 859-824-3367Email: leatha.conrad@ky.gov

Graves Graves County Clerk101 East South Street, Suite 2Mayfield, KY 42066-2324Fax: 270-247-1274Email: barry.kennemore@ky.gov

Grayson Grayson County Clerk10 Public Square Leitchfield, KY 42754-1199Fax: 270-259-9264Email: sherry.weedman@ky.gov

Green Green County Clerk203 West Court StreetGreensburg, KY 42743-1552Fax: 270-932-6241Email: billyjoe.lowe@ky.gov

Greenup Greenup County ClerkPO Box 686Greenup, KY 41144-0686Fax: 606-473-5354Email: patricia.hieneman@ky.gov

Hancock Hancock County ClerkPO Box 146Hawesville, KY 42348-0146Fax: 270-927-8639Email: trina.ogle@ky.gov

Hardin Hardin County ClerkPO Box 1030Elizabethtown, KY 42702-1030Fax: 270-765-6193Email: kenny.tabb@ky.gov

Harlan Harlan County ClerkPO Box 670Harlan, KY 40831-0670Fax: 606-573-0064Email: donna.hoskins@ky.gov

Harrison Harrison County Clerk313 Oddville AvenueCynthiana, KY 41031-1242Fax: 859-234-8049Email: linda.furnish@ky.gov

Hart Hart County ClerkPO Box 277Munfordville, KY 42765-0277Fax: 270-524-0458Email: lisa.hensley@ky.gov

Henderson Henderson County ClerkPO Box 374Henderson, KY 42419-0374Fax: 270-826-9677Email: renesa.abner@ky.gov

Henry Henry County ClerkPO Box 615New Castle, KY 40050Fax: 502-845-5708Email: juanita.lashley@ky.gov

Hickman Hickman County Clerk110 East Clay Street, Suite EClinton, KY 42031-1296Fax: 270-653-2831Email: jimbo.berry@ky.gov

Hopkins Hopkins County Clerk24 Union StreetMadisonville, KY 42431Fax: 270-821-3270Email: devra.steckler@ky.gov

Jackson Jackson County ClerkPO Box 339McKee, KY 40447-0339Fax: 606-287-4505Email: donald.moore@ky.gov

Jefferson Jefferson County ClerkUrban Government Center527 West Jefferson Street, Suite 105Louisville, KY 40202-2850Fax: 502-574-5044Email: countyclerk@jeffersoncountyclerk.org

Jessamine Jessamine County Clerk101 North Main StreetNicholasville, KY 40356-1270Fax: 859-885-5837Email: eva.mcdaniel@ky.gov

Johnson Johnson County Clerk230 Court Street, Suite 124Paintsville, KY 41240-1607Fax: 606-789-2559Email:sallee.conley-holbrook@ky.gov

Kenton Kenton County Clerk303 Court Street, Room 103Covington, KY 41011Fax: 859-392-1623Email: gabrielle.summe@ky.gov

2012-13 Voting Assistance Guide Kentucky

Knott Knott County ClerkPO Box 446Hindman, KY 41822-0446Fax: 606-785-0996Email: kenneth.gayheart@ky.gov

Knox Knox County Clerk401 Court Square, Suite 102Barbourville, KY 40906-1463Fax: 606-546-3589Email: mike.corey@ky.gov

Larue Larue County Clerk209 West High Street, Suite 3Hodgenville, KY 42748-1543Fax: 270-358-4528Email: lindac.carter@ky.gov

Laurel Laurel County Clerk101 South Main Street, Room 203London, KY 40741-2308Fax: 606-864-7369Email: dean.johnson@ky.gov

Lawrence Lawrence County Clerk122 South Main Cross StreetLouisa, KY 41230-1393Fax: 606-638-0638Email: chris.jobe@ky.gov

Lee Lee County ClerkPO Box 552Beattyville, KY 41311-0552Fax: 606-464-4102Email: kimberly.savage@ky.gov

Leslie Leslie County ClerkPO Box 916Hyden, KY 41749-0916Fax: 606-672-4264Email: james1.lewis@ky.gov

Letcher Letcher County Clerk156 Main Street, Suite 102Whitesburg, KY 41858-7286Fax: 606-632-9282Email: winston.meade@ky.gov

Lewis Lewis County ClerkPO Box 129Vanceburg, KY 41179-0129Fax: 606-796-6511Email: glenda.himes@ky.gov

Lincoln Lincoln County Clerk102 East Main Street, Suite 3Stanford, KY 40484-1279Fax: 606-365-4572Email: george.spoonamore@ky.gov

Livingston Livingston County ClerkPO Box 400Smithland, KY 42081-0400Fax: 270-928-2211Email: sonya.williams@ky.gov

Logan Logan County ClerkPO Box 358Russellville, KY 42276-0358Fax: 270-726-4355Email: scottie.harper@ky.gov

Lyon Lyon County ClerkPO Box 310Eddyville, KY 42038-0310Fax: 270-388-0634Email: sarah.defew@ky.gov

McCracken McCracken County ClerkPO Box 609Paducah, KY 42002-0609Fax: 270-444-4704Email: jeff.jerrell@ky.gov

McCreary McCreary County ClerkPO Box 699Whitley City, KY 42653-0699Fax: 606-376-3898Email: eric.haynes@ky.gov

McLean McLean County ClerkPO Box 57Calhoun, KY 42327-0057Fax: 270-273-5084Email: stacy.patrick@ky.gov

Madison Madison County Clerk101 West Main Street, Suite 7Richmond, KY 40475-1415Fax: 859-624-4954Email: kenny.barger@ky.gov

Magoffin Magoffin County ClerkPO Box 1535Salyersville, KY 41465Fax: 606-349-2328Email: renee.shepherd@ky.gov

Marion Marion County Clerk223 North Spalding Avenue, Suite 102Lebanon, KY 40033-1584Fax: 270-692-9811Email: karen.spalding@ky.gov

Marshall Marshall County Clerk1101 Main StreetBenton, KY 42025-1498Fax: 270-527-4738Email: tim.york@ky.gov

Martin Martin County ClerkPO Box 460Inez, KY 41224-0460Fax: 606-298-0143Email: carol.mills@ky.gov

Mason Mason County ClerkPO Box 234Maysville, KY 41056-0234Fax: 606-564-8979Email: stephanie.gallenstein@ky.gov

Meade Meade County ClerkPO Box 614Brandenburg, KY 40108-0614Fax: 270-422-2158Email: katrina.fitzgerald@ky.gov

Menifee Menifee County ClerkPO Box 123Frenchburg, KY 40322-0123Fax: 606-768-6738Email: jo.spencer@ky.gov

Mercer Mercer County ClerkPO Box 426Harrodsburg, KY 40330-0426Fax: 859-734-6309Email: chris.horn@ky.gov

Metcalfe Metcalfe County ClerkPO Box 25Edmonton, KY 42129-0025Fax: 270-432-5176Email: carol.england@ky.gov

Monroe Monroe County Clerk200 N Main Street, Suite DTompkinsville, KY 42167-1548Fax: 270-487-5976Email: teresa.sheffield@ky.gov

Montgomery Montgomery County Clerk1 Court Street, Suite 2Mount Sterling, KY 40353-1363Fax: 859-498-8729Email: judy.witt@ky.gov

Morgan Morgan County ClerkPO Box 26West Liberty, KY 41472-0026Fax: 606-743-2111Email: randy.williams2@ky.gov

Muhlenberg Muhlenberg County ClerkPO 525Greenville, KY 42345-0525Fax: 270-338-1774Email: gaylanl.spurlin@ky.gov

Nelson Nelson County Clerk113 East Stephen Foster AvenueBardstown, KY 40004-0312Fax: 502-348-1863Email: elaine.filiatreau@ky.gov

Nicholas Nicholas County ClerkPO Box 227Carlisle, KY 40311-0227Fax: 859-289-3709Email: martha.moss@ky.gov

Ohio Ohio County Clerk301 South Main Street, Suite 201Hartford, KY 42347-1176Fax: 270-298-4425Email: bess.ralph@ky.gov

Oldham Oldham County Clerk100 West Jefferson StreetLaGrange, KY 40031-1189Fax: 502-565-1020Email: julie.barr@ky.gov

Owen Owen County Clerk136 West Bryan StreetOwenton, KY 40359Fax: 502-484-1002Email: joan.kincaid@ky.gov

Owsley Owsley County ClerkPO Box 500Booneville, KY 41314-0500Fax: 606-593-5737Email: sid.gabbard@ky.gov

Pendleton Pendleton County ClerkPO Box 112Falmouth, KY 41040-0112Fax: 859-654-5600Email: rita.spencer@ky.gov

Perry Perry County ClerkPO Box 150Hazard, KY 41702-0150Fax: 606-439-0557Email: haven.king@ky.gov

Pike Pike County ClerkPO Box 631Pikeville, KY 41501-0631Fax: 606-432-6222Email: lillian.elliott@ky.gov

Powell Powell County ClerkPO Box 548Stanton, KY 40380-0548Fax: 606-663-6406Email: rhonda.barnett@ky.gov

Pulaski Pulaski County ClerkPO Box 739Somerset, KY 42502Fax: 606-678-0073Email: ralph.troxtell@ky.gov

Robertson Robertson County ClerkPO Box 75Mount Olivet, KY 41064-0075Fax: 606-724-5022Email: stephanie.bogucki@ky.gov

Rockcastle Rockcastle County Clerk205 East Main Street, Box 6Mount Vernon, KY 40456-2211Fax: 606-256-4302Email: danetta.allen@ky.gov

Rowan Rowan County Clerk600 West Main Street, Room 102Morehead, KY 40351-1390Fax: 606-784-2923Email: jeanw.bailey@ky.gov

Russell Russell County ClerkPO Box 579Jamestown, KY 42629-0579Fax: 270-343-4700Email: lisha.popplewell@ky.gov

Scott Scott County Clerk101 East Main StreetGeorgetown, KY 40324-1794Fax: 502-863-4648Email: rebeccam.johnson@ky.gov

Shelby Shelby County ClerkPO Box 819Shelbyville, KY 40066-0819Fax: 502-633-7887Email: suecarole.perry@ky.gov

Simpson Simpson County ClerkPO Box 268Franklin, KY 42135-0268Fax: 270-586-6464Email: bobby.phillips@ky.gov

Spencer Spencer County ClerkPO Box 544Taylorsville, KY 40071-0544Fax: 502-477-3216Email: lynn.hesslbrock@ky.gov

Taylor Taylor County Clerk203 North Court Street, Suite 5Campbellsville, KY 42718-2298Fax: 270-789-1144Email:mark.carney@ky.gov

Todd Todd County ClerkPO Box 307Elkton, KY 42220-0307Fax: 270-265-2588Email: kimberlyr.chapman@ky.gov

Trigg Trigg County ClerkPO Box 1310Cadiz, KY 42211-1310Fax: 270-522-6662Email: wanda.thomas@ky.gov

Trimble Trimble County ClerkPO Box 262Bedford, KY 40006-0262Fax: 502-255-7045Email: jerry.powell@ky.gov

Union Union County ClerkPO Box 119Morganfield, KY 42437-0119Fax: 270-389-9135Email: trey.peak@ky.gov

Warren Warren County ClerkPO Box 478Bowling Green, KY 42102Fax: 270-843-5315Email: dot.owens@ky.gov

Washington Washington County ClerkPO Box 446Springfield, KY 40069-0446Fax: 859-336-5408Email: glenn.black@ky.gov

Wayne Wayne County Clerk55 North Main St., Suite 106Monticello, KY 42633-1458Fax: 606-348-8303Email: josephine.gregory@ky.gov

Webster Webster County ClerkPO Box 19Dixon, KY 42409-0019Fax: 270-639-7029Email: valerie.franklin@ky.gov

Whitley Whitley County ClerkPO Box 8Williamsburg, KY 40769Fax: 606-549-2790Email: kay.schwartz@ky.gov

Wolfe Wolfe County ClerkPO Box 400Campton, KY 41301-0400Fax: 606-668-3492Email: stevef.oliver@ky.gov

Woodford Woodford County Clerk103 South Main Street, Suite 120Versailles, KY 40383-1298Fax: 859-873-6985Email: judie.woolums@ky.gov

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Louisianawww.geauxvote.com

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all elections through the twosubsequent regularly scheduled Federal general elections.

Block 4: Sex

Date of Birth

Your valid Louisiana Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of theseidentification numbers, you may use one of the following: acurrent and valid photo identification or a current utilitybill, bank statement, government check, paycheck, or othergovernment document showing the name and address of theapplicant.

Block 6: Louisiana allows you to receive your ballot bymail, fax or email. Please rank your preference of how youwould like to receive your absentee ballot. Provide your faxnumber and/or email address in Block 5. If you do not makea selection, then your local election official will mail yourballot to you.

Block 7: Complete street address of your Louisiana votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the parish where you claimlegal voting residence.

Louisiana allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found atwww.geauxvote.com.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at www.geauxvote.com. You mayalso use the DoD Electronic Transmission Service to faxyour FPCA toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Runoff ElectionDecember 1, 2012

Registration February 22, 2012 October 8, 2012 October 31, 2012

Ballot Request March 23, 2012 November 5, 2012 November 30, 2012

Ballot Return March 24, 2012 November 6, 2012 December 1, 2012

Louisiana 2012-13 Voting Assistance Guide

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toLouisiana’s voter registration verification website at:www.geauxvote.com.

Voting Your Ballot Local election officials send ballots approximately 20 daysbefore primary elections, 13 days before State generalelections, and 45 days before Federal elections.

When you receive your primary ballot, you will also receivethe State Green Ballot. Filling out the Green Ballot bynumbering the candidates according to your preferencesand submitting it ensures you have voted in the generalelection.

Voted ballots must be received by the local electionsoffice no later than the day of the election.

Louisiana allows you to return the voted ballot by mail orfax. Use FPCA fax instructions under “How and Where toSubmit Your FPCA.”

You may t rack the s t a tus o f your ba l lo t a t :www.geauxvote.com, and click the “Are you a voter?” box.

— Voters in Iraq, Afghanistan, ships at sea, andother overseas locations without access to the

military postal system should send voted ballotsby October 6, 2012

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Louisiana allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in general elections for Federaloffice. If you are registered and have requested yourabsentee ballot, feel free to use the FWAB to vote anytimebefore an election.

Block 1: Louisiana does not allow you to use this form forregistration. Do not check the registration block.

Block 4: Sex

Date of Birth

Enter your valid Louisiana Driver's License number, the lastfour digits of your Social Security number, OR your Statevoter registration number.

Block 7: Complete street address of your Louisiana votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the parish where you claimlegal voting residence.

2012-13 Voting Assistance Guide Louisiana

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Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go towww.geauxvote.com, and click the “Are You a Voter?”box. For each office for which you vote, write in either acandidate's name or a political party designation. Once theballot is complete, fold and place it in the security envelopeand seal. Place only the voted ballot in the securityenvelope and do not write on the security envelope.

Louisiana allows you to submit the FWAB by mail.

When mailing your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the ballot directly to your localelection office. Addresses can be found at the end of thissection.

You may also use the DoD Electronic Transmission Serviceto fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov. Include ballot, voteraffirmation, and cover sheet with secrecy waiver.

Local Election Office AddressesParish Parish Seat

Acadia Acadia Parish Registrar of Voters568 N.W. Court CircleCrowley, LA 70526Fax: 1-337-788-3571Email: acadiarov@sos.louisiana.gov

Allen Allen Parish Registrar of VotersPO Box 150Oberlin, LA 70655-0150Fax: 1-337-639-4691Email: allenrov@sos.louisiana.gov

Ascension Ascension Parish Registrar of Voters828 S. Irma Blvd., #205Gonzales, LA 70737-3631Fax: 1-225-621-5783Email: ascensionrova@sos.louisiana.gov

Assumption Assumption Parish Registrar of VotersPO Box 578Napoleonville, LA 70390-0578Fax: 1-985-369-2976Email: rovassumption@sos.louisiana.gov

Avoyelles Avoyelles Parish Registrar of Voters312 N. Main Street, #EMarksville, LA 71351-2409Fax: 1-318-253-0359Email: avoyelles@sos.louisiana.gov

Beauregard Beauregard Parish Registrar of VotersPO Box 952DeRidder, LA 70634-0952Fax: 1-337-463-7986Email: beauregardrov@sos.louisiana.gov

Bienville Bienville Parish Registrar of VotersPO Box 697Arcadia, LA 71001-0697Fax: 1-318-263-4101Email: rovbienville@sos.louisiana.gov

Bossier Bossier Parish Registrar of VotersPO Box 635Benton, LA 71006-0635Fax: 1-318-965-3760Email: bossierrov@sos.louisiana.gov

Caddo Caddo Parish Registrar of VotersPO Box 1253Shreveport, LA 71163-1253Fax: 1-318-226-6969Email: caddorov@sos.louisiana.gov

Calcasieu Calcasieu Parish Registrar of Voters1000 Ryan Street, #7Lake Charles, LA 70601-5250Fax: 1-337-437-3389Email: calcasieurov@elections.state.la.us

Caldwell Caldwell Parish Registrar of VotersPO Box 1107Columbia, LA 71418-1107Fax: 1-318-649-7320Email: calcasieurov@sos.louisiana.gov

Cameron Cameron Parish Registrar of VotersPO Box 1Cameron, LA 70631-0001Fax: 1-337-775-8014Email: cameronrov@sos.louisiana.gov

Catahoula Catahoula Parish Registrar of VotersPO Box 215Harrisonburg, LA 71340-0215Fax: 1-318-744-2010Email: catahoularov@sos.louisiana.gov

Claiborne Claiborne Parish Registrar of Voters507 W. Main Street, Suite 1Homer, LA 71040-3914Fax: 1-318-927-3345Email: claibornerov@sos.louisiana.gov

Concordia Concordia Parish Registrar of Voters4001 Carter Street, Suite KVidalia, LA 71373-3021Fax: 1-318-336-9906Email: concordiarov@sos.louisiana.gov

DeSoto DeSoto Parish Registrar of Voters105 Franklin StreetMansfield, LA 71052-2046Fax: 1-318-872-1153Email: desotorov@sos.louisiana.gov

E. Baton Rouge E. Baton Rouge Parish Registrar of Voters222 St. Louis Street, #201Baton Rouge, LA 70802-5860Fax: 1-225-389-5340Email: eastbatonrougerova@sos.louisiana.gov

East Carroll East Carroll Parish Registrar of VotersPO Box 708Lake Providence, LA 71254-0708Fax: 1-318-559-5110Email: eastcarrollrov@sos.louisiana.gov

East Feliciana East Feliciana Parish Registrar of VotersPO Box 488Clinton, LA 70722-0488Fax: 1-225-683-9464Email: eastfelicianarov@sos.louisiana.gov

Parish Parish Seat

Evangeline Evangeline Parish Registrar of Voters200 Court Street, Suite 102Ville Platte, LA 70586-4463Fax: 1-337-363-5530Email: rovevangeline@sos.louisiana.gov

Franklin Franklin Parish Registrar of VotersCourthouse, 6560 Main StreetWinnsboro, LA 71295-2750Fax: 1-318-435-4416Email: franklinparishrov@sos.louisiana.gov

Grant Grant Parish Registrar of Voters200 Main Street, CourthouseColfax, LA 71417-1828Fax: 1-318-627-9940Email: grantrov@sos.louisiana.gov

Iberia Iberia Parish Registrar of Voters300 S. Iberia Street, #110New Iberia, LA 70560-4543Fax: 1-337-369-4409Email: iberiarov@sos.louisiana.gov

Iberville Iberville Parish Registrar of VotersPO Box 554Plaquemine, LA 70765-0554Fax: 1-225-687-5235Email: ibervillerov@sos.louisiana.gov

Jackson Jackson Parish Registrar of Voters500 E. Court Street, #102Jonesboro, LA 71251-3400Fax: 1-318-259-5671Email: rovjackson@sos.louisiana.gov

Jefferson Jefferson Parish Registrar of VotersPO Box 10494Jefferson, LA 70181-0494Fax: 1-504-736-6197Email: vote@jeffparish.net

Jefferson Davis Jefferson Davis Parish Registrar of Voters302 N. Cutting Ave. Jennings, LA 70546-5361Fax: 1-337-824-9187Email: jeffersondavisrov@sos.louisiana.gov

Lafayette Lafayette Parish Registrar of Voters1010 Lafayette, #313Lafayette, LA 70501-6885Fax: 1-337-291-7143Email: lafayetterov@sos.louisiana.gov

Lafourche Lafourche Parish Registrar of Voters307 W. 4th Street # 101Thibodaux, LA 70301-3105Fax: 1-985-447-3277Email: lafourcherova@sos.louisiana.gov

LaSalle LaSalle Parish Registrar of VotersPO Box 2439Jena, LA 71342-2439Fax: 1-318-992-7309Email: lasallerov@sos.louisiana.gov

Lincoln Lincoln Parish Registrar of Voters100 W. Texas Avenue, #10Ruston, LA 71270-4463Fax: 1-318-251-5126Email: lincolnrov@sos.louisiana.gov

Livingston Livingston Parish Registrar of VotersPO Box 968Livingston, LA 70754-0968Fax: 1-225-686-3055Email: livingstonrov@sos.louisiana.gov

Madison Madison Parish Registrar of Voters100 N. Cedar StreetTallulah, LA 71282-3892Fax: 1-318-574-2193Email: madisonrov@sos.louisiana.gov

Morehouse Morehouse Parish Registrar of Voters129 N. Franklin StreetBastrop, LA 71220-3815Fax: 1-318-281-0929Email: morehouserov@sos.louisiana.gov

Natchitoches Natchitoches Parish Registrar of VotersPO Box 677Natchitoches, LA 71458-0677Fax: 1-318-357-2212Email: natchitochesrov@sos.louisiana.gov

Parish Parish Seat

Orleans Orleans Parish Registrar of Voters1300 Perdido, #1W23New Orleans, LA 70112-2127Fax: 1-504-658-8315Email: orleansrova@sos.louisiana.gov

Ouachita Ouachita Parish Registrar of Voters122 Saint John Street, Room 114Monroe, LA 71201-7342Fax: 1-318-327-1337Email: ouachitarov@sos.louisiana.gov

Plaquemines Plaquemines Parish Registrar of VotersPO Box 989Port Sulphur, LA 70083-0989Fax: 1-504-934-3625Email: plaqueminesrov@sos.louisiana.gov

Pointe Coupee Pointe Coupee Parish Registrar of Voters211 E. Main Street, #103New Roads, LA 70760-3661Fax: 1-225-638-5545Email: pointecoupeerov@sos.louisiana.gov

Rapides Rapides Parish Registrar of Voters701 Murray St.Alexandria, LA 71301-8099Fax: 1-318-473-6601Email: rapidesrov@sos.louisiana.gov

Red River Red River Parish Registrar of VotersPO Box 432Coushatta, LA 71019-0432Fax: 1-318-932-5086Email: redriverrov@sos.louisiana.gov

Richland Richland Parish Registrar of VotersPO Box 368Rayville, LA 71269-0368Fax: 1-318-728-7028Email: richlandrov@sos.louisiana.gov

Sabine Sabine Parish Registrar of Voters400 Capitol Street, #107Many, LA 71449-3099Fax: 1-318-256-3697Email: sabinerov@sos.louisiana.gov

St Bernard St. Bernard Parish Registrar of Voters8201 W. Judge Perez, Room 104Chalmette, LA 70043-1696Fax: 1-504-277-0470Email: st.bernardrov@sos.louisiana.gov

St Charles St. Charles Parish Registrar of VotersPO Box 315Hahnville, LA 70057-0315Fax: 1-985-783-5121Email: st.charlesrova@sos.louisiana.gov

St Helena St. Helena Parish Registrar of VotersPO Box 543Greensburg, LA 70441-0543Fax: 1-225-222-3040Email: st.helenarov@sos.louisiana.gov

St James St. James Parish Registrar of VotersPO Box 179Convent, LA 70723-0179Fax: 1-225-562-2331Email: st.jamesrova@sos.louisiana.gov

St John the Baptist St. John Parish Registrar of Voters1801 W. Airline Highway Room 112LaPlace, LA 70068-3344Fax: 1-985-359-0335Email: st.johnrovb@sos.louisiana.gov

St Landry St. Landry Parish Registrar of VotersPO Box 818Opelousas, LA 70571-0818Fax: 1-337-948-0575Email: st.landryrov@sos.louisiana.gov

St Martin St. Martin Parish Registrar of Voters415 Saint Martin StreetSt Martinville, LA 70582-4549Fax: 1-337-394-2204Email: st.martinrov@sos.louisiana.gov

Parish Parish Seat

2012-13 Voting Assistance Guide Louisiana

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St Mary St. Mary Parish Registrar of VotersCourthouse500 Main Street, #301Franklin, LA 70538-6144Fax: 1-337-829-9901Email: st.maryrova@sos.louisiana.gov

St Tammany St. Tammany Parish Registrar of Voters701 N. Columbia StreetCovington, LA 70433-2709Fax: 1-985-809-5508Email: st.tammanyrova@sos.louisiana.gov

Tangipahoa Tangipahoa Parish Registrar of VotersPO Box 895Amite, LA 70422-0895Fax: 1-985-748-3839Email: tangipahoarova@sos.louisiana.gov

Tensas Tensas Parish Registrar of VotersPO Box 183St. Joseph, LA 71366-0183Fax: 1-318-766-3933Email: tensasrov@sos.louisiana.gov

Terrebonne Terrebonne Parish Registrar of VotersPO Box 9189Houma, LA 70361-9189Fax: 1-985-873-6834Email: terrebonnerov@sos.louisiana.gov

Union Union Parish Registrar of VotersPO Box 235Farmerville, LA 71241-0235Fax: 1-318-368-8660Email: unionrov@sos.louisiana.gov

Vermilion Vermilion Parish Registrar of Voters100 N. State Street, Suite 120Abbeville, LA 70510-5167Fax: 1-337-898-4326Email: vermilionrov@sos.louisiana.gov

Vernon Vernon Parish Registrar of VotersPO Box 626Leesville, LA 71496-0626Fax: 1-337-238-0634Email: vernonrov@sos.louisiana.gov

Washington Washington Parish Registrar of Voters900 Washington Street, #105Franklinton, LA 70438-1719Fax: 1-985-839-7851Email: washingtonrov@sos.louisiana.gov

Webster Webster Parish Registrar of VotersPO Box 674Minden, LA 71058-0674Fax: 1-318-377-9917Email: websterrov@sos.louisiana.gov

W. Baton Rouge W. Baton Rouge Parish Registrar of VotersPO Box 31Port Allen, LA 70767-0031Fax: 1-225-387-3222Email: westbatonrougerov@sos.louisiana.gov

W. Carroll W. Carroll Parish Registrar of VotersPO Box 71Oak Grove, LA 71263-0071Fax: 1-318-428-9253Email: westcarrollrov@sos.louisiana.gov

W. Feliciana W. Feliciana Parish Registrar of VotersPO Box 2490St. Francisville, LA 70775-2490Fax: 1-225-635-6161Email: westfelicianarov@sos.louisiana.gov

Winn Winn Parish Registrar of Voters119 W. Main Street, Rm 105Winnfield, LA 71483-3238Fax: 1-318-628-6142Email: winnrov@sos.louisiana.gov

Parish Parish Seat

Mainewww.maine.gov/sos/cec/elec

* Maine has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for 2 years from the date of the receipt of theapplication.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are currently registered andwant to change your political party affiliation and have beenenrolled in the political party for at least three months, theFPCA must be received by your election official no laterthan 15 days before the election. If you are currentlyregistered and have previously declined to indicate apolitical party and you now want to vote in a primaryelection, you must submit the FPCA to the election officialany time before the election. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Enter your valid Maine Driver's License number. If you donot have a Maine Driver’s License, enter the last four digitsof your Social Security number. If you do not possess eitherof these identification numbers, write “none” and the State

shall assign a number that will serve to identify you forvoter registration purposes.

Block 5: Recommended but not required. Provide yourcontact information to allow the election official to followup if more information is required.

Block 6: Maine allows you to receive your ballot by mail orelectronically via download from a secure website or byfax. Please rank your preference of how you would like toreceive your absentee ballot. Provide your fax number oremail address in Block 5. Please ensure that this emailaddress does not block or filter emails forwarded from theelection official. If you do not make a selection, then theelection official will mail your ballot to you.

Block 7: Complete street address of your Maine votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the municipality where youclaim legal voting residence.

Block 9: Provide the name of the municipality and Statewhere you were registered to vote before you registered atyour current Maine voting residence. This address must bedifferent from the one in Block 7. If you have not registeredto vote before, write “none.”

In addition to mailing a regular ballot, Maine provides aState Write-In Absentee Ballot up to 3 months before theelection to any voter living outside the U.S. who believesthey cannot receive and return their voted ballot in a timelymanner. To request it, write in Block 9: “I will be unable to

Registration N/A No Deadline No Deadline

Ballot Request N/A No Deadline No Deadline

Ballot Return N/A 8 pm, June 12, 2012 8 pm, November 6, 2012

Maine 2012-13 Voting Assistance Guide

vote by regular absentee ballot. I request a blank absenteeballot.”

Provide any information that may assist the election officialin accepting this application.

Afifrmation: Sign and date. No witness or notary required.

Maine allows you to submit the FPCA by mail, fax, or as ascanned attachment to an email.

Bureau of Corporations, Elections, and CommissionsDivision of Elections

101 State House StationAugusta, Maine 04333-0101

If you choose to fax your FPCA, fax the form directly to theelection official at 207-287-5428 or toll-free within theUnited States at 877-443-1302. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

If you choose to email, email the signed, scanned form toUOCAVA.CEC@maine.gov. You may also use ourElectronic Transmission Service by sending the form as anattachment to ets@fvap.gov.

If you are a UOCAVA voter and you have requested anabsentee ballot but not yet received it, please contact theDivision of Elections toll-free within the United States at 1-888-VOTESME (1-888-868-3763) o rUOCAVA.CEC@maine.gov.

The Maine Division of Elections will contact you if yourregistration is denied.

A family member (spouse or domestic partner, parent,sibling, child, stepparent, stepchild, stepsister, stepbrother,in-law, grandparent, grandchild, step-grandparent, step-grandchild, guardian or former guardian) may make awritten request for an absentee ballot on your behalf. Therequest must be signed by the family member and indicatethe family relationship. The request may be made to theelection official either in person, by mail or fax. Theelection official may mail the ballot directly to you or issue

the ballot to the family member who must deliver the ballotto you.

You may designate a third person (other than an immediatefamily member) to receive the ballot on your behalf bysubmitting a signed application or written request by mailor fax to the election office. The election official must issuethe ballot to the designee who must then deliver the ballotto you. You must have the ballot return envelope signed bya notary public, a clerk of courts, or two other individuals(one of whom may be the ballot carrier).

Ballot Request by Phone

Maine allows registered voters to request an absentee ballotby telephone. Only the voter may request a ballot bytelephone. You may request your ballot by contacting theMaine Division of Elections toll-free within the UnitedStates at (207) 624-7650 or 1-888-VOTESME (1-888-868-3763).

Ballot Request Online

If you are already registered, you may request your ballotonline. Please go to http://www.maine.gov/cgi-bin/online/AbsenteeBallot/index.pl, the Maine Division of Electionsonline absentee ballot request website.

Voting Your Ballot The Maine Division of Elections sends absentee ballotsapproximately 45 days before elections for Federal andState offices if a ballot request is received by the Divisionof Elections by this date.

Voted ballots must be received by the Maine Division ofElections by 8 pm on Election Day.

You must seal your voted ballot in its return envelope andsign a certification as to its authenticity on the envelope orcomplete the affidavit you print when you download yourballot (if delivered electronically). If you receivedassistance in reading and/or marking your voted ballot, theballot return envelope must be signed by the aide andwitnessed by one other individual.

If you are unable to return your voted ballot by mail by theElection Day deadline, contact the Maine Division ofElections by email at UOCAVA.CEC@maine.gov, or faxto 207-287-5428 or toll-free in the U.S. to 1-877-443-1302to receive authorization and instructions to submit theFWAB electronically. Use FPCA fax instructions under“How and Where to Submit Your FPCA.” All other votedballots must be returned by mail.

2012-13 Voting Assistance Guide Maine

You may track the status of your ballot by sending an emailto UOCAVA.CEC@maine.gov. In your email provide yourname, date of birth and municipality where you areregistered to vote.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Maine allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration, ballot request, and voting inprimary and general elections for Federal offices and Stateoffices and issues. Feel free to use the FWAB to vote anytimebefore an election.

Block 1: Maine allows you to use this form for registration.

Block 3: Name (Last, First, Middle).

Block 4: Date of Birth.

Enter your Maine Driver's License number. If you do nothave a Maine Driver’s License, enter the last four digits ofyour Social Security number. If you do not possess either ofthese identification numbers, write “none” and the Stateshall assign a number that will serve to identify you forvoter registration purposes.

Block 5: Recommended but not required. Provide yourcontact information to allow the election official to followup if more information is required.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you are currently registered and want tochange your political party affiliation and have beenenrolled in the political party for at least three months, theFederal Post Card Application (FPCA) must be received bythe election official no later than 15 days before theelection. If you are currently registered and have previouslydeclined to indicate a political party and you now want tovote in a primary election, you must submit the FPCA tothe election official any time before the election.

Block 7: Complete street address of your Maine votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the municipality where youclaim legal voting residence.

Block 9: Provide any information that may assist theelection official in accepting this ballot or application.

Vote Your FWAB:

Vote for any Federal, State, or county office in a general orprimary election. To find out the races and candidates forwhich you can vote, go to www.maine.gov/sos/cec/elec.For each Federal office in a general election for which youvote, write in either a candidate's name or a political party

Maine 2012-13 Voting Assistance Guide

designation. For all other offices and elections, you mustwrite a candidate’s name.

The FWAB must be received by the Maine Division ofElections by the ballot return deadline. If you receive theState ballot after submitting the voted FWAB, you may alsovote and return the State ballot. If both ballots are received bythe deadline, only the State ballot will be counted.

Maine allows you to submit the FWAB by mail.

If you are unable to return your voted ballot by mail by thedeadline, contact the Maine Division of Elections by emailat UOCAVA.CEC@maine.gov, or fax to 207-287-5428 ortoll-free in the U.S. to 1-877-443-1302 to receiveauthorization and instructions to submit the FWABelectronically.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the ballot directly to:

Bureau of Corporations, Elections, and CommissionsDivision of Elections

101 State House StationAugusta, Maine 04333-0101

If you are authorized to fax your voted FWAB, fax itdirectly to (207) 287-5874 or toll-free within the UnitedStates to (877) 443-1302. Include ballot, voter affirmation,and cover sheet with secrecy waiver. You may also use theDoD Electronic Transmission Service to fax your FWABtoll-free. To use the Electronic Transmission Service, usethe cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-freefrom the U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

If you are authorized to return your FWAB by email, emailthe FWAB as an a t t achment to an ema i l toUOCAVA.CEC@maine.gov.

Marylan

Marylandwww.elections.state.md.us

Registering and Requesting Your Absentee BallotIf you are a Military (or eligible family member), or are anoverseas civilian who is temporarily overseas, the FederalPost card Application registers you to vote and requestsabsentee ballots for all elections for federal, state and localoffices for the calendar year in which it is submitted.

If you are an overseas civilian who is permanently residingoverseas the Federal Post card Application registers you tovote and requests absentee ballots for all federal electionsfor the calendar year in which it is submitted.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to vote for partisancontests in primary elections, you must affiliate with theDemocratic or Republican party. If you affiliate withanother political party or are unaffiliated, you are onlyentitled to vote in school board contests in primary

elections. If you want to change your political partyaffiliation, submit a completed FPCA indicating your newparty affiliation to the local election official no later than theregistration deadline. Political party affiliation is notrequired if only requesting absentee ballots for generalelections.

Your valid Maryland Driver's License number, MVAidentification card number OR the last four digits of yourSocial Security number is required for voter registration. Ifyou do not possess any of these identification numbers,please indicate this in Block 9. The State shall assign anumber that will serve to identify you for voter registrationpurposes.

Block 6: Maryland allows you to receive the ballot by mail,email, or fax. Please rank your preference of how youwould like to receive your absentee ballot. Provide your

State PrimaryApril 3, 2012

Registration Received OR Postmarked by:

March 13, 2012

Received OR Postmarked by:

March 13, 2012

Received OR Postmarked by: October 16, 2012

Ballot Request By Mail: 8pm, March 27, 2012

By Fax/email: 11:59 pm, March 27, 2012

By Mail: 8pm, March 27, 2012

By Fax/email: 11:59 pm, March 27, 2012

By Mail: 8 pm, October 30, 2012

By Email/Fax: 11:59 pm, October 30,

Ballot Return Postmarked by: April 3, 2012Received by:

10 am, April 13, 2012

Postmarked by: April 3, 2012Received by:

10 am, April 13, 2012

Received by: 10 am, November 16,

Maryland 2012-13 Voting Assistance Guide

email address or fax number in Block 5. If you do not makea selection, then your local election official will mail yourballot to you. If you ask to receive your absentee ballot byemail, your ballot will be posted to a website Maryland hasdeveloped for delivering absentee ballots. When your ballotis ready, you will receive an email with the link to thewebsite and instructions on how to access your ballot.

Block 7: Complete street address of your Maryland votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

If you are not already registered, you must submit yourFPCA by mail. If you are already registered, Marylandallows you to submit the FPCA by mail, email or fax.

If you are already registered to vote, you may email yourrequest for an absentee ballot. You should send the form asa signed, scanned attachment. Email directly to your localelection office. Email addresses can be found at http://www.elections.state.md.us/about/county_boards.html.

If you are already registered to vote, you may fax yourrequest for an absentee ballot. It is recommended that youfax the form directly to your local election official. Faxnumbers can be found at http://www.elections.state.md.us/about/county_boards.html. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to

Maryland’s voter registration verification website at: http://www.elections.state.md.us.

A registered voter or the voter’s authorized agent may applyin person for an absentee ballot at the local election officeby the close of polls on Election Day.

The voter’s authorized agent may pick up and deliver theabsentee ballot and must:

— be at least 18 years old

— not be a candidate on the voter’s ballot

— be designated in writing and signed with thevoter’s original signature

— sign an affidavit under penalty of perjury.

Voting Your Ballot State election officials send absentee ballots no later than 45days before elections.

Voted ballots must be postmarked on or before ElectionDay and received by the local election office by 10 am onNovember 16 (Effective for the November 6 generalelection only).

You must sign an oath stating your eligibility to vote byabsentee ballot when you return a voted absentee ballot. Nowitness or notary is required on voted ballots.

You may track the status of your ballot at: http://www.elections.state.md.us.

2012-13 Voting Assistance Guide Maryland

Marylan

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!If you are a Military (or eligible family member), or are anoverseas civilian who is temporarily overseas, Marylandallows you to use the Federal Write-In Absentee Ballot(FWAB) for registration and voting in primary, special, andgeneral elections for Federal, State, and local offices andnon-candidate ballot issues. Feel free to use the FWAB tovote anytime before an election.

If you are are an overseas civilian who is permanentlyresiding overseas, Maryland allows you to use the FederalWrite-In Absentee Ballot (FWAB) for voting in primary,special, and general elections for Federal offices. Feel free touse the FWAB to vote anytime before an election.

Block 1: Maryland allows you to use this form forregistration.

Enter your valid Maryland Driver's License number, MVAidentification card number, the last four digits of yourSocial Security number, OR your State voter registrationnumber.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you want to change your political partyaffiliation, indicate your new party affiliation and submitthe FWAB no later than the registration deadline. Politicalparty affiliation is not required for voting in generalelections.

Block 7: Complete street address of your Maryland votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal, State, or local office in any election.To find out the races and candidates for which you can vote,go to www.elections.state.md.us. For each office for whichyou vote, write in either a candidate's name or a politicalparty designation. Once the ballot is complete, fold andplace it in the security envelope and seal. Place only thevoted ballot in the security envelope and do not write on thesecurity envelope.

If using the FWAB as a voted ballot only, it must be receivedby the local election office by the ballot return deadline. If youreceive the State ballot after submitting the voted FWAB, youmay also vote and return the State ballot. If both ballots arereceived by the deadline, only the State ballot will be counted.

Allegany Allegany Board of Elections701 Kelly Road, Suite 213Cumberland, MD 21502-3401Fax: (301) 777-2430Email: elections@allconet.org

Anne Arundel Anne Arundel Board of ElectionsPO Box 490Glen Burnie, MD 21060-0490

Street Address for Private Mail Carrier:Anne Arundel Board of Elections7320 Ritchie Highway, Second FloorGlen Burnie, MD 21060-0490Fax: (410) 222-6824Email: elections@aacounty.org

Baltimore City Baltimore City Board of ElectionsCharles L. Benton Office Bldg., Room 129417 E. Fayette StreetBaltimore, MD 21202-3432Fax: (410) 962-8747Email: mildred.easterling@baltimorecity.gov

Baltimore County Baltimore County Board of Elections106 Bloomsbury Avenue Catonsville, MD 21228-5220Fax: (410) 887-0894Email: elections@baltimorecountymd.gov

Calvert Calvert Board of ElectionsPO Box 798Prince Frederick, MD 20678-0798

Street Address for Private Mail Carrier:Calvert Board of Elections30 Duke Street, Lower LevelPrince Frederick, MD 20678Fax: (410) 535-5009Email: elections@co.cal.md.us

Caroline Caroline Board of ElectionsHealth & Public Services Building403 S. 7th Street, Suite 247Denton, MD 21629-1378Fax: (410) 479-5736Email: election@carolinemd.org

Carroll Carroll Board of Elections300 S.Center Street, Room 212Westminster, MD 21157-5248Fax: (410) 876-3925Email: Dldell@ccg.carr.org

Cecil Cecil Board of Elections200 Chesapeake BoulevardSuite 1900Elkton, MD 21921-6395Fax: (410) 996-5066Email: epotter@ccgov.org

Charles Charles Board of ElectionsPO Box 908 La Plata, MD 20646-0908

Street Address for Private Mail Carrier:Charles Board of Elections201 E. Charles StreetLa Plata, MD 20646Fax: (301) 934-6487Email: Duffielb@charlescounty.org

Dorchester Dorchester Board of ElectionsPO Box 414 Cambridge, MD 21613-0414

Street Address for Private Mail Carrier:Dorchester Board of Elections501 Court Lane, Room 105Cambridge, MD 21613Fax: (410) 228-9635Email: bhall@docogonet.com

Frederick Frederick Board of ElectionsWinchester Hall, 12 E. Church Street Frederick, MD 21701-5447Fax: (301) 600-2344Email: electionboard@fredrickcountymd.gov

Garrett Garrett Board of Elections2008 Maryland Highway, Suite 1 Mountain Lake Park, MD 21550-6349Fax: (301) 334-6988Email: sfratz@garrettcounty.org

Harford Harford Board of Elections133 Industry LaneForest Hill, MD 21050-1621Fax: (410) 638-3310Email:elections@harfordcountymd.gov

Howard Howard Board of ElectionsPO Box 6800Columbia, MD 21045-6800

Street Address for Private Mail Carrier:Howard Board of Elections9770 Patuxent Woods Drive, Suite 200Columbia, MD 21046Fax: (410) 313-5833Email: cbdavis@howardcountymd.gov

Kent Kent Board of Elections135 Dixon DriveChestertown, MD 21620-1141Fax: (410) 778-0265Email: lprice@kentgov.org

Montgomery Montgomery Board of ElectionsPO Box 10369Rockville, MD 20849-0369

Street Address for Private Mail Carrier:Montgomery Board of Elections18753-210 N. Frederick AvenueGaithersburg, MD 20879Fax: (240) 777-8560Email: uocava.voters@montgomerycountymd.gov

Prince George's Prince George's Board of Elections16201 Trade Zone AvenueSuite 108Upper Marlboro, MD 20774-8758Fax: (301) 430-8080Email: election@co.pg.md.us

Queen Anne's Queen Anne's Board of ElectionsPO Box 274Centreville, MD 21617-0274

Street Address for Private Mail Carrier:Queen Anne's Board of Election132 N. Commerce StreetCentreville, MD 21617Fax: (410) 758-1119Email: qacelections_director@verizon.net

St Mary's St Mary's Board of ElectionsPO Box 197Leonardtown, MD 20650-0197

Street Address for Private Mail Carrier:St Mary's Board of Elections41650 Tudor Hall RoadLeonardtown, MD 20650-0197Fax: (301) 475-4077Email: susan.julian@co.saint-marys.md.us

Somerset Somerset Board of ElectionsPO Box 96Princess Anne, MD 21853-0096

Street Address for Private Mail Carrier:Somerset Board of ElectionsCounty Office Building11916 Somerset Avenue, Suite 102Princess Anne, MD 21853Fax: (410) 651-5130Email: elections@co.somerset.md.us

Talbot Talbot Board of ElectionsPO Box 353Easton, MD 21601-0353

Street Address for Private Mail Carrier:Talbot Board of Elections142 N. Harrison StreetEaston, MD 21601Fax: (410) 770-8078Email: pmitchell@talbotcountymd.gov

2012-13 Voting Assistance Guide Maryland

Marylan

Washington Washington Board of Elections35 W. Washington Street, Room 101Hagerstown, MD 21740-4834Fax: (240) 313-2051Email: elections@washco-md.net

Wicomico Wicomico Board of ElectionsPO Box 4091Salisbury, MD 21803-4091

Street Address for Private Mail Carrier:Wicomico Board of Elections123 Bateman StreetSalisbury, MD 21804Fax: (410) 548-4849Email: election@wicomicocounty.org

Worcester Worcester Board of Elections100 Belt StreetSnow Hill, MD 21804Fax: (410) 632-3031Email: triggin@verizon.net

Massach

usetts

Massachusettswww.sec.state.ma.us/ele

Information is current as of December 2011. Check www.fvap.gov for updates.

Registering and Requesting Your Absentee BallotRegistration is not required. You must still complete anapplication for an absentee ballot such as the Federal Post CardApplication to request absentee ballots. This form acts as arequest for absentee ballots for all Federal elections in thecalendar year in which it is submitted.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference to the local election official. For a listingof valid political parties in Massachusetts, please visit http://www.sec.state.ma.us/ele/elepar/paridx.htm. Political partyaffiliation is not required if only requesting absentee ballots forgeneral elections.

Block 6: Massachusetts allows you to receive the blankballot by mail, email or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Massachusetts votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the city or town where you claim legalvoting residence.

Block 9: Provide any information that may assist the localelection official in accepting this application. This space can beused to designate particular elections or the period for whichyou wish to receive ballots.

Ballot Request 12 pm, March 5, 2012 12 pm, September 5, 2012

12 pm, November 5, 2012

Ballot Return 8 pm, March 6, 2012 8 pm, September 6, 2012 Returned by Mail:From Within U.S.:

8 pm, November 6, 2012From Outside U.S.:

Returned by Fax/Email:8 pm, November 6, 2012

Massachusetts 2012-13 Voting Assistance Guide

Massachusetts allows you to submit the FPCA by mail, email,or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found atwww.sec.state.ma.us/ele/eleclk/clkidx.htm.

If you choose to fax your FPCA, it is recommended that youfax the form directly to your local election official. Faxnumbers can be found at www.sec.state.ma.us/ele/eleclk/clkidx.htm. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheet availablein Chapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the inside backcover or at www.fvap.gov.

To find out the status of your absentee ballot request, contactyour local election office. Contact information can be found at:www.sec.state.ma.us/ele.

You may submit a letter (or the State application) to your localelection office to request a ballot. The letter (or Stateapplication) should identify you as an absent uniformedservices elector or overseas elector and must include your birthdate, signature, your printed name, voting residence addressand address to which the absentee ballot should be sent.

Your spouse, parent, in-law, sibling, child, stepparent/child,half-sister/brother, uncle, aunt, niece, nephew, grandparent/child or person residing in the same household may request anabsentee ballot on your behalf. Forms may be obtained at thelocal election office in the city or town of voting residence or atwww.sec.state.ma.us/ele. Any form of written communicationcontaining the required information may also be sent to thelocal election office.

Late Registration

Uniformed Service members, their families, and overseascitizens, who were away from their voting residence during the

last 7 days before the registration deadline, may register inperson until 4 pmon the day before the election.

U.S. citizens who have never resided in the U.S. but have aparent who is eligible to vote in Massachusetts are eligible tovote at the same voting residence claimed by their parent forlocal, State, and Federal offices.

Voting Your Ballot Local election officials send absentee ballots approximately35 days before an election.

Voted ballots for local and primary elections must bereceived by the local election official by the close of polls onElection Day.

Voted ballots for general and special state elections andregular city final elections must be received by the localelection official by the close of polls on Election Day forStateside Uniformed Service members and their families(or postmarked by Election Day and received by the localelection official no later than 10 days after the election forall voters outside of the United States).

You may return the voted ballot by mail, email, or fax inaccordance with the instructions sent with the ballot.

You may track the status of your ballot at: http://wheredoivotema.com/track/trackmyballot.php.

2012-13 Voting Assistance Guide Massachusetts

Massach

usetts

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Massachusetts allows you to use the Federal Write-InAbsentee Ballot (FWAB) for voting in primary, special, andgeneral elections for Federal, State, and local offices and non-candidate ballot issues. Feel free to use the FWAB to voteanytime before an election, even if you have not applied for aState absentee ballot.

Block 1: Massachusetts does not require voter registration. Donot check the registration block.

Block 6: Enter your political party preference if you would liketo vote in primary elections.

Block 7: Complete street address of your Massachusetts votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the city or town where you claim legalvoting residence.

Vote Your FWAB:

Massachusetts allows you to use the FWAB for voting in allelections. To find out the races and candidates for which youcan vote for state primaries and state elections, go towww.sec.state.ma.us/ele. To find out races and candidates formunicipal elections, visit the city or town website. For eachoffice for which you vote, write in either a candidate's name ora political party designation. Once the ballot is complete, foldand place it in the security envelope and seal. Place only thevoted ballot in the security envelope and do not write on thesecurity envelope.

The deadline for submitting the FWAB by mail is the same asfor State absentee ballots. However, if you are submitting yourFWAB via email or fax, it must be received by the localelection official by the close of polls on Election Day.

If you receive the State ballot after submitting the votedFWAB, you may also vote and return the State ballot. If bothballots are received by the deadline, only the State ballot willbe counted.

Massachusetts allows you to submit the FWAB by mail, email,or fax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at www.sec.state.ma.us/ele/eleclk/clkidx.htm.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers for election officialscan be found at www.sec.state.ma.us/ele/eleclk/clkidx.htm.Include ballot, voter affirmation, and cover sheet withsecrecy waiver. You may also use the DoD ElectronicTransmission Service to fax your FWAB toll-free. To usethe Electronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

Local Election Office AddressesCity or Town Mailing Address

Abington Abington Town ClerkTown Hall500 Gliniewicz WayAbington, MA 02351-2058Fax: (781) 982-2138 Email: ladams@abingtonmass.com

Acton Acton Town ClerkTown Hall472 Main StreetActon, MA 01720-3939Fax: (978) 929-6340Email: clerk@acton-ma.gov

Acushnet Acushnet Town ClerkTown Hall122 Main StreetAcushnet, MA 02743-1548Fax: (508) 998-0216Email: plabonte@acushnettown.mec.edu

Adams Adams Town ClerkTown Hall8 Park StreetAdams, MA 01220-2053Fax: (413) 743-8316Email: hmeczywor@town.adams.ma.us

Agawam Agawam Town ClerkTown Hall36 Main StreetAgawam, MA 01001-1801Fax: (413) 786-9927 Email: clerk@agawam.ma.us

Alford Alford Town ClerkTown Hall5 Alford Center RoadAlford, MA 01230-8920Fax: (413) 528-4581 Email: elections@sec.state.ma.us

Amesbury Amesbury Town ClerkTown Hall62 Friend StreetAmesbury, MA 01913-2825Fax: (978) 388-8150Email: bonnijo@amesburyma.gov

Amherst Amherst Town ClerkTown Hall4 Boltwood AvenueAmherst, MA 01002-2301Fax: (413) 259-2401Email: burgesss@amherstma.gov

Andover Andover Town ClerkTown Hall36 Bartlet StreetAndover, MA 01810-3813Fax: (978) 623-8260Email: lmurphy@andoverma.gov

Aquinnah Aquinnah Town ClerkTown Hall65 State RoadAquinnah, MA 02535-1345Fax: (508) 645-2309 Email: aqhcp@comcast.net

Arlington Arlington Town ClerkTown Hall730 Massachusetts AvenueArlington, MA 02476-4906Fax: (781) 316-3079 Email: slucarelli@town.arlington.ma.us

Ashburnham Ashburnham Town ClerkTown Hall32 Main StreetAshburnham, MA 01430-1241Fax: (978) 827-4105 Email: townclerk@ashburnham-ma.gov

Ashby Ashby Town ClerkTown Hall895 Main StreetAshby, MA 01431-2322Fax: (978) 386-2490 Email: tclerk@ci.ashby.ma.us

Ashfield Ashfield Town ClerkTown Hall412 Main StreetPO Box 560Ashfield, MA 01330Fax: (413) 628-0228 Email: municipalclerk@ashfield.org

Ashland Ashland Town ClerkTown Hall101 Main StreetAshland, MA 01721Fax: (508) 231-1503Email: tward@ashlandmass.com

Athol Athol Town ClerkTown Hall584 Main Street, Suite 10Athol, MA 01331-1824Fax: (978) 249-2491 Email: townclerk@townofathol.org

Attleboro Attleboro Election CommissionCity Hall77 Park StreetAttleboro, MA 02703-2334Fax: (508) 222-3046 Email: elections@cityofattleboro.us

Auburn Auburn Town ClerkTown Hall104 Central StreetAuburn, MA 01501-2310Fax: (508) 832-7702 Email: clerk@town.auburn.ma.us

Avon Avon Town ClerkTown Hall65 East Main StreetAvon, MA 02322-1435Fax: (508) 559-0209 Email: jkopke@avonmass.org

Ayer Ayer Town ClerkTown HallOne Main StreetAyer, MA 01432-1325Fax: (978) 772-8222Email: clerk@ayer.ma.us

Barnstable Barnstable Town ClerkTown Hall367 Main StreetHyannis, MA 02601-3919Fax: (508) 790-6326 Email: linda.hutchenrider@town.barnstable.ma.us

Barre Barre Town ClerkTown Hall40 West StreetPO Box 418Barre, MA 01005-9138Fax: (978) 355-5025Email: clerk@townofbarre.com

Becket Becket Town ClerkTown Hall557 Main StreetBecket, MA 01223-3252Fax: (413) 623-6036 Email: townclerk@townof becket.org

Bedford Bedford Town ClerkTown Hall10 Mudge WayBedford, MA 01730-2193Fax: (781) 275-5757 Email: doreen@town.bedford.ma.us

Belchertown Belchertown Town ClerkTown Hall2 Jabish StreetPO Box 629Belchertown, MA 01007-9840Fax: (413) 323-0107Email: clerk@belchertown.org

Bellingham Bellingham Town ClerkTown Hall10 Mechanic StreetBellingham, MA 02019-1676Fax: (508) 657-2832Email: aodabashian@bellinghamma.org

Massach

usetts

Belmont Belmont Town ClerkTown Hall455 Concord AvenueBox 56Belmont, MA 02478-2514Fax: (617) 993-2601 Email: ecushman@belmont-ma.gov

Berkley Berkley Town ClerkTown HallOne North Main StreetBerkley, MA 02779-1336Fax: (508) 822-3511 Email: carolyn.awalt@gmail.com

Berlin Berlin Town ClerkTown Hall23 Linden Street, #8Berlin, MA 01503-1669Fax: (978) 838-0014 Email: townclerk@townofberlin.com

Bernardston Bernardston Town ClerkTown Hall38 Church StreetPO Box 504Bernardston, MA 01337-0504Fax: (413) 648-9318Email:bernardstontownclerk@crocker.com

Beverly Beverly City ClerkCity Hall191 Cabot StreetBeverly, MA 01915-5849Fax: (978) 921-8511 Email: kconnolly@beverlyma.gov

Billerica Billerica Town ClerkTown Hall365 Boston Rd.Billerica, MA 01821-1888Fax: (978) 663-6510 Email: sschult@town.billerica.ma.us

Blackstone Blackstone Town ClerkTown Hall15 St. Paul StreetBlackstone, MA 01504-2276Fax: (508) 883-4953 Email: mstaples@townofblackstone.org

Blandford Blandford Town ClerkTown Hall102 Main StreetPO Box 101Blandford, MA 01008-9800Fax: (413) 848-0908 Email: blandfordtownclerk@crocker.com

Bolton Bolton Town ClerkTown Hall663 Main StreetPO Box 278Bolton, MA 01740-1307Fax: (978) 779-5461 Email: townclerk@townofbolton.com

Boston Boston Elections CommissionBoston City HallOne City Hall Square Room 241Boston, MA 02201-4309Fax: (617) 635-4658Email: Maryanne.Marrero@cityofboston.gov

Bourne Bourne Town ClerkTown Hall24 Perry Avenue Buzzards Bay, MA 02532-3441Fax: (508) 759-7980Email: wchapman@townofbourne.com

Boxborough Boxborough Town ClerkTown Hall29 Middle RoadBoxborough, MA 01719-1430Fax: (978) 264-3127 Email: elizabeth.markiewicz@town.boxborough.ma.us

Boxford Boxford Town ClerkTown Hall7A Spofford RoadBoxford, MA 01921-1501Fax: (978) 887-0943Email: rphelan@town.boxford.ma.us

Boylston Boylston Town ClerkTown Hall221 Main StreetBoylston, MA 01505-2037Fax: (508) 869-6210Email: sbourassa@boylston-ma.gov

Braintree Braintree Town ClerkTown Hall1 JFK Memorial DriveBraintree, MA 02184-6425Fax: (781) 794-8259 Email: jpowers@braintreema.gov

Brewster Brewster Town ClerkTown Hall2198 Main StreetBrewster, MA 02631-1852Fax: (508) 896-8089 Email: cwilliams@town.brewster.ma.us

Bridgewater Bridgewater Town ClerkTown Hall64 Central SquareBridgewater, MA 02324-2550Fax: (508) 697-0941 Email: clerk@bridgewaterma.org

Brimfield Brimfield Town ClerkTown Hall21 Main StreetPO Box (508) Brimfield, MA 01010-9744Fax: (413) 245-4107Email: elections@sec.state.ma.us

Brockton Brockton Election CommissionCity Hall45 School StreetBrockton, MA 02301-4049Fax: (508) 583-6424 Email: jmcgarry@cobma.us

Brookfield Brookfield Town ClerkTown Hall6 Central StreetBrookfield, MA 01506-1612Fax: (508) 867-5091 Email: llincoln@brookfieldma.us

Brookline Brookline Town ClerkTown Hall333 Washington StreetBrookline, MA 02445-6853Fax: (617) 730-2043 Email: pward@brooklinema.gov

Buckland Buckland Town ClerkTown Hall17 State StreetPO Box 159Buckland, MA 01338-0159Fax: (413) 625-8570 Email: twnclerk@town.buckland.ma.us

Burlington Burlington Town ClerkTown Hall29 Center StreetBurlington, MA 01803-3058Fax: (781) 238-4692 Email: clerk@burlmass.org

Cambridge Cambridge Elections Commission51 Inman Street 1st FloorCambridge, MA 02139-1732Fax: (617) 349-4366 Email: elections2@cambridgema.gov

Canton Canton Town ClerkTown Hall801 Washington StreetCanton, MA 02021-2500Fax: (781) 821-5016 Email: tkenney@town.canton.ma.us

Carlisle Carlisle Town ClerkTown Hall66 Westford StreetCarlisle, MA 01741-1582Fax: (978) 371-0594 Email: chinton@carlisle.mec.edu

Carver Carver Town ClerkTown Hall108 Main StreetCarver, MA 02330-2025Fax: (508) 866-3408 Email: jean.mcgillicuddy@carverma.org

Charlemont Charlemont Town ClerkTown Hall157 Main StreetPO Box 605Charlemont, MA 01339-9703Fax: (413) 339-0320 Email: SELECT@BCN.NET

Charlton Charlton Town ClerkTown Hall37 Main StreetCharlton, MA 01507-1382Fax: (508) 248-2381Email: darlene.tully@townofcharlton.net

Chatham Chatham Town ClerkTown Hall549 Main StreetChatham, MA 02633-2279Fax: (508) 945-0752 Email: jsmith@chatham-ma.gov

Chelmsford Chelmsford Town ClerkTown Hall50 Billerica RoadChelmsford, MA 01824-3162Fax: (978) 250-5208 Email: bdelaney@townofchelmsford.us

Chelsea Chelsea City ClerkCity Hall500 Broadway, Room 209Chelsea, MA 02150-2996Fax: (617) 466-4059 Email: DClayman@chelseama.gov

Cheshire Cheshire Town ClerkTown Hall80 Church StreetBox SCheshire, MA 01225-9657Fax: (413) 743-0389 Email: townclerk@cheshire-ma.gov

Chester Chester Town ClerkTown Hall15 Middlefield RoadBox 9Chester, MA 01011-9805Fax: (413) 354-2268Email: elections@sec.state.ma.us

Chesterfield Chesterfield Town ClerkTown Hall422 Main RoadPO Box 13Chesterfield, MA 01012-9708Fax: (413) 296-4394 Email:townclerk@townofchesterfieldma.com

Chicopee Chicopee Board of RegistrarsCity Hall17 Springfield StreetChicopee, MA 01013-2681Fax: (413) 594-1469Email: jsurdyka@chicopeema.gov

Chilmark Chilmark Town ClerkTown Hall401 Middle RoadP O Box 119Chilmark, MA 02535-1995Fax: (508) 645-2110 Email: townclerk@chilmarkma.gov

Clarksburg Clarksburg Town ClerkTown Hall111 River RoadClarksburg, MA 01247-2147Fax: (413) 664-6575 Email: elections@sec.state.ma.us

Clinton Clinton Town ClerkTown Hall242 Church StreetClinton, MA 01510-2631Fax: (978) 612-0212Email: pboyce@clintonma.gov

Cohasset Cohasset Town ClerkTown Hall41 Highland AvenueCohasset, MA 02025-1822Fax: (781) 383-1561 Email: carols@townofcohasset.org

Colrain Colrain Town ClerkTown Hall55 Main RoadColrain, MA 01340-5501Fax: (413) 624-8852 Email: elections@sec.state.ma.us

Concord Concord Town ClerkTown Hall22 Monument SquarePO Box 535Concord, MA 01742-1826Fax: (978) 318-3093 Email: townclerk@concordma.gov

Conway Conway Town ClerkTown Hall32 Main StreetPO Box 240Conway, MA 01341Fax: (413) 369-4237 Email: clerk@townofconway.com

Cummington Cummington Town ClerkTown Hall33 Main StreetPO Box 128Cummington, MA 01026-9742Fax: (413) 634-5568Email: elections@sec.state.ma.us

Dalton Dalton Town ClerkTown Hall462 Main Street, Suite 4Dalton, MA 01226-1677Fax: (413) 684-6129 Email: daltonmc@bcn.net

Danvers Danvers Town ClerkTown HallOne Sylvan StreetDanvers, MA 01923-2790Fax: (978) 777-1025 Email: jcollins@mail.danvers-ma.org

Dartmouth Dartmouth Town ClerkTown Hall400 Slocum RoadDartmouth, MA 02747-3953Fax: (508) 910-1894 Email: lmedeiros@town.dartmouth.ma.us

Dedham Dedham Town ClerkTown Hall26 Bryant StreetPO Box 306Dedham, MA 02026Fax: (781) 751-9109 Email: pmunchbach@dedham-ma.gov

Deerfield Deerfield Town ClerkTown Hall8 Conway StreetSouth Deerfield, MA 01373-1313Fax: (413) 665-5512Email: townclerk@town.deerfield.ma.us

Dennis Dennis Town ClerkTown Hall485 Main StreetPO Box 2060South Dennis, MA 02660-4455Fax: (508) 394-8309 Email: tbunce@town.dennis.ma.us

Massach

usetts

Dighton Dighton Town ClerkTown Hall979 Somerset Ave.Dighton, MA 02715Fax: (508) 669-5932Email: smedeiros@townofdighton.com

Douglas Douglas Town ClerkTown Hall29 Depot StreetDouglas, MA 01516-2323Fax: (508) 476-4012 Email: cfurno@douglasma.org

Dover Dover Town ClerkTown Hall5 Springdale AvenuePO Box 250Dover, MA 02030-2376Fax: (508) 785-2341 Email: townclerk@doverma.org

Dracut Dracut Town ClerkTown Hall62 Arlington Street, Room 4Dracut, MA 01826-3953Fax: (978) 452-7924 Email: townclerk@dracut-ma.us

Dudley Dudley Town ClerkTown Hall71 West Main Street Suite 207Dudley, MA 01571-3329Fax: (508) 949-7115 Email: oraf@dudleyma.gov

Dunstable Dunstable Town ClerkTown Hall511 Main StreetDunstable, MA 01827-1313Fax: (978) 649-4371 Email: CSkerrett@dunstable-ma.gov

Duxbury Duxbury Town ClerkTown Hall878 Tremont StreetDuxbury, MA 02332-4455Fax: (781) 934-1133Email: oates@town.duxbury.ma.us

East Bridgewater East Bridgewater Town ClerkTown Hall175 Central StreetPO Box 387East Bridgewater, MA 02333-0387Fax: (508) 378-1638 Email: mweidenfeller@ebmass.com

East Brookfield East Brookfield Town ClerkTown Hall122 Connie Mack DrivePO Box 568East Brookfield, MA 01515-2457Fax: (508) 867-4190 Email: townclerk@eastbrookfieldma.us

East Longmeadow East Longmeadow Town ClerkTown Hall60 Center SquareEast Longmeadow, MA 01028-2589Fax: (413) 525-0022 Email: tflorence@eastlongmeadowma.gov

Eastham Eastham Town ClerkTown Hall2500 State HighwayEastham, MA 02642-1470Fax: (508) 240-5918 Email: townclerk@eastham-ma.gov

Easthampton Easthampton Town ClerkTown Hall50 Payson Avenue, Suite 100Easthampton, MA 01027-1462Fax: (413) 529-1417 Email: cityclerk@easthampton.org

Easton Easton Town ClerkTown Hall136 Elm StreetNorth Easton, MA 02356-8238Fax: (508) 230-0539 Email: jgillis@easton.ma.us

Edgartown Edgartown Town ClerkTown Hall70 Main StreetPO Box 35Edgartown, MA 02539Fax: (508) 627-6119Email: wwilliams@edgartown-ma.us

Egremont Egremont Town ClerkTown Hall171 Egremont Plain RoadPO Box 368Egremont, MA 01258-9717Fax: (413) 528-5465 Email: tegremont@yahoo.com

Erving Erving Town ClerkTown Hall12 East Main StreetErving, MA 01344-1235Fax: (413) 422-2808 Email: r.newton@umassp.edu

Essex Essex Town ClerkTown Hall30 Martin StreetEssex, MA 01929-3694Fax: (978) 768-2505 Email: CWRIGHT@ESSEXMA.ORG

Everett Everett City ClerkCity Hall484 Broadway, Room 10Everett, MA 02149-2332Fax: (617) 389-0764 Email: michael.matarazzo@ci.everett.ma.us

Fairhaven Fairhaven Town ClerkTown Hall40 Center StreetFairhaven, MA 02719-7700Fax: (508) 979-4079 Email: elowney@fairhaven-ma.gov

Fall River Fall River Election CommissionerCity HallOne Government CenterFall River, MA 02722-2761Fax: (508) 324-2211 Email: lcamara@fallriverma.org

Falmouth Falmouth Town ClerkTown Hall59 Town Hall SquareFalmouth, MA 02540Fax: (508) 457-2511 Email: mpalmer@falmouthmass.us

Fitchburg Fitchburg City ClerkCity Hall718 Main StreetFitchburg, MA 01420-3155Fax: (978) 345-9595 Email: afarrell@ci.fitchburg.ma.us

Florida Florida Town ClerkTown Hall379 Mohawk TrailDrury, MA 01343-9606Fax: (413) 664-8640 Email: elections@sec.state.ma.us

Foxborough Foxborough Town ClerkTown Hall40 South StreetFoxborough, MA 02035-2397Fax: (508) 543-6278 Email: bcutler@mail.town.foxborough.ma.us

Framingham Framingham Town ClerkTown Hall150 Concord StreetFramingham, MA 01702-8306Fax: (508) 628-1358 Email: valerie.mulvey@framinghamma.gov

Franklin Franklin Town ClerkTown Hall355 East Central StreetFranklin, MA 02038-1352Fax: (508) 520-4923Email: townclerk@franklin.ma.us

Freetown Freetown Town ClerkTown Office Building3 North Main StreetPO Box 438Assonet, MA 02702-1117Fax: (508) 644-9826 Email: townclerk@freetownma.gov

Gardner Gardner City ClerkCity Hall95 Pleasant StreetGardner, MA 01440-2630Fax: (978) 630-2589 Email: aagnelli@gardner-ma.gov

Georgetown Georgetown Town ClerkTown HallOne Library StreetGeorgetown, MA 01833-2058Fax: (978) 352-5725 Email: jmcgrane@georgetownma.gov

Gill Gill Town ClerkTown Hall325 Main RoadGill, MA 01354-9758Fax: (413) 863-7775Email: townclerk@gillmass.org

Gloucester Gloucester City ClerkCity Hall9 Dale AvenueGloucester, MA 01930-3009Fax: (978) 281-3081Email: mgiambanco@gloucester-ma.gov

Goshen Goshen Town ClerkTown Hall42 Main StreetPO Box 124Goshen, MA 01032-9610Fax: 1(413) 268-8237 Email: d.polwrek@egoshen.com

Gosnold Gosnold Town ClerkTown Hall28 Tower Hill RoadPO Box 28Cuttyhunk, MA 02713Fax: (508) 990-3318 Email: gosnoldtownclerk@yahoo.com

Grafton Grafton Town ClerkTown Hall30 Providence RoadGrafton, MA 01519-1511Fax: (508) 839-4602 Email: clarkm@grafton-ma.gov

Granby Granby Town ClerkTown Hall Annex215B West State StreetGranby, MA 01033Fax: (413) 467-3101 Email: Kathykr@granbyma.org

Granville Granville Town ClerkTown Hall707 Main RoadPO Box 247Granville, MA 01034Fax: (413) 357-6002 Email: townclerk@townofgranville.org

Great Barrington Great Barrington Town ClerkTown Hall334 Main StreetGreat Barrington, MA 01230-1845Fax: (413) 528-2290 Email: mryan@townofgb.org

Greenfield Greenfield Town ClerkTown Hall14 Court SquareGreenfield, MA 01301-3547Fax: (413) 772-1542 Email: townclerk@greenfield-ma.gov

Groton Groton Town ClerkTown Hall173 Main StreetGroton, MA 01450-4231Fax: (978) 448-2030 Email: mbouchard@townofgroton.org

Groveland Groveland Town ClerkTown Hall183 Main StreetGroveland, MA 01834-1377Fax: (978) 469-5006 Email: abrodie@grovelandma.com

Hadley Hadley Town ClerkTown Hall100 Middle StreetHadley, MA 01035-9429Fax: (413) 586-5661 Email: clerk@hadleyma.org

Halifax Halifax Town ClerkTown Hall499 Plymouth StreetHalifax, MA 02338-1377Fax: (781) 294-7684 Email: bgaynor@town.halifax.ma.us

Hamilton Hamilton Town ClerkTown Hall577 Bay RoadPO Box 429Hamilton, MA 01936-9429Fax: (978) 468-2682 Email: jwetson@hamiltonma.gov

Hampden Hampden Town ClerkTown Hall625 Main StreetPO Box 215Hampden, MA 01036-1338Fax: (413) 566-3513 Email: townclerk@hampden.org

Hancock Hancock Town ClerkTown Hall3650 Hancock RoadPO Box 1097Hancock, MA 01237-1032Fax: (413) 738-5310 Email: hantclb1@aol.com

Hanover Hanover Town ClerkTown Hall550 Hanover Street, Suite 10Hanover, MA 02339-9000Fax: (781) 826-5239 Email: clerk@hanover-ma.gov

Hanson Hanson Town ClerkTown Hall542 Liberty StreetHanson, MA 02341-1627Fax: (781) 294-0884 Email: bsloan@hanson-ma.gov

Hardwick Hardwick Town ClerkTown Hall307 Main StreetPO Box 575Gilbertville, MA 01031-2242Fax: (413) 477-6703 Email: clerk@townofhardwick.com

Harvard Harvard Town ClerkTown Hall13 Ayer RoadHarvard, MA 01451-1627Fax: (978) 456-4113 Email: jvellante@harvard.ma.us

Harwich Harwich Town ClerkTown Hall732 Main StreetHarwich, MA 02645-2717Fax: (508) 430-7517Email: adoucette@town.harwich.ma.us

Hatfield Hatfield Town ClerkMemorial Town Hall59 Main StreetHatfield, MA 01038-1411Fax: (413) 247-5029 Email: lslysz@townofhatfield.org

Massach

usetts

Haverhill Haverhill City ClerkCity Hall4 Summer Street, Room 118Haverhill, MA 01830-2717Fax: (978) 373-8490 Email: mtoomey@cityofhaverhill.com

Hawley Hawley Town ClerkTown Hall8 Pudding Hollow RoadHawley, MA 01339-9702Fax: (413) 339-4959 Email: hawleytownclerk@hughes.net

Heath Heath Town ClerkTown HallOne East Main StreetHeath, MA 01346-6559Fax: (413) 337-8540Email: townclerk@townofheath.org

Hingham Hingham Town ClerkTown Hall210 Central StreetHingham, MA 02043-9621Fax: (781) 740-0239 Email: townclerk@hingham-ma.com

Hinsdale Hinsdale Town ClerkTown Hall39 South StreetPO Box 803Hinsdale, MA 01235-9706Fax: (413) 655-8807 Email: frissell1@msn.com

Holbrook Holbrook Town ClerkTown Hall50 North Franklin StreetHolbrook, MA 02343-1560Fax: (781) 767-9054Email: town_clerk@holbrookmassachusetts.us

Holden Holden Town ClerkTown Hall1196 Main StreetHolden, MA 01520-1016Fax: (508) 829-0281 Email: cjenkins@townofholden.net

Holland Holland Town ClerkTown Hall,27 Sturbridge RoadHolland, MA 01521-3151Fax: (413) 245-7037 Email: hollandtownclerk@gmail.com

Holliston Holliston Town ClerkTown Hall703 Washington StreetHolliston, MA 01746-2168Fax: (508) 429-0642Email: greendalee@holliston.k12.ma.us

Holyoke Holyoke City ClerkCity Hall536 Dwight StreetHolyoke, MA 01040-5019Fax: (413) 322-5521Email: meads@ci.holyoke.ma.us

Hopedale Hopedale Town ClerkTown Hall78 Hopedale StreetPO Box 7Hopedale, MA 01747-1716Fax: (508) 634-2200 Email: jjacaruso.hopedale@cast.net

Hopkinton Hopkinton Town ClerkTown Hall18 Main StreetHopkinton, MA 01748-1212Fax: (508) 497-9786Email: annc@hopkinton.org

Hubbardston Hubbardston Town ClerkTown Hall7 Main StreetPO Box HHubbardston, MA 01452-1437Fax: (978) 928-1402 Email: tclerk@hubbardstonma.us

Hudson Hudson Town ClerkTown Hall78 Main StreetHudson, MA 01749-2134Fax: (978) 562-8(508) Email: jwordell@townofhudson.org

Hull Hull Town ClerkTown Hall253 Atlantic AvenueHull, MA 02045-3215Fax: (781) 925-0224 Email: jbennett@town.hull.ma.us

Huntington Huntington Town ClerkTown Hall24 Russell RoadPO Box 523 Huntington, MA 01050-9776Fax: (413) 667-3507 Email: huntingtonclerk@comcast.net

Ipswich Ipswich Town ClerkTown Hall25 Green StreetIpswich, MA 01938-2229Fax: (978) 356-6021Email: pamc@ipswich-ma.gov

Kingston Kingston Town ClerkTown Hall26 Evergreen StreetKingston, MA 02364-1426Fax: (781) 585-0542 Email: mlmurzyn@kingstonmass.org

Lakeville Lakeville Town ClerkTown Hall346 Bedford StreetLakeville, MA 02347-2150Fax: (508) 946-3970 Email: town.clerk@lakevillema.org

Lancaster Lancaster Town ClerkTown Hall695 Main Street, Suite 2Lancaster, MA 01523-2245Fax: (978) 368-4011Email: sthompson@lancasterma.net

Lanesborough Lanesborough Town ClerkTown Hall83 North Main StreetPO Box 1492Lanesborough, MA 01237-1517Fax: (413) 443-5811 Email: tcmum@verizon.net

Lawrence Lawrence Elections CommissionCity Hall200 Common StreetLawrence, MA 01840-1612Fax: (978) 794-1354 Email: rtejada@cityoflawrence.com

Lee Lee Town ClerkTown Hall32 Main StreetLee, MA 01238-1333Fax: (413) 243-5507Email: sscarpa@town.lee.ma.us

Leicester Leicester Town ClerkTown HallThree Washburn SquareLeicester, MA 01524-1333Fax: (508) 892-7070 Email: hartnettp@leicesterma.org

Lenox Lenox Town ClerkTown Hall6 Walker StreetLenox, MA 01240-2741Fax: (413) 637-5518Email: clerktreas@townoflenox.com

Leominister Leominister City ClerkCity Hall25 West StreetLeominster, MA 01453Fax: (978) 534-7546 Email: lbouchard@leominster-ma.gov

Leverett Leverett Town ClerkTown Hall9 Montague RoadPO Box 300Leverett, MA 01054-9737Fax: (413) 548-9150 Email: townclerk@leverett.ma.us

Lexington Lexington Town ClerkTown Hall1625 Massachusetts AvenueLexington, MA 02420-3801Fax: (781) 861-2754 Email: townclerk@lexingtonma.gov

Leyden Leyden Town ClerkTown Hall16 West Leyden RoadLeyden, MA 01337-9737Fax: (413) 772-0146Email: leydenselectmen@live.com

Lincoln Lincoln Town ClerkTown Hall16 Lincoln RoadPO Box 6353Lincoln, MA 01773-2009Fax: (781) 259-1677Email: brookss@lincoltown.org

Littleton Littleton Town ClerkTown Hall37 Shattuck StreetPO Box 1305Littleton, MA 01460-1263Fax: (978) 952-2321 Email: crory@littletonma.org

Longmeadow Longmeadow Town ClerkTown Hall20 Williams StreetLongmeadow, MA 01106Fax: (413) 565-4130Email: kingram@longmeadow.org

Lowell Lowell Elections CommissionCity Hall375 Merrimack Street Room 5Lowell, MA 01852-1950Fax: (978) 970-4162 Email: gcenik@lowellma.gov

Ludlow Ludlow Town ClerkTown Hall488 Chapin StreetLudlow, MA 01056-5909Fax: (413) 583-5603 Email: clerk@ludlow.ma.us

Lunenburg Lunenburg Town ClerkTown Hall17 Main StreetPO Box 135Lunenburg, MA 01462-1248Fax: (978) 582-4148 Email: kherrick@lunenburgonline.com

Lynn Lynn City ClerkCity Hall3 City Hall Square, Room 201Lynn, MA 01901-1019Fax: (781) 477-7032 Email: maudley@ci.lynn.ma.us

Lynnfield Lynnfield Town ClerkTown Hall55 Summer StreetLynnfield, MA 01940-1823Fax: (781) 334-9469 Email: asummers@town.lynnfield.ma.us

Malden Malden City ClerkCity Hall200 Pleasant StreetMalden, MA 02148-4802Fax: (781) 388-0610 Email: kanderson@cityofmalden.org

Manchester-by-the-Sea Manchester-by-the-Sea Town ClerkTown Hall10 Central StreetManchester-by-the-Sea, MA 01944-1308Fax: (978) 526-2001 Email: samolchukd@manchester.ma.us

Mansfield Mansfield Town ClerkTown Hall6 Park RowMansfield, MA 02048-2433Fax: (508) 261-1083 Email: Kludwig@mansfieldma.com

Marblehead Marblehead Town ClerkTown Hall188 Washington StreetMarblehead, MA 01945-3341Fax: (781) 631-0561 Email: townclerk@marblehead.org

Marion Marion Town ClerkTown Hall2 Spring StreetMarion, MA 02738-1519Fax: (508) 748-9983 Email: mbissonnette@marionma.gov

Marlborough Marlborough City ClerkCity Hall140 Main StreetMarlborough, MA 01752-3812Fax: (508) 624-3723 Email: lthomas@marlborough-ma.gov

Marshfield Marshfield Town ClerkTown Hall870 Moraine StreetMarshfield, MA 02050-3498Fax: (781) 834-6289 Email: ppicco@townofmarshfield.com

Mashpee Mashpee Town ClerkTown Hall16 Great Neck Road NorthMashpee, MA 02649-2528Fax: (508) 539-1428Email: ddami@mashpeema.gov

Mattapoisett Mattapoisett Town ClerkTown Hall16 Main StreetPO Box 89Mattapoisett, MA 02739-2613Fax: (508) 758-3030 Email: bsullivan@mattapoisett.net

Maynard Maynard Town ClerkTown Hall195 Main StreetMaynard, MA 01754-2509Fax: (978) 897-8553 Email: msokolowski@townofmaynard.net

Medfield Medfield Town ClerkTown Hall459 Main StreetMedfield, MA 02052-2009Fax: (508) 359-6182 Email: cmayer@medfield.net

Medford Medford Board of RegistrarsCity Hall85 George P. Hassett Drive, Room 102Medford, MA 02155-3256Fax: (781) 393-1895 Email: efinn@medford.org

Medway Medway Town ClerkTown Hall155 Village StreetMedway, MA 02053-1147Fax: (508) 533-3201 Email: mwhite@townofmedway.org

Melrose Melrose Board of RegistrarsCity Hall562 Main StreetPO Box CMelrose, MA 02176-3142Fax: (781) 979-4149 Email: langiolillo@cityofmelrose.org

Mendon Mendon Town ClerkTown Hall20 Main StreetPO Box 54Mendon, MA 01756-1130Fax: (508) 478-8241Email: townclerk@mendonma.net

Massach

usetts

Merrimac Merrimac Town ClerkTown Hall2 School StreetMerrimac, MA 01860-1915Fax: (978) 346-7832 Email: townclerk@townofmerrimac.com

Methuen Methuen Town ClerkTown Hall41 Pleasant Street, Room 112Methuen, MA 01844-3179Fax: (978) 983-8977Email: ctouma-conway@ci.methuen.ma.us

Middleborough Middleborough Town ClerkTown Hall20 Centre Street, 1st FloorMiddleborough, MA 02346-2270Fax: (508) 946-2308Email: aferreira@middleborough.com

Middlefield Middlefield Town ClerkTown Hall188 Skyline TrailPO Box 265Middlefield, MA 01243-9800Fax: (413) 623-6108 Email: TownClerk@middlefieldma.us

Middleton Middleton Town ClerkTown Hall48 South Main StreetMiddleton, MA 01949-2253Fax: (978) (774) 6167Email: townclerk@townof middleton.org

Milford Milford Town ClerkTown Hall52 Main StreetMilford, MA 01757-2611Fax:(508) 634-2324 Email: aneves@townmilford.com

Millbury Millbury Town ClerkTown Hall127 Elm StreetMillbury, MA 01527-2632Fax: (508) 865-0857 Email: jdavolio@townofmillbury.net

Millis Millis Town ClerkTown Hall900 Main StreetMillis, MA 02054-1512Fax: (508) 376-7055 Email: lhardin@millis.net

Millville Millville Town ClerkTown Hall8 Central StreetPO Box 703Millville, MA 01529-1750Fax: (508) 883-2994 Email: townclerk@millvillema.org

Milton Milton Town ClerkTown Hall525 Canton AvenueMilton, MA 02186-3240Fax: (617) 696-6995 Email: jmullen@townofmilton.org

Monroe Monroe Town ClerkTown Hall3-C School StreetPO Box 59Monroe, MA 01350-9600Fax: (413) 424-7570Email: monroe01350@yahoo.com

Monson Monson Town ClerkTown Hall110 Main Street, Suite 4Monson, MA 01057-1348Fax: (413) 267-3726Email: townclerk@monson-ma.gov

Montague Montague Town ClerkTown HallOne Avenue ATurners Falls, MA 01376-1128Fax: (413) 863-3224Email: townclerk@montague-ma.gov

Monterey Monterey Town ClerkTown Hall435 Main RoadPO Box 277Monterey, MA 01245Fax: (413) 528-9452 Email: montclerks@verizon.net

Montgomery Montgomery Town ClerkTown Hall58 North RoadMontgomery, MA 01085-9536Fax: (413) 862-3204 Email: elections@sec.state.ma.us

Mount Washington Mount Washington Town ClerkTown Hall118 East StreetMount Washington, MA 01258-9710Fax: (413) 528-2839 Email: gailgarrett@townofmtwashington.com

Nahant Nahant Town ClerkTown Hall334 Nahant RoadNahant, MA 01908-1469Fax: (781) 593-0340 Email: mbarile@nahant.org

Nantucket Nantucket Town ClerkTown Hall16 Broad StreetNantucket, MA 02554-3500Fax: (508) 325-5313Email: townclerk@nantucket-ma.gov

Natick Natick Town ClerkTown Hall13 East Central StreetNatick, MA 01760-4629Fax: (508) 655-6715Email: dblatz@natickma.org

Needham Needham Town ClerkTown Hall1471 Highland AvenueNeedham, MA 02492-2605Fax: (781) 449-1246Email: Teaton@needhamma.gov

New Ashford New Ashford Town ClerkTown Hall188 Mallery RoadNew Ashford, MA 01237-9611Fax: (413) 458-5461 Email: elections@sec.state.ma.us

New Bedford New Bedford Elections CommissionCity Hall133 Williams Street, Room 118New Bedford, MA 02740-6132Fax: (508) 991-6225Email: maria.tomasia@newbedford-ma.gov

New Braintree New Braintree Town ClerkTown Hall20 Memorial Drive, Room 5New Braintree, MA 01531Fax: (508) 867-6316 Email: townclerk@newbraintree.org

New Marlborough New Marlborough Town ClerkTown Hall807 Mill River South Field RoadPO Box 99Mill River, MA 01244Fax: (413) 229-6674 Email: nmtownclerk@yahoo.com

New Salem New Salem Town Clerk24 South Main StreetNew Salem, MA 01355-9713Email: nmtownclerk@yahoo.com

Newbury Newbury Town ClerkTown Hall25 High RoadNewbury, MA 01951-1236Fax: (978) 465-3064 Email: townclerk@townofnewbury.org

Newburyport Newburyport City ClerkCity Hall60 Pleasant StreetPO Box 550Newburyport, MA 01950-2627Fax: (978) 462-7936 Email: rjones@cityofnewburyport.com

Newton Newton Elections CommissionCity Hall1000 Commonwealth AvenueNewton, MA 02459-1449Fax: (617) 796-1214 Email: dolson@newtonma.gov

Norfolk Norfolk Town ClerkTown HallOne Liberty LaneNorfolk, MA 02056-1499Fax: (508) 541-3363 Email: sdooley@virtualnorfolk.org

North Adams North Adams City ClerkCity Hall10 Main StreetRoom 109North Adams, MA 01247-3419Fax: (413) 662-3050Email: city_clerk@northadams-ma.gov

North Andover North Andover Town ClerkTown Hall120 Main StreetNorth Andover, MA 01845-2420Fax: (978) 688-9557 Email: jbradshaw@townofnorthandover.com

North Attleborough North Attleborough Elections CommissionTown Hall43 South Washington StreetNorth Attleborough, MA 02760Fax: (508) 699-2354 Email: boardofelections@north-attleboro.ma.us

North Brookfield North Brookfield Town ClerkTown Hall215 North Main StreetNorth Brookfield, MA 01535-1938Fax: (508) 867-0217Email: clerk@northbrookfield.net

North Reading North Reading Town ClerkTown Hall235 North StreetNorth Reading, MA 01864-1258Fax: (978) 664-4196 Email: bstats@northreadingma.gov

Northampton Northampton City ClerkCity Hall210 Main Street Room 4Northampton, MA 01060-3196Fax: (413) 587-1220Email: cclerk@northamptonma.gov

Northborough Northborough Town ClerkTown Hall63 Main StreetNorthborough, MA 01532-1943Fax: (508) 393-6996 Email: adowd@town.northborough.ma.us

Northbridge Northbridge Town ClerkTown Hall7 Main StreetWhitinsville, MA 01588-2210Fax: (508) 234-0813 Email: dcedrone@northbridgemass.org

Northfield Northfield Town ClerkTown Hall69 Main StreetNorthfield, MA 01360-1017Fax: (413) 498-5103 Email: gzukowski@townnfld.com

Norton Norton Town ClerkTown Hall70 East Main StreetNorton, MA 02766-2310Fax: (508) 285-0297 Email: townclerk@nortonmaus.com

Norwell Norwell Town ClerkTown Hall345 Main StreetPO Box 295Norwell, MA 02061-2449Fax: (781) 659-8073Email: panderson@townofnorwell.net

Norwood Norwood Town ClerkTown Hall566 Washington StreetNorwood, MA 02062-2203Fax: (781) 278-3018Email: mfolan@norwoodma.gov

Oak Bluffs Oak Bluffs Town ClerkTown Hall56 School StreetPO Box 2490Oak Bluffs, MA 02557-2990Fax: (508) 693-5124Email: dratcliff@oakbluffsma.gov

Oakham Oakham Town ClerkTown HallTwo Coldbrook Road, Unit 4PO Box 222Oakham, MA 01068-0222Fax: (508) 882-3060Email: christine.mardirosian@oakham-ma.gov

Orange Orange Town ClerkTown Hall6 Prospect StreetOrange, MA 01364-1133Fax: (978) 544-1134Email: townclerk@townoforange.org

Orleans Orleans Town ClerkTown Hall19 School RoadOrleans, MA 02653-2309Fax: (508) 240-3388Email: cmay@town.orleans.ma.us

Otis Otis Town ClerkTown Hall1 North Main RoadPO Box 237Otis, MA 01253-9800Fax: (413) 269-0111Email: tclerk.otis@verizon.net

Oxford Oxford Town ClerkTown Hall325 Main StreetOxford, MA 01540-1774Fax: (508) 987-1804Email: lkelley@town.oxford.ma.us

Palmer Palmer Town ClerkTown Hall4417 Main StreetPalmer, MA 01069-6901Fax: (413) 283-2637Email: townclerk@townofpalmer.com

Paxton Paxton Town ClerkTown Hall697 Pleasant StreetPaxton, MA 01612-1026Fax: (508) 797-0966Email: sstone@townofpaxton.net

Peabody Peabody City ClerkCity Hall24 Lowell StreetPeabody, MA 01960-5449Fax: (978) 538-5985Email: tim.spanos@peabody-ma.gov

Pelham Pelham Town ClerkTown Hall351 Amherst RoadPelham, MA 01002-9714Fax: (413) 256-1061Email: pelhamtownclerk@comcast.net

Massach

usetts

Pembroke Pembroke Town ClerkTown Hall100 Center StreetPembroke, MA 02359-2207Fax: (781) 709-1456Email: msmith@townofpembrokemass.org

Pepperell Pepperell Town ClerkTown HallOne Main StreetPepperell, MA 01463-9755Fax: (978) 433-0338Email: jsauer@town.pepperell.ma.us

Peru Peru Town ClerkTown Hall3 West Main RoadPO Box 1175Peru, MA 01235-9736Fax: (413) 655-2759Email: townclerk@townofperuma.com

Petersham Petersham Town ClerkTown Hall3 South Main StreetPO Box 486Petersham, MA 01366-6250Fax: (978) 724-3501Email: petershamtownclerk@verizon.net

Phillipston Phillipston Town ClerkTown Hall50 On The CommonPhillipston, MA 01331-9736Fax: (978) 249-1733Email: townclerk@phillipston-ma.gov

Pittsfield Pittsfield Board of RegistrarsCity Hall70 Allen Street Pittsfield, MA 01201-1917Fax: (413) 499-9463Email: ltyer@pittsfieldch.com

Plainfield Plainfield Town ClerkTown Hall304 Main StreetPlainfield, MA 01070-3325Fax: (413) 634-5582Email: thatcher@bcn.net

Plainville Plainville Town ClerkTown Hall142 South StreetPO Box 1717Plainville, MA 02762-1123Fax: (508) 695-1857Email: erobertson@plainville.ma.us

Plymouth Plymouth Town ClerkTown Hall11 Lincoln StreetPlymouth, MA 02360-1129Fax: (508) 830-4062Email: lpizer@townhall.plymouth.ma.us

Plympton Plympton Town ClerkTown Hall5 Palmer RoadPlympton, MA 02367-2213Fax: (781) 582-1505Email: town_clerk@town.plympton.ma.us

Princeton Princeton Town ClerkTown Hall6 Town Hall DrivePrinceton, MA 01541-5119Fax: (978) 464-2106Email: townclerk@town.princeton.ma.us

Provincetown Provincetown Town ClerkTown Hall260 Commercial StreetProvincetown, MA 02657-2213Fax: (508) 487-9560Email: townclerk@provincetown-ma.gov

Quincy Quincy City ClerkCity Hall1305 Hancock StreetQuincy, MA 02169-5119Fax: (617) 376-1139Email: ncrispo@quincyma.gov

Randolph Randolph Town ClerkTown Hall41 South Main StreetRandolph, MA 02368-4839Fax: (781) 961-0919Email: bhoward@randolph-ma.gov

Raynham Raynham Town ClerkTown Hall558 South Main StreetRaynham, MA 02767-5332Fax: (508) 823-1812Email: hlounsbury@town.raynham.ma.us

Reading Reading Town ClerkTown Hall16 Lowell StreetReading, MA 01867-2601Fax: (781) 942-9070Email: lgemme@ci.reading.ma.us

Rehoboth Rehoboth Town ClerkTown Hall148R Peck StreetRehoboth, MA 02769-3009Fax: (508) 252-5342Email: kconti@town.rehoboth.ma.us

Revere Revere Election CommissionCity Hall281 BroadwayRevere, MA 02151-5027Fax: (781) 286-8206Email: dcolella@revere.org

Richmond Richmond Town ClerkTown Hall1529 State RoadPO Box 81Richmond, MA 01254-5094Fax: (413) 698-3272Email: clerk@richmondma.org

Rochester Rochester Town ClerkTown Hall1 Constitution WayRochester, MA 02770-2029Fax: (508) 763-4892Email: elections@sec.state.ma.us

Rockland Rockland Town ClerkTown Hall242 Union StreetRockland, MA 02370-1804Fax: (781) 871-0386Email: clerk@rockland-ma.gov

Rockport Rockport Town ClerkTown Hall34 BroadwayPO Box 429Rockport, MA 01966-1537Fax: (978) 546-3562Email: fredfrithsen@town.rockport.ma.us

Rowe Rowe Town ClerkTown Hall321 Zoar RoadPO Box 308Rowe, MA 01367-9728Fax: (413) 339-5316Email: townclerk@rowe-ma.gov

Rowley Rowley Town ClerkTown Hall139 Main StreetPO Box 351Rowley, MA 01969-1811Fax: (978) 948-2162Email: townclerk@townofrowley.org

Royalston Royalston Town ClerkWhitney Hall-On the CommonPO Box 127Royalston, MA 01368Fax: (978) 575-0748Email: townclerk@royalston-ma.gov

Russell Russell Town ClerkTown Hall65 Main StreetRussell, MA 01071Fax: (413) 862-3103Email: elections@sec.state.ma.us

Rutland Rutland Town ClerkTown Hall250 Main StreetPO Box 408Rutland, MA 01543-1300Fax: (508) 886-2929Email: sallyh@townofrutland.org

Salem Salem City ClerkCity Hall93 Washington StreetSalem, MA 01970-3527Fax: (978) 740-0981Email: clapointe@salem.com

Salisbury Salisbury Town ClerkTown Hall5 Beach RoadSalisbury, MA 01952-2006Fax: (978) 462-4176Email: townclerk@salisburyma.gov

Sandisfield Sandisfield Town ClerkTown Hall3 Silverbrook RoadPO Box 163Sandisfield, MA 01255-9770Fax: (413) 258-4225Email: sandisfieldtownclerk@verizon.net

Sandwich Sandwich Town ClerkTown Hall145 Main StreetSandwich, MA 02563-2280Fax: (508) 888-2497Email: twhite@townofsandwich.net

Saugus Saugus Town ClerkTown Hall298 Central StreetSaugus, MA 01906-2152Fax: (781) 231-4109Email: jrappa@saugus-ma.gov

Savoy Savoy Town ClerkTown Hall720 Main RoadSavoy, MA 01256-9387Fax: (413) 743-4292Email: townofsavoy@verizon.net

Scituate Scituate Town ClerkTown Hall600 Chief Justice Cushing WayScituate, MA 02066-3229Fax: (781) 545-8704Email: townclerk@town.scituate.ma.us

Seekonk Seekonk Town ClerkTown Hall100 Peck StreetSeekonk, MA 02771-5116Fax: (508) 336-0764Email: jparker@seekonk-ma.gov

Sharon Sharon Town ClerkTown Hall90 South Main StreetSharon, MA 02067-1954Fax: (781) 784-1503Email: mchused@townofsharon.org

Sheffield Sheffield Town ClerkTown Hall21 Depot SquarePO Box 175Sheffield, MA 01257-0175Fax: (413) 229-7010Email: fjoyce@sheffieldma.gov

Shelburne Shelburne Town ClerkTown Hall51 Bridge StreetShelburne Falls, MA 01370-1102Fax: (413) 625-0312Email: townclerk@townofshelburne.com

Sherborn Sherborn Town ClerkTown Hall19 Washington StreetSherborn, MA 01770-1026Fax: (508) 651-0407Email: Carole.Marple@sherbornma.org

Shirley Shirley Town ClerkTown Hall7 Keady WayShirley, MA 01464-2630Fax: (978) 425-2681Email: amcdougall@shirley-ma.gov

Shrewsbury Shrewsbury Town ClerkTown Hall100 Maple AvenueShrewsbury, MA 01545-5338Fax: (508) 842-0587Email: swright@th.ci.shrewsbury.ma.us

Shutesbury Shutesbury Town ClerkTown Hall1 Cooleyville RoadPO Box 264Shutesbury, MA 01072-9766Fax: (413) 259-1107Email: townclerk@shutesbury.org

Somerset Somerset Town ClerkTown Hall140 Wood StreetSomerset, MA 02726-5225Fax: (508) 646-2802Email: dberge@town.somerset.ma.us

Somerville Somerville Elections CommissionCity Hall93 Highland AvenueSomerville, MA 02143-1702Fax: (617) 625-4239Email: nsalerno@somervillema.gov

South Hadley South Hadley Town ClerkTown Hall116 Main Street, Room 108South Hadley, MA 01075-2833Fax: (413) 538-7565Email: chamlin@southhadley.ma.gov

Southampton Southampton Town ClerkTown Hall8 East StreetPO Box 276Southampton, MA 01073-9266Fax: (413) 529-1006Email: townclerk@southampton.ma.us

Southborough Southborough Town ClerkTown Hall17 Common StreetSouthborough, MA 01772-1691Fax: (508) 480-0161Email: townclerk@southboroughma.com

Southbridge Southbridge Town ClerkTown Hall41 Elm StreetSouthbridge, MA 01550-2645Fax: (508) 764-2309Email: mdaoust@southbridgemass.org

Massach

usetts

Southwick Southwick Town ClerkTown Hall454 College HighwaySouthwick, MA 01077-9267Fax: (413) 569-0667Email: treasurer@southwick.ma.net

Spencer Spencer Town ClerkTown Hall157 Main StreetSpencer, MA 01562-2123Fax: (508) 885-7528Email: jmulhall@spencerma.gov

Springfield Springfield Elections CommissionCity Hall36 Court StreetSpringfield, MA 01103-1699Fax: (413) 787-6502Email: goyola@springfieldcityhall.com

Sterling Sterling Town ClerkTown Hall1 Park Street, Room 113Sterling, MA 01564-2132Fax: (978) 422-0289Email: TownClerk@town.sterling.ma.us

Stockbridge Stockbridge Town ClerkTown Hall50 Main StreetPO Box 417Stockbridge, MA 01262-9701Fax:(413) 298-4344Email: clerk@townofstockbridge.com

Stoneham Stoneham Town ClerkTown Hall35 Central StreetStoneham, MA 02180-2055Fax: (781) 279-2653Email: msagarino@ci.stoneham.ma.us

Stoughton Stoughton Town ClerkTown Hall10 Pearl StreetStoughhton, MA 02072-2364Fax: (781) 232-9295Email: cmooney@stoughton-ma.gov

Stow Stow Town ClerkTown Hall380 Great RoadStow, MA 01775-1122Fax: (978) 897-4534Email: townclerk@stow-ma.gov

Sturbridge Sturbridge Town ClerkTown Hall308 Main StreetSturbridge, MA 01566-1006Fax: (508) 347-5886Email: lmurawski@town.sturbridge.ma.us

Sudbury Sudbury Town ClerkTown Hall322 Concord RoadSudbury, MA 01776-1819Fax: (978) 443-0264Email: clerk@sudbury.ma.us

Sunderland Sunderland Town ClerkTown Offices12 School StreetSunderland, MA 01375-9503Fax: (413) 665-1446Email: townclerk@townofsunderland.us

Sutton Sutton Town ClerkTown Hall4 Uxbridge RoadSutton, MA 01590-1702Fax: (508) 865-8721Email: l.rodgers@town.sutton.ma.us

Swampscott Swampscott Elections CommissionTown Hall22 Monument AvenueSwampscott, MA 01907-1197Fax: (781) 596-8870Email: sduplin@town.swampscott.ma.us

Swansea Swansea Town ClerkTown Hall81 Main StreetSwansa, MA 02777-4616Fax: (508) 324-6700Email: swanseatownclerk@yahoo.com

Taunton Taunton City ClerkCIty Hall15 Summer StreetTaunton, MA 02780-3430Fax: (508) 821-1098 Email: cityclerk@tmlp.net

Templeton Templeton Town ClerkTown Hall4 Elm StreetBaldwinville, MA 01436-1225Fax: (978) 939-8327 Email: charris@templeton1.org

Tewksbury Tewksbury Town ClerkTown Hall1009 Main StreetTewksbury, MA 01876-4737Fax: (978) 851-8610Email: townclerk@tewksbury-ma.gov

Tisbury Tisbury Town ClerkTown Hall51 Spring StreetPO Box 606Vineyard Haven, MA 02568-5501Fax: (508) 693-5876Email: mmudge@tisburyma.gov

Tolland Tolland Town ClerkTown Hall241 West Granville RoadTolland, MA 01034-9543Fax: (413) 258-4048 Email: townclerktolland@earthlink.net

Topsfield Topsfield Town ClerkTown Hall8 West Common StreetTopsfield, MA 01983-1427Fax: (978) 887-1502 Email: pburke@topsfield-ma.gov

Townsend Townsend Town ClerkTown Hall272 Main StreetTownsend, MA 01469-1074Fax: (978) 597-8135 Email: clerk@townsend.ma.us

Truro Truro Town ClerkTown Hall24 Town Hall RoadPO Box 2012Truro, MA 02666-2012Fax: (508) 349-5505 Email: caslade@truro-ma.gov

Tyngsborough Tyngsborough Town ClerkTown Hall25 Bryants LaneTyngsborough, MA 01879-1042Fax: (978) 649-2320 Email: jshifres@tyngsboroughma.gov

Tyringham Tyringham Town ClerkTown Hall116 Main RoadPO Box 271Tyringham, MA 01264-9700Fax: (413) 243-4942 Email: elections@sec.state.ma.us

Upton Upton Town ClerkTown Hall1 Main StreetPO Box 969Upton, MA 01568-1619Fax: (508) 529-1010 Email: kmcelreath@upton.ma.us

Uxbridge Uxbridge Town ClerkTown Hall21 South Main StreetUxbridge, MA 01569-1675Fax: (508) 278-3154 Email: kpoulin@uxbridge-ma.us

Wakefield Wakefield Town ClerkMemorial Town HallOne Lafayette StreetWakefield, MA 01880-2339Fax: (781) 246-4155 Email: mgalvine@wakefield.ma.us

Wales Wales Town ClerkTown Hall3 Hollow RoadPO Box 834Wales, MA 01081-9755Fax: (413) 245-6197 Email: townclerk@townofwales.net

Walpole Walpole Town ClerkTown Hall135 School StreetWalpole, MA 02081-2844Fax: (508) 660-7297 Email: rfucile@walpole-ma.gov

Waltham Waltham City ClerkCity Hall610 Main StreetWaltham, MA 02452-5580Fax: (781) 314-3130 Email: rmalone@city.waltham.ma.us

Ware Ware Town ClerkTown Hall126 Main Street, Suite JWare, MA 01082-1360Fax: (413) 967-9638 Email: ntalbot@townofware.com

Wareham Wareham Town ClerkTown Hall54 Marion RoadWareham, MA 02571-5580Fax: (508) 291-3116 Email: masilva@wareham.ma.us

Warren Warren Town ClerkTown Hall48 High StreetPO Box 603Warren, MA 01083-0603Fax: (413) 436-9754 Email: warrentownclerk@yahoo.com

Warwick Warwick Town ClerkTown Hall12 Athol RoadWarwick, MA 01378-9301Fax: (978) 544-6499 Email: townclerk@town.warwick.ma.us

Washington Washington Town ClerkTown Hall8 Summit Hill RoadWashington, MA 01223-9627Fax: (413) 623-2116 Email: washingtontownclerk@yahoo.com

Watertown Watertown Town ClerkTown Hall149 Main StreetWatertown, MA 02472-4410Fax: (617) 972-6595 Email: jflynn@watertown-ma.gov

Wayland Wayland Town ClerkTown Hall41 Cochituate RoadWayland, MA 01778-2604Fax: (508) 358-3627 Email: ltoombs@wayland.ma.us

Webster Webster Town ClerkTown Hall350 Main StreetWebster, MA 01570-2292Fax: (508) 949-3888 Email: bcraver@webster-ma.gov

Wellesley Wellesley Town ClerkTown Hall525 Washington StreetWellesley, MA 02482-5918Fax: (781) 237-5037 Email: knagle@wellesleyma.gov

Wellfleet Wellfleet Town ClerkTown Hall300 Main StreetWellfleet, MA 02667-7471Fax: (508) 349-0317 Email: dawn.rickman@wellfleet-ma.gov

Wendell Wendell Town ClerkTown Hall270 Wendell Depot Rd.PO Box 18Wendell Depot, MA 01380Fax: (978) 544-5187 Email: townclerk@wendellmass.us

Wenham Wenham Town ClerkTown Hall138 Main StreetWenham, MA 01984-1555Fax: (978) 468-8014 Email: treid@wenhamma.gov

West Boylston West Boylston Town ClerkTown Hall127 Hartwell StreetWest Boylston, MA 01583-1106Fax: (508) 835-4102 Email: kim.hopewell@westboylston-ma.gov

West Bridgewater West Bridgewater Town ClerkTown Hall65 North Main StreetWest Bridgewater, MA 02379-1799Fax: (508) 894-1210 Email: nmorrison@wbridgewater.com

West Brookfield West Brookfield Town ClerkTown Hall2 East Main StreetPO Box 766West Brookfield, MA 01585-2903Fax: (508) 867-1414 Email: sallen@town.west-brookfield.ma.us

West Newbury West Newbury Town ClerkTown Hall381 Main StreetWest Newbury, MA 01985-1446Fax: (978) 363-1117 Email: townclerk@wnewbury.org

West Springfield West Springfield Town ClerkTown Hall26 Central Street, Suite 8West Springfield, MA 01089-2753Fax: (413) 263-3046 Email: dfoley@west-springfield.ma.us

West Stockbridge West Stockbridge Town ClerkTown Hall21 State Line RoadPO Box 163West Stockbridge, MA 01266-0163Fax: (413) 232-7195 Email: wstnclerk@msn.com

West Tisbury West Tisbury Town ClerkTown Hall1059 State RoadPO Box 278West Tisbury, MA 02575Fax: (508) 696-0103 Email: townclerk@westtisbury-ma.gov

Westborough Westborough Town ClerkTown Hall34 West Main StreetWestborough, MA 01581-1902Fax: (508) 366-3012 Email: nyendriga@town.westborough.ma.us

Massach

usetts

Westfield Westfield City ClerkCity Hall59 Court StreetWestfield, MA 01085-3520Fax: (413) 564-3114Email: k.fanion@cityofwestfield.org

Westford Westford Town ClerkTown Hall55 Main StreetWestford, MA 01886-2551Fax: (978) 399-2555Email: townclerk@westfordma.gov

Westhampton Westhampton Town ClerkTown HallOne South RoadWesthampton, MA 01027-9661Fax: (413) 527-8655Email: westhamptonclerk@comcast.net

Westminister Westminister Town ClerkTown Hall11 South StreetWestminister, MA 01473-1535Fax: (978) 874-7411 Email: dmacaloney@westminster-ma.gov

Weston Weston Town ClerkTown Hall11 Townhouse RoadPO Box 378Weston, MA 02493-2000Fax: (781) 786-5079 Email: davenport.d@westonmass.org

Westport Westport Town ClerkTown Hall816 Main RoadWestport, MA 02790-4311Fax: (774) 264-5152 Email: clerk@westport-ma.gov

Westwood Westwood Town ClerkTown Hall580 High StreetWestwood, MA 02090-1607Fax: (781) 329-8030 Email: dpowers@townhall.westwood.ma.us

Weymouth Weymouth Town ClerkTown Hall75 Middle StreetWeymouth, MA 02189-1359Fax: (781) 682-6129Email: crose@weymouth.ma.us

Whately Whately Town ClerkTown Hall218 Chestnut Plain RoadPO Box 89Whately, MA 01093Fax: (413) 665-9560 Email: tclerk2@comcast.net

Whitman Whitman Town ClerkTown Hall54 South AvenuePO Box 426Whitman, MA 02382-2052Fax: (781) 618-9791 Email: pamela.martin@whitman-ma.gov

Wilbraham Wilbraham Town ClerkTown Hall240 Springfield StreetWilbraham, MA 01095-2257Fax: (413) 596-2830 Email: blitchfield@wilbraham-ma.gov

Williamsburg Williamsburg Town ClerkTown Hall141 Main StreetPO Box 447Haydenville, MA 01039-9704Fax: (413) 268-8409 Email: townclerk@burgy.org

Williamstown Williamstown Town ClerkTown Hall31 North StreetWilliamstown, MA 01267-2003Fax: (413) 458-4839 Email: mkennedy@williamstown.net

Wilmington Wilmington Town ClerkTown Hall121 Glen RoadWilmington, MA 01887-3500Fax: (978) 657-7564 Email: town-clerk@town.wilmington.ma.us

Winchendon Winchendon Town ClerkTown Hall109 Front StreetWinchendon, MA 01475-1758Fax: (978) 297-1616 Email: clerk@town.winchendon.ma.us

Winchester Winchester Town ClerkTown Hall71 Mt. Vernon StreetWinchester, MA 01890-2706Fax: (781) 721-1153Email: townclerk@winchester.us

Windsor Windsor Town ClerkTown Hall3 Hinsdale RoadPO Box 277Windsor, MA 01270-9687Fax: (413) 684-3806 Email: windsor-townclerk@yahoo.com

Winthrop Winthrop Town ClerkTown HallOne Metcalf SquareWinthrop, MA 02152-3159Fax: (617) 539-5814 Email: cvitale@town.winthrop.ma.us

Woburn Woburn City ClerkCity Hall10 Common StreetWoburn, MA 01801-6702Fax: (781) 897-5859 Email: wcampbell@cityofwoburn.com

Worcester Worcester Elections CommisionCity Hall455 Main StreetRoom 208 Worcester, MA 01608-1801Fax: (508) 799-1194 Email: medunaj@worcesterma.gov

Worthington Worthington Town ClerkTown Hall160 Huntington RoadPO Box 247Worthington, MA 01098-9505Fax: (413) 238-5579 Email: elections@sec.state.ma.us

Wrentham Wrentham Town ClerkTown Hall79 South StreetWrentham, MA 02093-2211Fax: (508) 384-5434 Email: cmollica@wrentham.ma.us

Yarmouth Yarmouth Town ClerkTown Hall1146 Route 28South Yarmouth, MA 02664-4463Fax: (508) 760-4842 Email: jhibbert@yarmouth.ma.us

Michiganwww.michigan.gov/sos

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all elections conducted duringthe calendar year in which it is submitted.

Your valid Michigan Driver's License number, PersonalIdentification Card number OR the last four digits of yourSocial Security number is required for voter registration. Ifyou do not possess any of these identification numbers, theState shall assign a number that will serve to identify you forvoter registration purposes.

Block 6: Michigan allows you to receive the absentee ballotby mail, email, or fax. Please rank your preference of howyou would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Michigan votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. This

address must be within the city or township where you claimlegal voting residence.

Michigan allows you to submit the FPCA by mail, email, orfax.

If you choose to mail your FPCA, mail the form directly toyour local election office. Addresses can be found at the endof this section.

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. Email directly to your localelection office. Contact information available atwww.michigan.gov/sos.

If you choose to fax your FPCA, fax the form directly to yourlocal election official. Fax numbers can be found atwww.michigan.gov/sos. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be found onthe inside back cover or at www.fvap.gov.

Registration February 28, 2012 August 7, 2012 November 6, 2012

Ballot Request 2 pm, February 25, 2012 2 pm, August 4, 2012 2 pm, November 3, 2012

Ballot Return February 28, 2012 August 7, 2012 November 6, 2012

Michigan 2012-13 Voting Assistance Guide

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toMichigan’s voter registration verification website at: https://webapps.sos.state.mi.us/mivote/.

You may submit a signed letter to your local election office torequest a ballot. The letter must include your printed nameand signature, voting residence address, address to which theabsentee ballot should be sent, and the date of the election.

Voting by Citizens Who Have Never Lived in theU.S.

Michigan allows a U.S. overseas citizen who is 18 years old,not registered to vote anywhere else in the U.S. and who is aspouse or dependent of a Michigan resident to register andvote in Michigan elections even though they have neverestablished Michigan residency.

Voting Your Ballot Local election officials send absentee ballots 45 days beforeprimary and general elections.

Voted ballot must be received by the local election officeby the close of polls on Election Day.

You may track the status of your ballot at: https://webapps.sos.state.mi.us/mivote/.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Michigan allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in Federal general, special, andprimary elections for Federal offices. If you are registeredand have requested your absentee ballot, feel free to use theFWAB to vote anytime before an election.

Block 1: Michigan does not allow you to use this form forregistration. Do not check the registration box.

Block 7: Complete street address of your Michigan votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. This

2012-13 Voting Assistance Guide Michigan

address must be within the city or township where you claimlegal voting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.michigan.gov/sos. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

Local Election Office AddressesA list of the major cities is below. A complete list of all theclerks can be found in Michigan’s Voter Information Centerat www.michigan.gov/sos.

If you cannot find the address of your City or Township Clerk,you can send your FPC A or FWAB to the County Clerk. Ifyou send the FPCA to the County Clerk, it will take longer toreceive your absentee ballot.

Ann Arbor Ann Arbor City ClerkPO Box 8647Ann Arbor, MI 48107-8647

Battle Creek Battle Creek City Clerk10 N. Division Battle Creek, MI 49014-4004

Bay City Bay City Clerk301 Washington AvenueBay City, MI 48708-5866

Dearborn Heights Dearborn Heights City Clerk6045 FentonDearborn Heights, MI 48127-3294

Dearborn Dearborn City Clerk13615 Michigan AvenueDearborn, MI 48126-3586

Detroit Detroit City Clerk2978 W. Grand BoulevardDetroit, MI 48202-3069

East Lansing East Lansing City Clerk410 Abbott RoadEast Lansing, MI 48823-3388

Farmington Hills Farmington Hills City Clerk31555 W. Eleven Mile Road Farmington Hills, MI 48336-1165

Flint Flint City Clerk1101 S. Saginaw StreetFlint, MI 48502-1416

Grand Rapids Grand Rapids City Clerk300 Monroe Avenue NWGrand Rapids, MI 49503-2281

Kalamazoo Kalamazoo City Clerk241 W. South StreetKalamazoo, MI 49007-4796

Lansing Lansing City Clerk124 W. MichiganLansing, MI 48933-1694

Lincoln Park Lincoln Park City Clerk1355 Southfield RoadLincoln Park, MI 48146-2380

Livonia Livonia City Clerk33000 Civic Center DriveLivornia, MI 48154-3097

Pontiac Pontiac City Clerk47450 Woodward Pontiac, MI 48342-5021

Roseville Roseville City Clerk29777 GratiotRoseville, MI 48066-0290

Royal Oak Royal Oak City ClerkPO Box 64Royal Oak, MI 48068-0064

Saginaw Saginaw City Clerk1315 S. Washington AvenueSaginaw, MI 48601-2599

St. Clair Shores St. Clair Shores City Clerk27600 Jefferson Circle Drive St. Clair Shores, MI 48081-2093

Southfield Southfield City ClerkPO Box 2055Southfield, MI 48037-2055

Sterling Heights Sterling Heights City ClerkPO Box 8009Sterling Heights, MI 48311-8009

Taylor Taylor City Clerk23555 GoddardTaylor, MI 48180-4117

Troy Troy City Clerk500 W. Big Beaver RoadTroy, MI 48084-5285

Warren Warren City ClerkSuite 205One City SquareWarren, MI 48093-2393

Westland Westland City Clerk36601 Ford Road Westland, MI 48185-2298

Wyoming Wyoming City ClerkPO Box 905Wyoming, MI 49509-0905

Alcona Alcona County ClerkPO Box 308Harrisville, MI 48740-0308

Alger Alger County Clerk101 Court StreetMunising, MI 49862-1196

Allegan Allegan County Clerk113 ChestnutAllegan, MI 49010-1350

Alpena AlpenaCounty Clerk720 W. ChisholmAlpena, MI 49707-2488

Antrim Antrim County Clerk205 E. CayugaPO Box 520Bellaire, MI 49615-0520

Arenac Arenac County ClerkPO Box 747Standish, MI 48658-0747

Baraga Baraga County Clerk16 N. 3rd Street L'Anse, MI 49946-1085

Barry Barry County Clerk220 W. State StreetHastings, MI 49058-0220

Bay Bay County Clerk515 Center StreetBay City, MI 48708-5994

Benzie Benzie County Clerk448 Court PlaceBeulah, MI 49617-9518

Berrien Berrien County Clerk811 Port StreetSt. Joseph, MI 49085-1198

Branch Branch County Clerk31 DivisionColdwater, MI 49036-1990

Calhoun Calhoun County Clerk315 W. GreenMarshall, MI 49068-1585

Cass Cass County ClerkPO Box 355Cassopolis, MI 49031-0355

Charlevoix Charlevoix County Clerk203 Antrim StreetCharlevoix, MI 49720-1397

Cheboygan Cheboygan County ClerkPO Box 70Cheboygan, MI 49721-0070

Chippewa Chippewa County Clerk319 Court Street Sault Ste Marie, MI 49783-2194

Clare Clare County ClerkPO Box 438Harrison, MI 48625-0438

Clinton Clinton County Clerk100 E. State Street, Suite 2600St. Johns, MI 48879-1580

Crawford Crawford County Clerk200 W. MichiganGrayling, MI 49738-1798

Delta Delta County Clerk310 Ludington StreetEscanaba, MI 49829-4057

Dickinson Dickinson County ClerkPO Box 609Iron Mountain, MI 49801-0609

Eaton Eaton County Clerk1045 Independence BlvdCharlotte, MI 48813-1095

Emmet Emmet County Clerk200 DivisionPetoskey, MI 49770-2444

Genesee Genesee County Clerk900 S. SaginawFlint, MI 48502-1571

Gladwin Gladwin County Clerk401 W. CedarGladwin, MI 49624-2088

Gogebic Gogebic County Clerk200 N. MooreBessemer, MI 49911-1052

Grand Traverse Grand Traverse County Clerk400 Boardman AvenueTraverse City, MI 49684-2577

Gratiot Gratiot County ClerkPO Drawer 437Ithaca, MI 48847-0437

Hillsdale Hillsdale County ClerkCourthouse29 N. Howell St.Hillsdale, MI 49242

Houghton Houghton County Clerk401 E. Houghton AvenueHoughton, MI 49931-2099

Huron Huron County Clerk250 E. HuronBad Axe, MI 48413-1386

Ingham Ingham County ClerkPO Box 179Mason, MI 48854-0179

Ionia Ionia County Clerk100 Main StreetIonia, MI 48846-1697

Iosco Iosco County ClerkPO Box 838Tawas City, MI 48764-0838

Iron Iron County Clerk2 S. 6th StreetCrystal Falls, MI 49920-1495

Isabella Isabella County Clerk200 N. Main StreetMt. Pleasant, MI 48858-2393

Jackson Jackson County Clerk312 S. Jackson StreetJackson, MI 49201-1315

Kalamazoo Kalamazoo County Clerk201 W. Kalamazoo AvenueKalamazoo, MI 49007-3777

Kalkaska Kalkaska County Clerk605 N. Birch StreetKalkaska, MI 49646-8414

Kent Kent County Clerk300 Monroe NWGrand Rapids, MI 49503-2288

Keweenaw Keweenaw County Clerk5095 4th StreetEagle River, MI 49950-9624

Lake Lake County Clerk800 Tenth Street, Suite 200Baldwin, MI 49304-7971

Lapeer Lapeer County Clerk255 Clay StreetLapeer, MI 48446-2298

Leelanau Leelanau County Clerk8527 E. Government Center Drive, Suite 103Suttons Bay, MI 49682

Lenawee Lenawee County Clerk425 N. MainAdrian, MI 49221-2198

Livingston Livingston County Clerk200 E. Grand RiverHowell, MI 48843-2399

Luce Luce County Clerk407 W. Harrie StreetNewberry, MI 49868-1299

Mackinac Mackinac County Clerk100 N. Marley StreetSt. Ignace, MI 49781-1491

Macomb Macomb County Clerk40 N. MainMt. Clemens, MI 48043-5661

Manistee Manistee County Clerk415 3rd StreetManistee, MI 49660-1606

Marquette Marquette County Clerk234 W. Baraga AvenueMarquette, MI 49855-4710

Mason Mason County Clerk304 E. Ludington AvenueLudington, MI 49431-2121

Mecosta Mecosta County Clerk400 ElmBig Rapids, MI 49307-1849

2012-13 Voting Assistance Guide Michigan

Menominee Menominee County Clerk839 10th AvenueMenominee, MI 49858-3000

Midland Midland County Clerk220 W. Ellsworth StreetMidland, MI 48640-5194

Missaukee Missaukee County ClerkPO Box 800Lake City, MI 49651-0800

Monroe Monroe County Clerk106 E. 1st StreetMonroe, MI 48161-2185

Montcalm Montcalm County ClerkPO Box 368Stanton, MI 48888-0368

Montmorency Montmorency County ClerkPO Box 789Atlanta, MI 49709-0789

Muskegon Muskegon County Clerk141 East Apple Avenue, 2nd FloorMuskegon, MI 49442

Newaygo Newaygo County ClerkPO Box 885White Cloud, MI 49349-0885

Oakland Oakland County Clerk1200 N. Telegraph, Bldg 12 EastPontiac, MI 48341-0413

Oceana Oceana County Clerk100 State Street, Suite 1Hart, MI 49420-1188

Ogemaw Ogemaw County Clerk806 W. Houghton AvenueWest Branch, MI 48661-1215

Ontonagon Ontonagon County Clerk725 Greenland RoadOntonagon, MI 49953-1492

Osceola Osceola County Clerk301 W. UptonReed City, MI 49677-1149

Oscoda Oscoda County ClerkPO Box 399Mio, MI 48647-0399

Otsego Otsego County Clerk225 W. Main StreetGaylord, MI 49735-1393

Ottawa Ottawa County Clerk12220 Fillmore Street, Room 130PO Box 296Wet Olive, MI 49460-8986

Presque Isle Presque Isle County ClerkPO Box 110Rogers City, MI 49779-0110

Roscommon Roscommon County Clerk500 Lake StreetRoscommon, MI 48653-7664

Saginaw Saginaw County Clerk111 S. MichiganSaginaw, MI 48602-2086

Sanilac Sanilac County Clerk60 W. SanilacSandusky, MI 48471-1094

Schoolcraft Schoolcraft County Clerk300 WalnutManistique, MI 49854-1487

Shiawassee Shiawassee County Clerk208 N. ShiawasseeCorunna, MI 48817-1491

St. Clair St. Clair County Clerk201 McMorran Blvd.Port Huron, MI 48060-4082

St. Joseph St. Joseph County ClerkPO Box 189Centreville, MI 49032-0189

Tuscola Tuscola County Clerk440 N. State StreetCaro, MI 48723-1592

Van Buren Van Buren County Clerk212 E. Paw Paw Street, Suite 101Paw Paw, MI 49079-1496

Washtenaw Washtenaw County ClerkPO Box 8645Ann Arbor, MI 48107-8645

Wayne Wayne County Clerk2 Woodward Avenue, Room 502Detroit, MI 48226-3463

Wexford Wexford County Clerk437 E. DivisionCadillac, MI 49601-1905

Minnesotawww.sos.state.mn.us

* Minnesota has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotRegistration is not required. You must still complete theFederal Post Card Application to request an absentee ballot.The form registers you to vote and requests absentee ballotsfor all regularly scheduled elections only for the calendaryear in which it is submitted.

Enter your valid Minnesota Driver's License number, Stateidentification number, passport number, OR the last fourdigits of your Social Security number. If you do not haveaccess to any of these numbers, leave this block blank.

Block 6: Minnesota allows you to receive your absenteeballot by mail, email, or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Minnesota votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block

9. This address must be within the county where you claimlegal voting residence.

Minnesota allows you to submit the FPCA by mail, email,or fax.

If you choose to email your FPCA, you must send the formas a signed, scanned attachment. Email directly to yourlocal election office. Email addresses can be found at https: //minnesota.overseasvotefoundation.org/.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found athttps://minnesota.overseasvotefoundation.org/. You mayalso use the DoD Electronic Transmission Service to faxyour FPCA toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Registration N/A Not Required Not Required

Ballot Request N/A Not Required Not Required

Minnesota 2012-13 Voting Assistance Guide

To find out the status of your absentee ballot request, visithttps://minnesota.overseasvotefoundation.org/.

Voting Your Ballot Local election officials send absentee ballots approximately46 days before elections.

Voted ballots must be received by the last mail deliveryon Election Day.

Voted ballots must be returned by mail, package deliveryservice, or the diplomatic pouch at a U.S. embassy orconsulate.

You may track the status of your ballot at: https://minnesota.overseasvotefoundation.org.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Minnesota allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in all elections for Federal, State,and local offices and as a request for absentee ballots anysubsequent elections held in that calendar year. The FWABserves as a voter registration in lieu of the voter’s FPCA.

Block 1: Minnesota does not require voter registration. Donot check the registration block.

Enter your valid Minnesota Driver's License number, thelast four digits of your Social Security number, passportnumber, OR your State identification number. If you do nothave access to any of these numbers, leave this block blank.

Block 7: Complete street address of your Minnesota votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal, State, or local office in a generalelection. To find out the races and candidates for which you

2012-13 Voting Assistance Guide Minnesota

can vote, go to www.sos.state.mn.us. For each Federaloffice for which you vote, write in either a candidate's nameor a political party designation. For State and local offices,write in the candidate’s name. (Political party designation isnot sufficient for State and local offices).

Aitkin Aitkin County AuditorAitkin, MN 56431-1292Fax: (218) 937-7324Email: sally.huhta@co.aitkin.mn.us

Anoka Anoka County AuditorAnoka, MN 55303-2465Fax: (763) 422-7526Email: teri.mckusick@co.anoka.mn.us

Becker Becker County AuditorDetroit Lakes, MN 56501-3403Fax: (218) 846-7256Email: razok@co.becker.mn.us

Beltrami Beltrami County AuditorBemidji, MN 56601-3178Fax: (218) 333-4246Email: lisa.m.carlson@co.beltrami.mn.us

Benton Benton County AuditorFoley, MN 56329-0129Fax: (320) 968-5337Email: karri.thorsten@co.benton.mn.us

Big Stone Big Stone County AuditorOrtonville, MN 56278-1544Fax: (320) 839-6370Email: heather_h@co.big-stone.mn.us

Blue Earth Blue Earth County AuditorMankato, MN 56002-3524Fax: (507) 304-4396Email: laurie.berg@co.blue-earth.mn.us

Brown Brown County AuditorNew Ulm, MN 56073-0115Fax: (507) 359-1430Email: marlin.helget@co.brown.mn.us

Carlton Carlton County AuditorCarlton, MN 55718-0130Fax: (218) 384-9181Email: paul.gassert@co.carlton.mn.us

Carver Carver County AuditorChaska, MN 55318-2184Fax: (952) 361-1919Email: elections@co.carver.mn.us

Cass Cass County AuditorWalker, MN 56484-3000Fax: (218) 547-7278Email: shari.splichal@co.cass.mn.us

Chippewa Chippewa County AuditorMontevideo, MN 56265-1652Fax: (320) 269-7412Email: jclauson@co.chippewa.mn.us

Chisago Chisago County AuditorCenter City, MN 55012-9663Fax: (651) 213-8510Email: jlenges@co.chisago.mn.us

Clay Clay County AuditorMoorhead, MN 56560-0280Fax: (218) 299-5195Email: lori.johnson@co.clay.mn.us

Clearwater Clearwater County AuditorBagley, MN 56621-8304Fax: (218) 694-6244Email: absentee.ballot@co.clearwater.mn.us

Cook Cook County AuditorGrand Marais, MN 55604-1150Fax: (218) 387-3043Email: elections@co.cook.mn.us

Cottonwood Cottonwood County AuditorWindom, MN 56101-1645Fax: (507) 831-4553Email: jan.h.johnson@co.cottonwood.mn.us

Crow Wing Crow Wing County AuditorBrainerd, MN 56401-3590Fax: (218) 824-1046Email: debby.erickson@co.crow-wing.mn.us

Dakota Dakota County Auditor1590 Highway 55, Suite 2300Hastings, MN 55033-2380Fax: (651) 438-4391Email: elections@co.dakota.mn.us

Dodge Dodge County AuditorMantorville, MN 55955-2200Fax: (507) 635-6265Email: sara.marquardt@co.dodge.mn.us

Douglas Douglas County AuditorAlexandria, MN 56308-1793Fax: (320) 762-2389Email: vicki.doehling@mail.co.douglas.mn.us

Faribault Faribault County AuditorBlue Earth, MN 56013-0130Fax: (507) 526-6227Email: john.thompson@co.faribault.mn.us

Fillmore Filmore County AuditorPreston, MN 55965-0466Fax: (507) 765-2662Email: snewgard@co.fillmore.mn.us

Freeborn Freeborn County AuditorAlbert Lea, MN 56007-1147Fax: (507) 377-5175Email: jaci.beaty@co.freeborn.mn.us

Goodhue Goodhue County AuditorRed Wing, MN 55066-0408Fax: (651) 385-3196Email: election@co.goodhue.mn.us

Grant Grant County AuditorElbow Lake, MN 56531-4300Fax: (218) 685-4521Email: linda.mickelson@co.grant.mn.us

Hennepin Hennepin County AuditorMinneapolis, MN 55487-0060Fax: (612) 348-2151Email: TS.VOTE.UOCAVA@co.hennepin.mn.us

Houston Houston County AuditorCaledonia, MN 55921-1330Fax: (507) 725-2647Email: char.meiners@co.houston.mn.us

Hubbard Hubbard County AuditorPark Rapids, MN 56470-1483Fax: (218) 732-3645Email: kmiller@co.hubbard.mn.us

Isanti Isanti County AuditorCambridge, MN 55008-9386Fax: (763) 689-8210Email: terry.treichel@co.isanti.mn.us

Itasca Itasca County AuditorGrand Rapids, MN 55744-2600Fax: (218) 327-7426Email: jessica.colter@co.itasca.mn.us

Jackson Jackson County AuditorJackson, MN 56143-1529Fax: (507) 847-4718Email: Kevin.nordquist@co.jackson.mn.us

Kanabec Kanabec County AuditorMora, MN 55051-1386Fax: (320) 679-6431Email: roberta.anderson@co.kanabec.mn.us

Kandiyohi Kandiyohi County AuditorWillmar, MN 56201-0936Fax: (320) 231-6263Email: sam_m@co.kandiyohi.mn.us

Kittson Kittson County AuditorHallock, MN 56728-4141Fax: (218) 843-2656Email: mgustafson@co.kittson.mn.us

Koochiching Koochiching County AuditorInternational Falls, MN 56649-2486Fax: (218) 283-1104Email: bob.peterson@co.koochiching.mn.us

Lac Qui Parle Lac Qui Parle County AuditorMadison, MN 56256-1296Fax: (320) 598-3125Email: eunice.mork@lqpco.com

Lake Lake County AuditorTwo Harbors, MN 55616-1565Fax: (218) 834-8358Email: elections@co.lake.mn.us

Lake of the Woods Lake of the WoodsBaudette, MN 56623-0808Fax: (218) 634-2509Email: john_h@co.lake-of-the-woods.mn.us

Le Sueur Le Sueur County AuditorLe Center, MN 56057-1600Fax: (507) 357-6375Email: cblaschko@co.le-sueur.mn.us

Lincoln Lincoln County AuditorIvanhoe, MN 56142-0029Fax: (507) 694-1198Email: kschreurs@co.lincoln.mn.us

Lyon Lyon County AuditorMarshall, MN 56258-3099Fax: (507) 537-6091Email: sueparadis@co.lyon.mn.us

McLeod McLeod County AuditorGlencoe, MN 55336-2200Fax: (320) 864-1295Email: cindy.schultz@co.mcleod.mn.us

Mahnomen Mahnomen County AuditorMahnomen, MN 56557-0379Fax: (218) 935-5669Email: Missy.bjerk@co.mahnomen.mn.us

Marshall Marshall County AuditorWarren, MN 56762-1697Fax: (218) 745-5089Email: domita.taus@co.marshall.mn.us

Martin Martin County AuditorFairmont, MN 56031-1852Fax: (507) 238-3259Email: james.forshee@co.martin.mn.us

Meeker Meeker County AuditorLitchfield, MN 55355-2189Fax: (320) 693-5217Email: barb.loch@co.meeker.mn.us

Mille Lacs Millle Lacs County AuditorMilaca, MN 56353-1396Fax: (320) 983-8336Email: phil.thompson@co.mille-lacs.mn.us

Morrison Morrison County AuditorLittle Falls, MN 56345-3199Fax: (320) 632-0139Email: russn@co.morrison.mn.us

Mower Mower County AuditorAustin, MN 55912-3475Fax: (507) 437-9471Email: kathyg@co.mower.mn.us

Murray Murray County AuditorSlayton, MN 56172-0057Fax: (507) 836-6114Email: llang@co.murray.mn.us

Nicollet Nicollet County AuditorSaint Peter, MN 56082-0089Fax: (507) 931-0856Email: election@co.nicollet.mn.us

Nobles Nobles County AuditorWorthington, MN 56187-0757Fax: (507) 372-8390Email: sbalster@co.nobles.mn.us

Norman Norman County AuditorAda, MN 56510-0266Fax: (218) 784-4531Email: tammy.kappes@co.norman.mn.us

Olmsted Olmsted County AuditorRochester, MN 55904-3709Fax: (507) 328-7964Email: fuller.pamela@co.olmsted.mn.us

Otter Tail Otter Tail County AuditorFergus Falls, MN 56537-1364Fax: (218) 998-8042Email: vmanderu@co.ottertail.mn.us

Pennington Pennington County AuditorThief River Falls, MN 56701-0616Fax: (218) 683-7026Email: amphilipp@co.pennington.mn.us

Pine Pine County AuditorPine City, MN 55063-1694Fax: (320) 591-1671Email: cathy.clemmer@co.pine.mn.us

Pipestone Pipestone County AuditorPipestone, MN 56164-0455Fax: (507) 825-6741Email: Joyce.Steinhoff@co.pipestone.mn.us

Polk Polk County AuditorCrookston, MN 56716-1452Fax: (218) 281-3801Email: gerald.amiot@co.polk.mn.us

Pope Pope County AuditorGlenwood, MN 56334-1628Fax: (320) 634-3087Email: donna.quandt@co.pope.mn.us

Ramsey Ramsey County AuditorP.O. Box 64098Saint Paul, MN 55164-0098Fax: (651) 266-2177Email: sherri.nesseth@co.ramsey.mn.us

Red Lake Red Lake County AuditorRed Lake Falls, MN 56750-0367Fax: (218) 253-4894Email: raschmitz@co.red-lake.mn.us

Redwood Redwood County AuditorRedwood Falls, MN 56283-0130Fax: (507) 637-4072Email: jean_p@co.redwood.mn.us

Renville Renville County AuditorOlivia, MN 56277-1396Fax: (320) 329-8367Email: larry_j@co.renville.mn.us

Rice Rice County AuditorFairbault, MN 55021-6141Fax: (507) 332-5999Email: rcelections@co.rice.mn.us

Rock Rock County AuditorLuverne, MN 56156-0100Fax: (507) 283-1343Email: ashley.kurtz@co.rock.mn.us

Roseau Roseau County AuditorRoseau, MN 56751-1477Fax: (218) 463-4283Email: martie@co.roseau.mn.us

St. Louis St. Louis County AuditorDuluth, MN 55802-1293Fax: (218) 725-5060Email: SweetL@stlouiscountymn.gov

2012-13 Voting Assistance Guide Minnesota

Scott Scott County AuditorShakopee, MN 55379-1379Fax: (952) 496-8174Email: mkes@co.scott.mn.us

Sherburne Sherburne County AuditorElk River, MN 55330-4601Fax: (763) 241-2869Email: steven.klepsa@co.sherburne.mn.us

Sibley Sibley County AuditorGaylord, MN 55334-0171Fax: (507) 237-4073Email: elections@co.sibley.mn.us

Stearns Stearns County AuditorSaint Cloud, MN 56303-4781Fax: (320) 656-3916Email: charlene.lahr@co.stearns.mn.us

Steele Steele County AuditorOwatonna, MN 55060-0890Fax: (507) 444-7470Email: brenda.blood@co.steele.mn.us

Stevens Stevens County AuditorMorris, MN 56267-0530Fax: (320) 589-2036Email: debbiebrunko@co.stevens.mn.us

Swift Swift County AuditorBenson, MN 56215-0288Fax: (320) 843-2275Email: byron.giese@co.swift.mn.us

Todd Todd County AuditorLong Prairie, MN 56347-1390Fax: (320) 732-4001Email: jolene.sabrowsky@co.todd.mn.us

Traverse Traverse County AuditorWheaton, MN 56296-0428Fax: (320) 563-4424Email: kit.johnson@co.traverse.mn.us

Wabasha Wabasha County AuditorWabasha, MN 55981-1594Fax: (651) 565-2774Email: election@co.wabasha.mn.us

Wadena Wadena County AuditorWadena, MN 56482-1595Fax: (218) 631-7652Email: rosalie.miller@co.wadena.mn.us

Waseca Waseca County AuditorWaseca, MN 56093-2993Fax: (507) 835-0633Email: joyce.oliver@co.waseca.mn.us

Washington Washington County AuditorStillwater, MN 55082-0006Fax: (651) 430-6178Email: elections@co.washington.mn.us

Watonwan Watonwan County AuditorSaint James, MN 56081-0518Fax: (507) 375-3547Email: don.kuhlman@co.watonwan.mn.us

Wilkin Wilkin County AuditorBreckenridge, MN 56520-0409Fax: (507) 457-6454Email: bconzemius@co.wilkin.mn.us

Winona Winona County Auditor-Treasurer177 Main StWinona, MN 55987Fax: (507) 457-6454Email: elections@co.winona.mn.us

Wright Wright County AuditorBuffalo, MN 55313-1195Fax: (763) 682-7873Email: gloria.gooler@co.wright.mn.us

Yellow Medicine Yellow Medicine County AuditorGranite Falls, MN 56241-1367Fax: (320) 564-3670Email: lois.bonde@co.yellow-medicine.mn.us

Mississip

Mississippihttp://www.sos.ms.gov/elections_voter_info_center.aspx

Registering and Requesting an Absentee BallotThe Federal Post Card Application (FPCA) registers you tovote and requests absentee ballots. The FPCA serves as arequest for an absentee ballot for the next Federal generalelection including all primary elections associated with theelection.

Your valid Mississippi Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Mississippi allows you to receive your ballot bymail, fax or email. Please rank your preference of how youwould like to receive your absentee ballot. Provide your faxnumber or email address in Block 5. If you do not make aselection, then your local election official will mail yourballot to you. More transmission options may be available.Check www.fvap.gov for updates.

Block 7: Complete street address of your Mississippivoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Mississippi allows you to submit the FPCA by mail, fax oremail.

March 13, 2012

April 3, 2012

Registration March 3, 2012 March 3, 2012 March 3, 2012 October 27, 2012

Ballot Request N/A N/A N/A N/A

Ballot Return 7 pm, March 13, 2012

Absent Uniformed Services:

7 pm, March 13, 2012

All other UOCAVA voters:

5 pm, March 12, 2012

Absent Uniformed Services:

7 pm, April 3, 2012All other UOCAVA

voters: 5 pm, April 2, 2012

Mississippi 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour circuit clerk. Their addresses can be found at http://sos.ms.gov/elections_voter_info_center2.aspx.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found athttp://www.sos.ms.gov/elections_voter_info_center.aspx.You may also use the DoD Electronic Transmission Serviceto fax your FPCA toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contactinformat ion can be found a t h t tp : / / sos .ms .gov /elections_voter_info_center2.aspx.

Another person may request that the local election officesend a State registration affidavit and/or an absentee ballotapplication to you. Your oral authorization (by telephone)or written authorization may be required.

Voted ballots must be received by the local electionoffice no later than 5 pm the day before the election (or7 pm on Election Day for active duty overseasUniformed Service members).

You may return your voted ballot by mail, fax, or emaildirectly to your circuit clerk. Use FPCA email and faxinstructions under “How and Where to Submit YourFPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD”. Thislabel is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You can

return your ballot with this label attached at any MPO/FPO,American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

You may track the status of your ballot at: http://www.sos.ms.gov/elections_voter_info_center.aspx or emailyour local Circuit Clerk.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Mississippi allows you to use the Federal Write-InAbsentee Ballot (FWAB) for registration and voting inprimary, special, run-off, and general elections for Federal,State, and local offices, and non-candidate ballot issues.Feel free to use the FWAB to vote anytime before anelection. You may not need to fill out this entire form.Check the instructions below to see what information yourState requires.

2012-13 Voting Assistance Guide Mississippi

Mississip

Block 1: Mississippi allows you to use this form forregistration only if you are eligible to register and vote inthe State, and if you provide information sufficient forregistration.

Enter your valid Mississippi Driver's License number, thelast four digits of your Social Security number, OR yourState voter registration number

Block 7: Complete street address of your Mississippivoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to http://www.sos.ms.gov/elections.aspx. For each officefor which you vote, write in a candidate's name. Once theballot is complete, fold and place it in the security envelopeand seal. Place only the voted ballot in the securityenvelope and do not write on the security envelope.

Mississippi allows you to submit the FWAB by mail, fax oremail directly to your circuit clerk.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into the

mailing envelope and mail the FWAB directly to your localelection office. Addresses can be found below.

If you choose to email your FWAB, you should send theballot as a signed, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to Circuit Clerk (contact information here: http://www.sos.ms.gov/elections_voter_info_center2.aspx) orUOCAVA@sos.state.ms.us.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers can be found atwww.sos.state.ms.us/elections/elections.asp. Include ballot,voter affirmation, and cover sheet with secrecy waiver. Youmay also use the DoD Electronic Transmission Service tofax your FWAB tol l - f ree . To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Adams Adams County RegistrarPO Box 1224Natchez, MS 39121Fax: (601) 445-7955Email: UOCAVA.Adams@sos.ms.gov

Alcorn Alcorn County RegistrarPO Box 430Corinth, MS 38835Fax: (662) 286-7767Email: UOCAVA.Alcorn@sos.ms.gov

Amite Amite County RegistrarPO Box 312Liberty, MS 39645Fax: (601) 657-1082Email: UOCAVA.Amite@sos.ms.gov

Attala Attala County Registrar100 Courhous, Suite 1Kosciusko, MS 39090Fax: (662) 289-7666Email: UOCAVA.Attala@sos.ms.gov

Benton Benton County RegistrarPO Box 262Ashland, MS 38603Fax: (662) 224-6312Email: UOCAVA.Benton@sos.ms.gov

Bolivar Bolivar County RegistrarPO Box 205Rosedale, MS 38732Fax: (662) 846-2931Email: UOCAVA.Bolivar@sos.ms.gov

Calhoun Calhoun County RegistrarPO Box 25Pittsboro, MS 38951Fax: (662) 412-3103Email: UOCAVA.Calhoun@sos.ms.gov

Carroll Carroll County RegistrarPO Box 6Vaiden, MS 39176Fax: (662) 464-5407Email: UOCAVA.Carroll@sos.ms.gov

Chickasaw Chickasaw County Registrar234 W. Main Street, Room 203Houston, MS 38851Fax: (662) 447-5024Email: UOCAVA.Chickasaw@sos.ms.gov

Choctaw Choctaw County RegistrarPO Box 34Ackerman, MS 39735Fax: (662) 285-2196Email: UOCAVA.Choctaw@sos.ms.gov

Claiborne Claiborne County RegistrarPO Box 549Port Gibson, MS 39150Fax: (601) 437-4543Email: UOCAVA.Claiborne@sos.ms.gov

Clarke Clarke County RegistrarPO Box 216Quitman, MS 39355Fax: (601) 776-1001Email: UOCAVA.Clarke@sos.ms.gov

Clay Clay County RegistrarPO Box 364West Point, MS 39773Fax: (662) 495-2057Email: UOCAVA.Clay@sos.ms.gov

Coahoma Coahoma County RegistrarPO Box 849Clarksdale, MS 38614Fax: (662) 624-3075Email: UOCAVA.Coahoma@sos.ms.gov

Copiah Copiah County RegistrarPO Box 467Hazelhurst, MS 39083-0467Fax: (601) 894-3026Email: UOCAVA.Copiah@sos.ms.gov

Covington Covington County RegistrarPO Box 667Collins, MS 39428Fax: (601) 765-5012Email: UOCAVA.Covington@sos.ms.gov

DeSoto DeSoto County Registrar2535 Hwy. 51 SHernando, MS 38632Fax: (662) 449-1416Email: UOCAVA.Desoto@sos.ms.gov

Forrest Forrest County RegistrarPO Drawer 992Hattiesburg, MS 39403-0992Fax: (601) 545-6065Email: UOCAVA.Forrest@sos.ms.gov

Franklin Franklin County RegistrarPO Box 267Meadville, MS 39653Fax: (601) 384-8244Email: UOCAVA.Franklin@sos.ms.gov

George George County Registrar355 Cox Street, #CLucedale, MS 39452Fax: (601) 947-8804Email: UOCAVA.George@sos.ms.gov

Greene Greene County RegistrarPO Box 310Leakesville, MS 39451Fax: (601) 394-2334Email: UOCAVA.Greene@sos.ms.gov

Grenada Grenada County RegistrarPO Box 1517Grenada, MS 38902-1517Fax: (662) 227-2865Email: UOCAVA.Grenada@sos.ms.gov

Hancock Hancock County Registrar3068 Longfellow Drive, Building 3Bay Saint Louis, MS 39520Fax: (228) 467-5265Email: UOCAVA.Hancock@sos.ms.gov

Harrison Harrison County RegistrarPO Box 998Gulfport, MS 39502Fax: (228) 865-4099Email: UOCAVA.Harrison@sos.ms.gov

Hinds Hinds County RegistrarPO Box 327Jackson, MS 39205Fax: (601) 973-5547Email: UOCAVA.Hinds@sos.ms.gov

Holmes Holmes County RegistrarPO Box 718Lexington, MS 39095Fax: (662) 834-3870Email: UOCAVA.Holmes@sos.ms.gov

Humphreys Humphreys County RegistrarPO Box 696Belzoni, MS 39038Fax: (662) 247-3906Email: UOCAVA.Humphreys@sos.ms.gov

Issaquena Issaquena County RegistrarPO Box 27Mayersville, MS 39113Fax: (662) 873-2061Email: UOCAVA.Issaquena@sos.ms.gov

Itawamba Itawamba County Registrar201 W. Main StreetFulton, MS 38843Fax: (662) 862-4006Email: UOCAVA.Itawamba@sos.ms.gov

Jackson Jackson County RegistrarPO Box 998Pascagoula, MS 39568Fax: (228) 769-3180Email: UOCAVA.Jackson@sos.ms.gov

Jasper Jasper County RegistrarPO Box 447Bay Springs, MS 39422Fax: (601) 727-4475Email: UOCAVA.Jasper@sos.ms.gov

Jefferson Jefferson County RegistrarPO Box 305Fayette, MS 39069Fax: (601) 786-9676Email: UOCAVA.Jefferson@sos.ms.gov

Jefferson Davis Jefferson Davis County RegistrarPO Box 1090Prentiss, MS 39474Fax: (601) 792-4957Email: UOCAVA.JeffersonDavis@sos.ms.gov

Jones Jones County RegistrarPO Box 1336Laurel, MS 39441Fax: (601) 399-4774Email: UOCAVA.Jones@sos.ms.gov

Kemper Kemper County RegistrarPO Box 130De Kalb, MS 39328Fax: (601) 743-4173Email: UOCAVA.Kemper@sos.ms.gov

Lafayette Lafayette County Registrar1 Courthouse Square, Suite 101Oxford, MS 38655Fax: (662) 236-0238Email: UOCAVA.LaFayette@sos.ms.gov

Lamar Lamar County RegistrarPO Box 369Purvis, MS 39475Fax: (601) 794-3905Email: UOCAVA.Lamar@sos.ms.gov

Lauderdale Lauderdale County RegistrarPO Box 1005Meridian, MS 39302-1005Fax: (601) 482-9734Email: UOCAVA.Lauderdale@sos.ms.gov

Lawrence Lawrence County RegistrarPO Box 1249Monticello, MS 39654Fax: (601) 587-4405Email: UOCAVA.Lawrence@sos.ms.gov

Leake Leake County RegistrarPO Box 67Carthage, MS 39051Fax: (601) 267-8889Email: UOCAVA.Leake@sos.ms.gov

2012-13 Voting Assistance Guide Mississippi

Mississip

Lee Lee County RegistrarPO Box 762Tupelo, MS 38802Fax: (662) 680-6079Email: UOCAVA.Lee@sos.ms.gov

Leflore Leflore County RegistrarPO Box 1953Greenwood, MS 38935Fax: (662) 455-1278Email: UOCAVA.LeFlore@sos.ms.gov

Lincoln Lincoln County RegistrarPO Box 357Brookhaven, MS 39602Fax: (601) 835-3482Email: UOCAVA.Lincoln@sos.ms.gov

Lowndes Lowndes County RegistrarPO Box 31Columbus, MS 39703.Fax: (662) 329-5935Email: UOCAVA.Lowndes@sos.ms.gov

Madison Madison County RegistrarPO Drawer 1626Canton, MS 39046Fax: (601) 859-8555Email: UOCAVA.Madison@sos.ms.gov

Marion Marion County Registrar250 Broad Street, #1Columbia, MS 39429Fax: (601) 731-6344Email: UOCAVA.Marion@sos.ms.gov

Marshall Marshall County RegistrarPO Box 459Holly Springs, MS 38635Fax: (662) 252-5951Email: UOCAVA.Marshall@sos.ms.gov

Monroe Monroe County RegistrarPO Box 843Aberdeen, MS 39730Fax: (662) 369-3684Email: UOCAVA.Monroe@sos.ms.gov

Montgomery Montgomery County RegistrarPO Box 765Winona, MS 38967Fax: (662) 283-3363Email: UOCAVA.Montgomery@sos.ms.gov

Neshoba Neshoba County Registrar401 E. Beacon, Suite 110Philadelphia, MS 39350Fax: (601) 650-3997Email: UOCAVA.Neshoba@sos.ms.gov

Newton Newton County RegistrarPO Box 447Decatur, MS 39327Fax: (601) 635-3210Email: UOCAVA.Newton@sos.ms.gov

Noxubee Noxubee County Registrar505 S. Jeffeson StreetMacon, MS 39341Fax: (662) 726-6041Email: UOCAVA.Noxubee@sos.ms.gov

Oktibbeha Oktibbeha County Registrar108 W. Main Street, Suite 118Starkville, MS 39759Fax: (662) 323-1121Email: UOCAVA.Oktibbeha@sos.ms.gov

Panola Panola County RegistrarPO Box 346Batesville, MS 38606Fax: (662) 487-3595Email: UOCAVA.Panola@sos.ms.gov

Pearl River Pearl River County Registrar200 S. MainPoplarville, MS 39470Fax: (601) 403-2325Email: UOCAVA.PearlRiver@sos.ms.gov

Perry Perry County RegistrarPO Box 198New Augusta, MS 39462Fax: (601) 964-8740Email: UOCAVA.Perry@sos.ms.gov

Pike Pike County RegistrarPO Drawer 31Magnolia, MS 39652Fax: (601) 783-6322Email: UOCAVA.Pike@sos.ms.gov

Pontotoc Pontotoc County RegistrarPO Box 428Pontotoc, MS 38863Fax: (662) 489-2318Email: UOCAVA.Pontotoc@sos.ms.gov

Prentiss Prentiss County RegistrarPO Box 727Booneville, MS 38829Fax: (662) 728-2006Email: UOCAVA.Prentiss@sos.ms.gov

Quitman Quitman County Registrar230 Chesnut Street, Suite 4Marks, MS 38646Fax: (662) 326-8004Email: UOCAVA.Quitman@sos.ms.gov

Rankin Rankin County RegistrarPO Box 1599Brandon, MS 39043Fax: (601) 825-1465Email: UOCAVA.Rankin@sos.ms.gov

Scott Scott County RegistrarPO Box 371Forest, MS 39074Fax: (601) 469-5188Email: UOCAVA.Scott@sos.ms.gov

Sharkey Sharkey County RegistrarPO Box 218Rolling Fork, MS 39159Fax: (662) 873-6045Email: UOCAVA.Sharkey@sos.ms.gov

Simpson Simpson County RegistrarPO Box 307Mendenhall, MS 39114Fax: (601) 847-4011Email: UOCAVA.Simpson@sos.ms.gov

Smith Smith County RegistrarPO Box 517Raleigh, MS 39153Fax: (601) 782-4007Email: UOCAVA.Smith@sos.ms.gov

Stone Stone County Registrar323 Cavers AvenueWiggins, MS 39577Fax: (601) 928-5248Email: UOCAVA.Stone@sos.ms.gov

Sunflower Sunflower County RegistrarPO Box 880Indianola, MS 38751Fax: (662) 887-7077Email: UOCAVA.Sunflower@sos.ms.gov

Tallahatchie Tallahatchie County RegistrarPO Box 96Charleston, MS 38921Fax: (662) 375-7252Email: UOCAVA.Tallahatchie@sos.ms.gov

Tate Tate County Registrar201 Ward StreetSenatobia, MS 38668Fax: (662) 562-7486Email: UOCAVA.Tate@sos.ms.gov

Tippah Tippah County Registrar102-A N. MainRipley, MS 38663Fax: (662) 837-1030Email: UOCAVA.Tippah@sos.ms.gov

Tishomingo Tishomingo County Registrar1008 Battleground DriveIuka, MS 38852Fax: (662) 423-1667Email: UOCAVA.Tishomingo@sos.ms.gov

Tunica Tunica County RegistrarPO Box 184Tunica, MS 38676Fax: (662) 363-2413Email: UOCAVA.Tunica@sos.ms.gov

Union Union County RegistrarPO Box 298New Albany, MS 38652Fax: (662) 534-2059Email: UOCAVA.Union@sos.ms.gov

Walthall Walthall County Registrar200 Ball AvenueTylertown, MS 39667Fax: (601) 876-4077Email: UOCAVA.Walthall@sos.ms.gov

Warren Warren County RegistrarPO Box 351Vicksburg, MS 39181Fax: (601) 630-4100Email: circlk@co.warren.ms.us

Washington Washington County RegistrarPO Box 1276Greenville, MS 38702Fax: (662) 334-2698Email: UOCAVA.Washington@sos.ms.gov

Wayne Wayne County Registrar609 AzaleaWaynesboro, MS 39367Fax: (601) 735-6261Email: UOCAVA.Wayne@sos.ms.gov

Webster Webster County Registrar515 Carroll StreetWalthall, MS 39771Fax: (662) 258-7686Email: UOCAVA.Webster@sos.ms.gov

Wilkinson Wilkinson County RegistrarPO Box 327Woodville, MS 39669Fax: (601) 888-1984Email: UOCAVA.Wilkinson@sos.ms.gov

Winston Winston County RegistrarPO Box 785Louisville, MS 39339Fax: (662) 773-7192Email: UOCAVA.Winston@sos.ms.gov

Yalobusha Yalobusha County RegistrarPO Box 1431Water Valley, MS 38965Fax: (662) 675-8004Email: UOCAVA.Yalobusha@sos.ms.gov

Yazoo Yazoo County RegistrarPO Box 108Yazoo City, MS 39194Fax: (662) 716-0113Email: UOCAVA.Yazoo@sos.ms.gov

Missourihttp://www.sos.mo.gov/elections/

Registering and Requesting Your Absentee BallotRegistration is not required if you are voting in elections forFederal offices only. You must still complete the FederalPost Card Application to request an absentee ballot. Theform requests absentee ballots for both the primary andsubsequent general election. FPCAs received in 2008 and2009 are valid as requests for absentee ballots through the2010 general election.

You may also submit the FPCA by the listed registrationdeadline to register permanently in Missouri and vote a fullballot. If you do not register permanently, you will not bequalified to vote in person at the polls.

Block 2: To vote in primary elections, you must enter yourpolitical party preference. If you do not enter an preference,the local election official is authorized to provide that partof the ballot for which no political party designation isrequired. Political party preference is not required if onlyrequesting absentee ballots for general elections.

Your valid Missouri Driver's License number AND the lastfour digits of your Social Security number are required forvoter registration. If you do not possess either of theseidentification numbers please write “none” on the form, andthe State shall assign you a unique identifying number.

Block 6: Missouri does allow you to receive your blankballot by email or fax. Please rank your preference of howyou would like to receive your absentee ballot.Moret ransmiss ion op t ions may be ava i l ab le . Checkwww.fvap.gov for updates.

Block 7: Complete street address of your Missouri votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: In addition to mailing a regular ballot, Missouriprovides a State special write-in absentee ballot to any voterunable to vote in a general election due to military serviceor living in an isolated or extremely remote area. You mustrequest the State special write-in ballot within 80 days of ageneral election. To request it, write in Block 9: “I amunable to vote by any other means due to requirements ofmilitary service or due to living in isolated or extremelyremote areas of the world. I request a special write-inabsentee ballot.”

If you do not wish to receive ballots for all Federal electionsthrough the next Federal election cycle, you may request aballot for each election for Federal office held in the nextelection year OR a ballot for only the next scheduledelection for Federal office by noting your choice here

Registration January 11, 2012 July 11, 2012 October 10, 2012

Ballot Request February 1, 2012 August 1, 2012 October 31, 2012

Ballot Return 7 pm, February 7, 2012 7 pm, August 7, 2012 7 pm, November 6, 2012

Missouri 2012-13 Voting Assistance Guide

Missouri allows you to submit the FPCA by mail, email, orfax if you are using the FPCA as a ballot request only. Ifyou are using the FPCA to register, you must submit theform by mail.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. You must also submitthe FPCA by mail. Email directly to your local electionoff ice . Emai l addresses can be found a t h t tp : / /www.sos.mo.gov/elections/countyclerks.asp.

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the formdirectly to your local election official. Fax numbers can befound at http://www.sos.mo.gov/elections/countyclerks.asp.You may also use the DoD Electronic Transmission Serviceto fax your FPCA toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toMissouri’s voter registration verification website at:www.govotemissouri.com.

Your spouse, grandparent, parent, sibling, child orgrandchild may request in person to the local electionofficial that an absentee ballot be mailed to you.

Voted ballots must be received by local election office by7 pm on Election Day.

Missouri allows you to return the voted ballot by email orfax only if a special declaration is made by the Secretaryo f S t a t e b e f o r e t h e e l e c t i o n . P l e a s e r e f e r t owww.sos.mo.gov to see if a declaration has beenmade.Use FPCA email and fax instructions under “Howand Where to Submit Your FPCA.” All other voted ballotsmust be returned by mail.

You may track the status of your ballot at: http://www.sos .mo .gov /e lec t ions /mi l i t a ry /default.asp#trackBallot.

2012-13 Voting Assistance Guide Missouri

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Missouri allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in primary, special, run-off, andgeneral elections for Federal office. If you are registeredand have requested your absentee ballot, feel free to use theFWAB to vote anytime before an election.

Block 1: Missouri does not allow you to use this form forregistration. Do not check the registration box.

Enter your valid Missouri Driver's License number OR thelast four digits of your Social Security number.

Block 7: Complete street address of your Missouri votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to http://www.sos.mo.gov/elections. For each office forwhich you vote, write in either a candidate's name or apolitical party designation. Once the ballot is complete, foldand place it in the security envelope and seal. Place only thevoted ballot in the security envelope and do not write on thesecurity envelope.

The deadlines for submitting the FWAB are the same as forState absentee ballots. If you receive the State ballot aftersubmitting the voted FWAB, you must also vote and return the

State ballot. If both ballots are received by the deadline, onlythe State ballot will be counted.

Missouri does not allow you to return the FWAB byemail or fax unless a special declaration is made by theSecretary of State before the election. Please refer towww.sos.mo.gov to see if a declaration has been made.

If you choose to email your FWAB, you should send theballot as a signed, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found a t h t tp : / /www.sos .mo.gov /e lec t ions /countyclerks.asp. You must also submit the FWAB by mail.

If you choose to fax your FWAB, you must also submit theFWAB by mail. It is recommended that you fax the ballotdirectly to your local election official. Fax numbers can befound at http://www.sos.mo.gov/elections/countyclerks.asp.Include ballot, voter affirmation, and cover sheet withsecrecy waiver. You may also use the DoD ElectronicTransmission Service to fax your FWAB toll-free. To usethe Electronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

Adair Adair County Clerk106 W. Washington, 2nd FloorKirksville, MO 63501-2890Fax: (660) 785-3233Email: scollop@adaircomo.com

Andrew Andrew County Clerk411 Court Street, PO Box 206 Savannah, MO 64485-1683Fax: (816) 324-6154Email: Andrewcounty@hotmail.com

Atchison Atchison County Clerk400 S. Washington Street, PO Box 280Rock Port, MO 64482-1200Fax: (660) 744-5499Email: acclerk@rpt.coop

Audrain Audrain County Clerk101 N. Jefferson, Room 101Mexico, MO 65265-2769Fax: (573) 581-2380Email: sharvey@audraincounty.org

Barry Barry County Clerk700 Main, Suite 2Cassville, MO 65625-1467Fax: (417) 847-5311Email: barrycountyclerk@centurytel.net

Barton Barton County Clerk1004 Gulf, Room 102Lamar, MO 64759-1498Fax: (417) 682-4100Email: bartoncountyclerk@sbcglobal.net

Bates Bates County Clerk1 N. DelawareButler, MO 64730-2266Fax: (660) 679-9922Email: bates@sos.mo.gov

Benton Benton County Clerk316 Van Buren St., PO Box 1238 Warsaw, MO 65355-1238Fax: (660) 438-3275Email: benton@sos.mo.gov

Bollinger Bollinger County Clerk204 E. High Street, Suite 5Marble Hill, MO 63764-0110Fax: (573) 238-3275Email: bollinger@sos.mo.gov

Boone Boone County Clerk801 E. Walnut Street, Room 236Columbia, MO 65201-4890Fax: (573) 886-4300Email: ckwendy@msn.com

Buchanan Buchanan County Clerk411 Jules, Room 121Saint Joseph, MO 64501-1729Fax: (816) 271-1535Email: mgarvey@co.buchanan.mo.us

Butler Butler County Clerk100 N. Main, Room 202Poplar Bluff, MO 63901-5809Fax: (573) 686-8066Email: tdbutler@tcmax.net

Caldwell Caldwell County Clerk49 E. Main, PO Box 67Kingston, MO 64650-0067Fax: (816) 586-3001Email: countyclerk@centurytel.net

Callaway Callaway County Clerk10 E. Fifth StreetFulton, MO 65251-1713Fax: (573) 642-7181Email: deniseh@callawaycounty.org

Camden Camden County Clerk#1 Court Circle NW, Suite 2Camdenton, MO 65020-8501Fax: (573) 346-8445Email: rowland_todd@camdenmo.org

Cape Girardeau Cape Girardeau County Clerk1 Barton Square, Suite 301Jackson, MO 63755-1891Fax: (573) 204-2418Email: kclark@capecounty.us

Carroll Carroll County Clerk8 S. Main, Ste 6Carrollton, MO 64633-1680Fax: (660) 542-0621Email: countyclerk@carrollcomo.org

Carter Carter County ClerkPO Box 517Van Buren, MO 63965-0517Fax: (573) 323-4527Email: carter@sos.mo.gov

Cass Cass County Clerk102 E. Wall Harrisonville, MO 64701-2451Fax: (816) 380-8101Email: Janetb@casscounty.com

Cedar Cedar County Clerk113 South StreetStockton, MO 65785-8531Fax: (417) 276-3461Email: cedar@sos.mo.gov

Chariton Chariton County Clerk306 S. CherryKeytesville, MO 65261-1026Fax: (660) 288-3403Email: charitonclerk@centurytel.net

Christian Christian County Clerk100 W. Church, Room 206Ozark, MO 65721-6901Fax: (417) 581-8331Email: kaybrown@christiancountymo.gov

Clark Clark County Clerk288 E. MainKahoka, MO 63445-1268Fax: (660) 727-1088Email: clark@sos.mo.gov

Clay Clay County Board of Elections100 W. MississippiLiberty, MO 64068-1263Fax: (816) 792-5334Email: DaveReinhart@claycoelections.com

Clinton Clinton County Clerk207 N. Main St., Room 103Plattsburg, MO 64477-0245Fax: (816) 539-3072Email: mblanton@centurytel.net

Cole Cole County Clerk311 E. High Street, Room 201Jefferson City, MO 65101-3250Fax: (573) 681-9678Email: mregister@colecounty.org

Cooper Cooper County Clerk200 Main Street, Room 23 Boonville, MO 65233-1276Fax: (660) 882-5645Email: cclerk@classicnet.net

Crawford Crawford County Clerk302 Main St., PO Box ASSteelville, MO 65565-0620Fax: (573) 775-3066Email: crawford@sos.mo.gov

Dade Dade County ClerkDade County Courthouse, Public SquareGreenfield, MO 65661-1351Fax: (417) 637-1006Email: dade@sos.mo.gov

Dallas Dallas County ClerkPO Box 436Buffalo, MO 65622-0436Fax: (417) 345-5321Email: dallas@sos.mo.gov

Daviess Daviess County Clerk102 N. Main, Gallatin, MO 64640-1152Fax: (660) 663-3075Email: daviess@sos.mo.gov

De-Kalb De-Kalb County Clerk109 W. Main Street, PO Box 248Maysville, MO 64469-0248Fax: (816) 449-2440Email: dekctyclk@centurytel.net

Dent Dent County Clerk400 N. Main StreetSalem, MO 65560-4144Fax: (573) 729-3350Email: dent@sos.mo.gov

Douglas Douglas County ClerkPO Box 398Ava, MO 65608-0398Fax: (417) 683-1017Email: douglas@sos.mo.gov

Dunklin Dunklin County ClerkPO Box 188Kennett, MO 63857-0188Fax: (573) 888-2832Email: dunklin@sos.mo.gov

Franklin Franklin County Clerk400 E. Locust, Room 201Union, MO 63084Fax: (636) 583-7320Email: ddoor@franklinmo.net

Gasconade Gasconade County Clerk119 E. First Street, Suite 2Hermann, MO 65041-1185Fax: (573) 486-8893Email: gasconade@sos.mo.gov

Gentry Gentry County Clerk200 W. ClayAlbany, MO 64402-1600Fax: (660) 726-4478Email: gencoclerk@windstream.net

Greene Greene County Clerk940 Boonville, Room 113 Springfield, MO 65802-3802Fax: (417) 868-4170Email: rstruckhoff@greenecountymo.org

Grundy Grundy County Clerk700 Main Street, 2nd FloorTrenton, MO 64683-2010Fax: (660) 359-6786Email: countyclerk@grundycountymo.com

Harrison Harrison County Clerk1505 Main Street, PO Box 525 Bethany, MO 64424-0525Fax: (660) 425-3772Email: debeck@grundyec.net

Henry Henry County Clerk100 W. FranklinClinton, MO 64735-2080Fax: (660) 890-2963Email: henry@sos.mo.gov

Hickory Hickory County ClerkPO Box 3 Hermitage, MO 65668-0003Fax: (417) 745-6057Email: hickory@sos.mo.gov

Holt Holt County Clerk102 W. Nodaway, PO Box 437Oregon, MO 64473Fax: (660) 446-3353Email: holtcoclerk@ofmlive.net

Howard Howard County Clerk#1 Courthouse SquareFayette, MO 65248-1283Fax: (660) 248-1075Email: howard@sos.mo.gov

Howell Howell County Clerk35 Court Square, Suite 200West Plains, MO 65775-3400Fax: (417) 256-2512Email: howell@sos.mo.gov

Iron Iron County Clerk250 S. Main, PO Box 42Ironton, MO 63650-0042Fax: (573) 546-6499Email: iron@sos.mo.gov

Jackson Jackson County Board of ElectionsPO Box 296,Independence, MO 64051-0296Fax: (816) 325-4609Email: jmckinzie@jcebmo.org

Jasper Jasper County Clerk302 S. Main Street, Room 102Carthage, MO 64836-1690Fax: (417) 358-0415Email: countyclerk@ecarthage.com

Jefferson Jefferson County ClerkPO Box 100 Hillsboro, MO 63050-0100Fax: (636) 797-5360Email: countyclerk@jeffcomo.org

Johnson Johnson County Clerk300 North HoldenWarrensburg, MO 64093-1708Fax: (660) 747-9332Email: dthompson@jococourthouse.com

Kansas City Kansas City Board of Elections30 W. Pershing Road, Suite 61Kansas City, MO 64108-1867Fax: (816) 472-4960Email: shawn@kceb.org

Knox Knox County Clerk107 N. 4th StreetEdina, MO 63537-1470Fax: (660) 397-2642Email: knox@sos.mo.gov

Laclede Laclede County Clerk200 N. Adams Ave.Lebanon, MO 65536-3046Fax: (417) 588-9288Email: clerk@lacledcountymissouri.org

Lafayette Lafayette County Clerk1001 Main, Room 103Lexington, MO 64067-1344Fax: (660) 259-6109Email: niendick@lafayettecountymo.com

Lawrence Lawrence County Clerk1 E. Courthouse Square, Suite 101 Mount Vernon, MO 65712-1466Fax: (417) 466-4348Email: lawrence@sos.mo.gov

Lewis Lewis County ClerkPO Box 67Monticello, MO 63457-0067Fax: (573) 767-8245Email: lewis@sos.mo.gov

Lincoln Lincoln County Clerk201 Main StreetTroy, MO 63379-1127Fax: (636) 528-5528Email: rwilcockson@lcclerk.com

Linn Linn County Clerk108 N. High Street, PO Box 92Linneus, MO 64653-0092Fax: (660) 895-5527Email: linn@sos.mo.gov

Livingston Livingston County Clerk700 Webster Street, Suite 10Chillicothe, MO 64601-2253Fax: (660) 646-8010Email: countyclerk@livingstoncountymo.com

Macon Macon County Clerk101 E. Washington, Bldg 1, Suite BMacon, MO 63552-0096Fax: (660) 385-7203Email: macon@sos.mo.gov

Madison Madison County Clerk1 Courthouse SquareFredericktown, MO 63645-1137Fax: (573) 783-5351Email: madison@sos.mo.gov

Maries Maries County ClerkPO Box 205Vienna, MO 65582-0205Fax: (573) 422-3269Email: rhonda@mariesco.org

Marion Marion County Clerk100 S. MainPalmyra, MO 63461-1661Fax: (573) 769-4312Email: mcco@centurytel.net

McDonald McDonald County Clerk602 Main St., PO Box 665Pineville, MO 64856-0665Fax: (417) 223-7519Email: mcdonald@sos.mo.gov

Mercer Mercer County Clerk802 Main StreetPrinceton, MO 64673-1240Fax: (660) 748-3445Email: mcclerk@grm.net

Miller Miller County ClerkPO Box 12 Tuscumbia, MO65082-0012Fax: (573) 369-1905Email: clayton@millercountymo.org

Mississippi Mississippi County ClerkPO Box 369Charleston, MO 63834-0369Fax: (573) 683-6071Email: jrdelay@misscomo.net

Moniteau Moniteau County Clerk200 E. Main Street, Room 106California, MO 65018-1675Fax: (573) 796-3082Email: Monitcoclk@yahoo.com

Monroe Monroe County Clerk300 N. Main Street, Room 204Paris, MO 65275-1399Fax: (660) 327-1019Email: monroecountyclk@centurytel.net

Montgomery Montgomery County Clerk211 E. Third StreetMontgomery City, MO 63361-1956Fax: (573) 564-8088Email: montcoclerk@mccountymo.com

Morgan Morgan County Clerk100 E. NewtonVersailles, MO 65084-1221Fax: (573) 378-5991Email: cathydaniels2003@yahoo.com

New Madrid New Madrid County Clerk450 Main St., PO Box 68New Madrid, MO 63869-0068Fax: (573) 748-9269Email: clemcravens@newmadridcounty.net

Newton Newton County ClerkPO Box 488Neosho, MO 64850-0488Fax: (417) 451-7434Email: newton@sos.mo.gov

Nodaway Nodaway County Clerk403 N. MarketMaryville, MO 64468-0218Fax: (660) 582-5282Email: nodclerk@embarqmail.com

Oregon Oregon County ClerkPO Box 324Alton, MO 65606-0324Fax: (417) 778-7488Email: oregoncountyclerk@centurytel.net

Osage Osage County Clerk205 E. Main, PO Box 826Linn, MO 65051-0826Fax: (573) 897-4741Email: osage@sos.mo.gov

Ozark Ozark County ClerkPO Box 416Gainesville, MO 65655-0416Fax: (417) 679-3209Email: ozark@sos.mo.gov

Pemiscot Pemiscot County Clerk610 Ward Avenue, Ste. 2-ACaruthersville, MO 63830-1644Fax: (573) 333-0440Email: pemcoclerk@sbcglobal.net

Perry Perry County Clerk321 N. Main, No. 2Perryville, MO 63775-1315Fax: (573) 547-7367Email: rtaylor@c-b-s-i.net

Pettis Pettis County Clerk415 S. OhioSedalia, MO65301-4435Fax: (573) 547-7367Email: lastradan@pettiscomo.com

Phelps Phelps County Clerk200 N. Main StreetRolla, MO 65401-3061Fax: (573) 458-6119Email: carol.bennett@phelpscounty.org

Pike Pike County Clerk115 W. MainBowling Green, MO 63334-1665Fax: (573) 324-5154Email: pike@sos.mo.gov

Platte Platte County Board of Elections2600 NW Prairie View Rd., PO Box 560Platte City, MO 64079-0560Fax: (816) 858-3387Email: platte@sos.mo.gov

Polk Polk County Clerk102 E. Broadway, Room 11Bolivar, MO 65613-1622Fax: (417) 326-3525Email: Clerk@polkcountymo.org

Pulaski Pulaski County Clerk301 Historic 66 E., Suite 101Waynesville, MO 65583-2600Fax: (573) 774-5601Email: pcclerk@fidnet.com

Putnam Putnam County Clerk1601 Main St., Room 101Unionville, MO 63565-1600Fax: (660) 947-4214Email: putclerk@nemr.net

Ralls Ralls County ClerkPO Box 400New London, MO 63459-0400Fax: (573) 985-6100Email: rcclerk@tds.net

Randolph Randolph County Clerk110 S. Main StreetHuntsville, MO 65259-1009Fax: (660) 277-3246Email: will.ellis@randolphcounty-mo.gov

Ray Ray County Clerk100 W. Main,Richmond, MO 64085-1755Fax: (816) 776-4512Email: ray@sos.mo.gov

Reynolds Reynolds County Clerk2319 Green St, PO Box 10Centerville, MO 63633-0100Fax: (573) 648-2449Email: reynolds@sos.mo.gov

Ripley Ripley County Clerk100 Courthouse Square, Suite 2Doniphan, MO 63935-1642Fax: (573) 996-9774Email: ripley@sos.mo.gov

Saline Saline County Clerk19 E. Arrow, Room 202Marshall, MO 65340-2124Fax: (660) 886-2603Email: derussell@mmuonline.net

Schuyler Schuyler County ClerkPO Box 187Lancaster, MO 63548-0187Fax: (660) 457-3016Email: schuyler@sos.mo.gov

Scotland Scotland County Clerk117 S. Market, Suite 100Memphis, MO 63555-1488Fax: (660) 465-7785Email: scotland@sos.mo.gov

Scott Scott County ClerkPO Box 188Benton, MO 63736-0188Fax: (573) 545-3540Email: scottcoclerk@scottcomo.com

Shannon Shannon County Clerk111 N. Main St, PO Box 187Eminence, MO 65466-0187Fax: (573) 226-5325Email: shannon@sos.mo.gov

Shelby Shelby County Clerk100 E. Main, PO Box 186Shelbyville, MO 63469-0186Fax: (573) 633-1004Email: shelby@sos.mo.gov

St. Charles St. Charles County Election Authority397 Turner BoulevardSt. Peters, MO 63376Fax: (636) 949-7552Email: RChrismer@sccmo.org

St. Clair St. Clair County ClerkPO Box 525Osceola, MO 64776-0525Fax: (417) 646-8080Email: stclair@sos.mo.gov

St. Francois St. Francois County Clerk1 W. Liberty Street, Suite 300Farmington, MO 63640Fax: (573) 431-6967Email: coclerk@sfcgov.org

St. Louis City St. Louis City Board of Elections300 N. TuckerSt. Louis, MO 63101-1914Fax: (314) 622-3587Email: jonesm@stlelections.com

St. Louis County St. Louis County Board of Elections12 Sunnen Drive, Suite 126Maplewood, MO 63143-3810Fax: (314) 615-1998Email:mmoore@stlouisco.com

Ste. Genevieve Ste. Genevieve County Clerk55 S. ThirdSte. Genevieve, MO 63670-1601Fax: (573) 883-5312Email: sgclerk2000@yahoo.com

Stoddard Stoddard County Clerk401 S. Prairie, PO Box 110Bloomfield, MO 63825-0110Fax: (573) 568-2194Email: jwatson@nwcable.net

Stone Stone County ClerkPO Box 45Galena, MO 65656-0045Fax: (417) 357-6861Email: countyclerkjudy@yahoo.com

Sullivan Sullivan County Clerk109 N. Main, Suite 5Milan, MO 63556-1369Fax: (660) 265-3724Email: eclerk@windstream.net

Taney Taney County Clerk132 David Street, PO Box 156Forsyth, MO 65653-0156Fax: (417) 546-2519Email: donnan@co.taney.mo.us

Texas Texas County Clerk210 N. Grand Avenue, Suite 311Houston, MO 65483-1226Fax: (417) 967-3837Email: txcomo@centurytel.net

Vernon Vernon County Clerk100 W. Cherry, Suite 6Nevada, MO 64772-3375Fax: (417) 667-6035Email: vernon@sos.mo.gov

Warren Warren County Clerk104 W. Main, Suite BWarrenton, MO 63383-1998Fax: (636) 456-1801Email: bdaly@warrencountymo.org

Washington Washington County Clerk102 N. Missouri Street Potosi, MO 63664-1799Fax: (573) 438-4038Email: washcoclerk@yahoo.com

Wayne Wayne County ClerkPO Box 48Greenville, MO 63944-0048Fax: (573) 224-5609Email: wayne@sos.mo.gov

Webster Webster County Clerk101 S. Crittenden, Room 12Marshfield, MO 65706-0048Fax: (573)526-3242Email: clerk@webstercountymo.gov

Worth Worth County ClerkPO Box 450Grant City, MO 64456-0450Fax: (660) 564-2432Email: cclerkwoco@grantcity.net

Wright Wright County ClerkPO Box 98Hartville, MO 65667-0098Fax: (417) 741-6142Email: wright@sos.mo.gov

Montanasos.mt.gov/Elections/Military_Overseas

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Stateand local elections in the calendar year in which it issubmitted.

Enter your valid Montana Driver's License number. If youdo not have a Montana Driver’s License, enter the last fourdigits of your Social Security number. If you do not possesseither of these identification numbers, the State shall assigna number that will serve to identify you for voterregistration purposes.

Block 6: Montana allows you to receive the blank ballot bymail, email or fax. Alternatively, you can use Montana’sonline Ballot Marking Wizard. The online wizard can befound at sos.mt.gov/Elections. Please rank your preferenceof how you would like to receive your absentee ballot.Provide your email address or fax number in Block 5. Ifyou do not make a selection, then your local electionofficial will mail your ballot to you.

Block 7: Complete street address of your Montana votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Montana allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email the formdirectly to your local election office. Email addresses canbe found at sos.mt.gov/elections/Military_Overseas.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found a t sos .mt .gov /e lec t ions /Military_Overseas. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-

Registration June 5, 2012 June 5, 2012 November 6, 2012

Ballot Request June 5, 2012 June 5, 2012 November 6, 2012

Ballot Return 8 pm, June 5, 2012 8 pm, June 5, 2012 8 pm, November 6, 2012

Montana 2012-13 Voting Assistance Guide

To find out the status of your registration, contact your localelection office or refer to Montana’s voter registrationverification website at: sos.mt.gov/elections.

Your jurisdiction will contact you regarding the status ofyour application for registration.

Late Registration

You may register up to and including election day, althoughballots are not issued from noon to 5 pm on the day beforeelection day.

You may submit a letter to your local election office torequest a ballot. The letter should identify you as an absentuniformed services elector or overseas elector and mustinclude your birth date, signature, your printed name,voting residence address and address to which the absenteeballot should be sent.

A person who holds a power of attorney from an absentUniformed Service member may apply for an absenteeballot for that election on behalf of the Uniformed Servicemember. The applicant shall provide a copy of the power ofattorney authorizing the request for an absentee ballot alongwith the application.

Voting Your Ballot Local election officials send absentee ballots approximately45 days before all elections for Federal office. Ballots aremailed approximately 20 days before all other elections.

Voted ballots (except Federal Write-in Absentee Ballots)must be received by the local election office by 8 pm onElection Day.

You may return the voted ballot by mail, email, or fax. UseFPCA email or fax instructions under “How and Where toSubmit Your FPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD”. This

label is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You canreturn your ballot with this label attached at any MPO/FPO,American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

You may track the status of your ballot at: sos.mt.gov/Elections.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Montana allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in primary,special, run-off, and general elections for Federal, State, andlocal offices and non-candidate ballot issues. Feel free to usethe FWAB to vote anytime before an election.

2012-13 Voting Assistance Guide Montana

Block 1: Montana allows you to use this form forregistration.

Enter your valid Montana Driver's License number. If youdo not have a Montana Driver’s License, enter the last fourdigits of your Social Security number. If you do not possesseither of these identification numbers, the State shall assigna number that will serve to identify you for voterregistration purposes.

Block 5: Provide your contact information to allow yourlocal election official to follow up if more information isrequired.

Block 7: Complete street address of your Montana votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any local, State, or Federal office in a general,special, or primary election. To find out the races andcandidates for which you can vote, go to sos.mt.gov/elections/Military_Overseas/. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

If you are using the FWAB simultaneously as a registrationform and voted ballot, it must be received by the localelection official by Election Day.

If you are using the FWAB as a voted ballot only, it must besent by 8 pm on Election Day and received by the localelection office by 3 pm on the Monday after Election Day.If you receive the State ballot after submitting the votedFWAB, you may also vote and return the State ballot. If bothballots are received by the deadline, only the State ballot willbe counted.

Montana allows you to submit the FWAB by mail, email, orfax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at sos.mt.gov/elections/Military_Overseas/.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers can be found atsos.mt.gov/elections/Military_Overseas/. Include ballot,voter affirmation, and cover sheet with secrecy waiver. Youmay also use the DoD Electronic Transmission Service tofax your FWAB tol l - f ree . To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

State Election Office Secretary of State’s OfficePO Box 202801Helena, MT 59620Fax: 406 444-2023Email: soselections@mt.gov

Beaverhead Beaverhead County Election Administrator2 South Pacific Street, #3Dillon, MT 59725-2799Fax: 406 683-3781Email: dscott@co.beaverheadcounty.org

Big Horn Big Horn County Election AdministratorPO Box 908Hardin, MT 59034-0908Fax: 406 665-9738Email: dbeardontwalk@co.bighorn.mt.us

Blaine Blaine County Election AdministratorPo Box 278Chinook, MT 59523-0278Fax: 406 357-2199Email: sboardman@co.blaine.mt.gov

Broadwater Broadwater County Election Administrator515 Broadway StreetTownsend, MT 59644-2397Fax: 406 266-3674Email: treas@co.broadwater.mt.us

Carbon Carbon County Election AdministratorPO Box 887Red Lodge, MT 59068-0887Fax: 406 446-2640Email: elections@co.carbon.mt.us

Carter Carter County Election AdministratorBox 315Ekalaka, MT 59324-0315Fax: 406 775-8750Email: cccnrc@midrivers.com

Cascade Cascade County Election AdministratorBox 2305Great Falls, MT 59403-2305Fax: 406 454-6725Email: elections@co.cascade.mt.us

Chouteau Chouteau County Election AdministratorBox 459Fort Benton, MT 59442-0459Fax: 406 622- 3012Email: claassen@itstriangle.com

Custer Custer County Election Administrator1010 MainMiles City, MT 59301-3496Fax: 406 874-3452Email: l.corbett@co.custer.mt.us

Daniels Daniels County Election AdministratorBox 247Scobey, MT 59263-0247Fax: 406 487-5583Email: clerkrec@danielsco.mt.gov

Dawson Dawson County Election Administrator207 West BellGlendive, MT 59330-1616Fax: 406 377-1717Email: clappj@dawsoncountymail.com

Deer Lodge Deer Lodge County Election Administrator800 MainAnaconda, MT 59711-2950Fax: 406 563-4001Email: clerk-recorder@anacondadeerlodge.mt.gov

Fallon Fallon County Election AdministratorBox 846Baker, MT 59313-0846Fax: 406 778-2048Email: falloncc@midrivers.com

Fergus Fergus County Election Administrator712 West MainLewistown, MT 59457-2562Fax: 406 535-9023Email: clerkrecorder@co.fergus.mt.us

Flathead Flathead County Election Administrator800 South MainKalispell, MT 59901-5435Fax: 406 758-5877Email: electionweb@co.flathead.mt.gov

Gallatin Gallatin County Election Administrator311 West Main, Room 210Bozeman, MT 59715Fax: 406 582-3068Email: charlotte.mills@gallatin.mt.gov

Garfield Garfield County Election AdministratorBox 7Jordan, MT 59337-0007Fax: 406 557-2765Email: gccr@midrivers.com

Glacier Glacier County Election Administrator512 East MainCut Bank, MT 59427-3075Fax: 406 873-3613Email: gmhall@glaciercountymt.org

Golden Valley Golden Valley County Election AdministratorPO Box 10Ryegate, MT 59074-0010Fax: 406 568-2428Email: berryml@midrivers.com

Granite Granite County Election AdministratorBox 925Philipsburg, MT 59858-0925Fax: 406 859-3817Email: graclerk@co.granite.mt.us

Hill Hill County Election Administrator315 4th StreetHavre, MT 59501-3923Fax: 406 265-2445Email: dahld@co.hill.mt.us

Jefferson Jefferson County Election AdministratorBox HBoulder, MT 59632-0249Fax: 406 225-4149Email: bramey@jeffco.mt.gov

Judith Basin Judith Basin County Election AdministratorBox 427Stanford, MT 59479-0427Fax: 406 566-2211Email: akelly@co.judith-basin.mt.us

Lake Lake County Election Administrator106 4th Avenue EastPolson, MT 59860-2125Fax: 406 883-7230Email: knewgard@lakemt.gov

Lewis and Clark Lewis and Clark County Election Administrator316 N. Park Ave., Rm. 168Helena, MT 59623-0001Fax: 406 457-8598Email: pdehart@co.lewis-clark.mt.us

Liberty Liberty County Election AdministratorBox 459Chester, MT 59522-0459Fax: 406 759-5395Email: clerk@co.liberty.mt.gov

Lincoln Lincoln County Election Administrator512 CaliforniaLibby, MT 59923-1942Fax: 406 293-8577Email: lcclerk@libby.org

Madison Madison County Election AdministratorBox 366Virginia City, MT 59755-0366Fax: 406 843-5264Email: pkaatz@madison.mt.gov

McCone McCone County Election AdministratorBox 199Circle, MT 59215-0199Fax: 406 485-2689Email: clerk@midrivers.com

Meagher Meagher County Election AdministratorBox 309White Sulphur Springs, MT 59645-0309Fax: 406 547-3388Email: dogle@meaghercounty.mt.gov

Mineral Mineral County Election AdministratorBox 550Superior, MT 59872-0550Fax: 406 822-3579Email: shayes@co.mineral.mt.us

Missoula Missoula County Election Administrator200 West BroadwayMissoula, MT 59802-4216Fax: 406 258-3913Email: vzeier@co.missoula.mt.us

Musselshell Musselshell County Election Administrator506 MainRoundup, MT 59072-2426Fax: 406 323-3303Email: jmang@co.musselshell.mt.us

Park Park County Election Administrator414 East Callender Street Livingston, MT 59047-2746Fax: 406 222-4193Email: clerkrecorder@parkcounty.org

Petroleum Petroleum County Election AdministratorBox 226Winnett, MT 59087-0226Fax: 406 429-6328Email: leslies@midrivers.com

Phillips Phillips County Election AdministratorBox 360Malta, MT 59538-0360Fax: 406 654-2429Email: mereaux@phillipscounty.mt.gov

Pondera Pondera County Election Administrator20 4th Avenue SWConrad, MT 59425-2383Fax: 406 271-4070Email: clerkrec@3rivers.net

Powder River Powder River County Election AdministratorBox 200Broadus, MT 59317-0270Fax: 406 436-2151Email: kamende@prco.mt.gov

2012-13 Voting Assistance Guide Montana

Powell Powell County Election Administrator409 MissouriDeer Lodge, MT 59722-1078Fax: 406 846-3891Email: cr@co.powell.mt.us

Prairie Prairie County Election AdministratorBox 125Terry, MT 59349-0125Fax: 406 635-5576Email: clerkrecorder@prairie.mt.gov

Ravalli Ravalli County Election Administrator215 S 4th Street, Suite CHamilton, MT 59840-2703Fax: 406 375-6554Email: rplettenberg@rc.mt.gov

Richland Richland County Election Administrator201 West MainSidney, MT 59270-4087Fax: 406 433-3731Email: sverhasselt@richland.org

Roosevelt Roosevelt County Election Administrator400 2nd Avenue SouthWolf Point, MT 59201-1600Fax: 406 653-6289Email: chansen@rooseveltcounty.org

Rosebud Rosebud County Election AdministratorBox 47Forsyth, MT 59327-0047Fax: 406 346-7551Email: gcuster@rosebudcountymt.com

Sanders Sanders County Election AdministratorBox 519Thompson Falls, MT 59873-0519Fax: 406 827-6970Email: clerk&recorder@sanderscounty.mt.gov

Sheridan Sheridan County Election Administrator100 West Laurel AvenuePlentywood, MT 59254-1647Fax: 406 765-2609Email:mlynch@co.sheridan.mt.us

Silver Bow Silver Bow County Election Administrator155 West Granite, Room 208Butte, MT 59701-9256Fax: 406 497-6328Email: shollis@bsb.mt.gov

Stillwater Stillwater County Election AdministratorBox 149Columbus, MT 59019-0149Fax: 406 322-8007Email: pmishler@stillwater.mt.gov

Sweet Grass Sweet Grass County Election AdministratorBox 888Big Timber, MT 59011-0888Fax: 406 932-3026Email: sgclerk1@itstriangle.com

Teton Teton County Election AdministratorBox 610Choteau, MT 59422-0610Fax: 406 466-3244Email: paula@3rivers.net

Toole Toole County Election Administrator226 1st Street SouthShelby, MT 59474-1990Fax: 406 424-8301Email:tnelson@toolecountymt.gov

Treasure Treasure County Election AdministratorBox 392Hysham, MT 59038-0392Fax: 406 342-5547Email: clerkrecorder@rangeweb.net

Valley Valley County Election Administrator501 Court Square, Box 2Glasgow, MT 59230-2405Fax: 406 228-9027Email: lnyquist@valleycountymt.net

Wheatland Wheatland County Election AdministratorBox 1903Harlowton, MT 59036-1903Fax: 406 632-4880Email: wccr@mtintouch.net

Wibaux Wibaux County Election AdministratorPO Box 199Wibaux, MT 59353-0199Fax: 406 796-2625Email: wibauxco@midrivers.com

Yellowstone Yellowstone County Election AdministratorBox 35002Billings, MT 59107-5002Fax: 406 254-7940Email: brutherford@co.yellowstone.mt.gov

2012-13 Voting Assistance Guide Nebraska

Nebraskawww.sos.state.ne.us/dyindex.html#boxingName/

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted.Voters should submit a new application after January 1 ofeach year.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference to the local election official no laterthan the third Friday before the election. Political partyaffiliation is not required if only requesting absentee ballotsfor general elections.

Block 3: Name (Last, First, Middle). If you are a marriedwoman who has assumed her husband's surname, writeyour maiden name here.

Your valid Nebraska Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Nebraska allows you to receive the blank ballot bymail, email or fax. Please rank your preference of how youwould like to receive your absentee ballot. Provide youremail address or fax number in Block 5. If you do not makea selection, then your local election official will mail yourballot to you.

Block 7: Complete street address of your Nebraska votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: In addition to mailing a regular ballot, Nebraskaprovides a State Special Write-In Absentee Ballot 60 daysbefore the election to any voter residing outside the U.S.This ballot allows you to vote for local, State and Federaloffices. To request it, write “I am outside the territoriallimits of the U.S. I request a special write-in absenteeballot.”

Nebraska allows you to submit the FPCA by mail, email, orfax.

Nebraska 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found athttp://www.sos.ne.gov/elec/clerks.html.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://www.sos.ne.gov/elec/clerks.html. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toNebraska’s voter registration verification website at:https://www.militaryoverseas.necvr.ne.gov/.

Registration/Ballot Request by Letter

You may apply in writing for a State registration form andan absentee ballot. Include your full name, signature,address of your legal voting residence, type of election(primary/general), and political party (if requesting a ballotfor a primary election). Your signed letter may be sent bymail, fax or as an email attachment and must be received byyour local election office no later than 18 days before theelection. However, if you are registered, and requesting aballot, you may send a written request to be received atyour local election office by the Wednesday prior to theelection.

Your spouse, parent, son, daughter or any other personacting as an agent may apply for an absentee ballot on yourbehalf.

Late Registration

Any member of the Uniformed Services or any civiliancitizen who was discharged from overseas Federal serviceor employment after the registration deadline, may registerto vote in the local election office of his or her county ofvoting residence by noon on the day before the election.

U.S. citizens of voting age who have never resided in theU.S. but have a parent who is eligible to vote in Nebraska,

and have not registered to vote in any other State of theU.S., are eligible to register to vote in one county in whicheither of their parents claimed residence (for local, State andFederal office ballots). The citizen must include with theregistration a signed form provided by the NebraskaElection Commissioner or local election office.

Voting Your Ballot Local election officials send absentee ballots to personsoutside the U.S. approximately 45 days before elections,and to persons within the U.S. 35 days before elections.

Voted ballots must be received by the local electionoffice before the close of polls on Election Day.

Voted ballots must be returned by mail. If you receive yourballot and you don’t think that it will arrive at the countyelection office by the deadline, contact your county electionoffice to see if you can submit your voted ballot by fax oremail. Find your county or city contact information at:http://www.sos.ne.gov/elec/clerks.html.

You may track the status of your ballot at https://www.militaryoverseas.necvr.ne.gov/.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Nebraska allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in primary,special, run-off, and general elections for Federal, State, andlocal offices and non-candidate ballot issues. Feel free to usethe FWAB to vote anytime before an election.

Block 1: Nebraska allows you to use this form forregistration.

Block 3: Name (Last, First, Middle). If you are a marriedwoman who has assumed her husband's surname, writeyour maiden name here.

Your valid Nebraska Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you want to change your political partyaffiliation, submit a completed Federal Post CardApplication indicating your new party preference to thelocal election official no later than the third Friday beforethe election.

Block 7: Complete street address of your Nebraska votingresidence. A post office box is not sufficient. If your

Vote Your FWAB:

Vote for any office in Federal, State or local elections. Tofind out the races and candidates for which you can vote, goto www.sos.State.ne.us/elec/. For each office for which youvote, write in either a candidate's name or a political partydesignation.Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

Nebraska allows you to submit the FWAB by mail, email,or fax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Youshould also submit the FWAB by mail. Email directly toyour local election office. Email addresses can be found athttp://www.sos.ne.gov/elec/clerks.html.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers for election officialscan be found at http://www.sos.ne.gov/elec/clerks.html.Include ballot, voter affirmation, and cover sheet withsecrecy waiver. You should also submit the FWAB by mail.You may also use the DoD Electronic Transmission Serviceto fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Adams Adams County ClerkPO Box 2067Hastings, NE 68902-2067Fax: 402 461-7185Email: clewis@adamscounty.org

Antelope Antelope County ClerkPO Box 26Neligh, NE 68756-0026Fax: 402 887-4719Email: antelopeclerk@frontiernet.net

Arthur Arthur County ClerkPO Box 126Arthur, NE 69121-0126Fax: 308 764-2216Email: becky.swanson@nebraska.gov

Banner Banner County ClerkPO Box 67Harrisburg, NE 69345-0067Fax: 308 436-4180Email: clerk@banner.nacone.org

Blaine Blaine County Clerk145 Lincoln AvenueBrewster, NE 68821-9700Fax: 308 547-2228Email: clerk@blaine.nacone.org

Boone Boone County Clerk222 South 4th StreetAlbion, NE 68620-1247Fax: 402 395-2055Email: clerk@boone.nacone.org

Box Butte Box Butte County ClerkPO Box 678Alliance, NE 69301-0678Fax: 308 762-2867Email: boxbutterclerk@yahoo.com

Boyd Boyd County ClerkPO Box 26Butte, NE 68722-0028Fax: 402 775-2146Email: clerk@boyd.nacone.org

Brown Brown County Clerk148 West 4th StreetAinsworth, NE 69210-1647Fax: 402 387-0918Email: bcclerk@threeriver.net

Buffalo Buffalo Election CommissionerPO Box 1270Kearney, NE 68848-1270Fax: 308 233-3649Email: ninecoelect@kearney.net

Burt Burt County ClerkPO Box 87Tekamah, NE 68061-1096Fax: 402 374-2956Email: burtcoclerk@huntel.net

Butler Butler County Clerk451 North 5th StreetDavid City, NE 68632-0289Fax: 402 367-3329Email: clerk@butler.nacone.org

Cass Cass Election Commissioner201 Main StreetPlattsmouth, NE 68048Fax: 402 296-9509Email: nancyj@cassne.org

Cedar Cedar County ClerkPO Box 47Hartington, NE 68739-0047Fax: 402 254-7410Email: cedarclk@hartel.net

Chase Chase County ClerkPO Box 1299Imperial, NE 69033-1299Fax: 308 882-7552Email: ccclerk@chase3000.com

Cherry Cherry County ClerkPO Box 120Valentine, NE 69201-0120Fax: 402 376-3095Email: clerk@cherry.nacone.org

Cheyenne Cheyenne County ClerkPO Box 217Sidney, NE 69162-0217Fax: 308 254-6943Email: beth@hamilton.net

Clay Clay County ClerkPO Box 67Clay Center, NE 68933-1499Fax: 402 762-3506Email: clerk@clay.nacone.org

Colfax Colfax County Clerk411 East 11th StreetSchuyler, NE 68661-1987Fax: 402 352-8515Email: clerk@colfax.nacone.org

Cuming Cuming County Clerk200 South Lincoln StreetRoom 100West Point, NE 68788Fax: 402 372-6013Email: ccclerk@cableone.net

Custer Custer County Clerk431 South 10th StreetBroken Bow, NE 68822-2099Fax: 308 872-2221Email: countyclerk4@hotmail.com

Dakota Dakota County ClerkPO Box 39Dakota City, NE 68731-0038Fax: 402 494-9228Email: tpiepho@dakotacountyne.org

Dawes Dawes County Clerk451 Main StreetChadron, NE 69337-2698Fax: 308 432-5179Email: clerk@dawes-county.com

Dawson Dawson County Clerk700 West Washington, Room ALexington, NE 68850Fax: 308 432-5179Email: karlaz@cozadtel.net

Deuel Deuel County ClerkPO Box 327Chappell, NE 69129-0327Fax: 308 874-3472Email: polly.olson@nebraska.gov

Dixon Dixon County ClerkPO Box 546Ponca, NE 68770-0546Fax: 402 755-5650Email: clerk@dixon.nacone.org

Dodge Dodge County Clerk435 North Park, Room 102Fremont, NE 68025-4967Fax: 402 727-2764Email: clerk@dodge.nacone.org

Douglas Douglas Election Commissioner225 North 115th StreetOmaha, NE 68154-2520Fax: 402 444-4181Email: questions@votedouglascounty.com

Dundy Dundy County ClerkPO Box 506Benkelman, NE 69021-0506Fax: 308 423-2325Email: clerk@dundy.nacone.org

Fillmore Fillmore County ClerkPO Box 307Geneva, NE 69361-0307Fax: 402 759-4307Email: Amy.Nelson@fillmore.nacone.org

Franklin Franklin County ClerkPO Box 146Franklin, NE 68939-0146Fax: 308 425-6093Email: clerk@franklin.nacone.org

Frontier Frontier County ClerkPO Box 40Stockville, NE 69042-0040Fax: 308 367-8730Email: clerkfc@curtis-ne.com

Furnas Furnas County ClerkPO Box 387Beaver City, NE 68926-0387Fax: 308 268-3205Email: clerk@furnas.nacone.org

Gage Gage County ClerkPO Box 429Beatrice, NE 68310-0429Fax: 402 223-1371Email: clerk@gage.nacone.org

Garden Garden County ClerkPO Box 486Oshkosh, NE 69154-0486Fax: 308 772-0124Email: clerk@garden.nacone.org

Garfield Garfield County ClerkPO Box 218Burwell, NE 68823-0218Fax: 308 346-4651Email: clerk@garfield.nacone.org

Gosper Gosper County ClerkPO Box 136Elwood, NE 68937-0136Fax: 308 785-2300Email: goclerk73@atcjet.net

Grant Grant County ClerkPO Box 139Hyannis, NE 69350-0139Fax: 308 458-2780Email: christee.haney@nebraska.gov

Greeley Greeley County ClerkPO Box 287Greeley, NE 68842-0287Fax: 308 428-3022Email: clerk@greeley.nacone.org

Hall Hall Election Commissioner121 South Pine StreetGrand Island, NE 68801-6099Fax: 308 385-5071Email: daleb@hallcountyne.gov

Hamilton Hamilton County Clerk1111 13th Street, Suite 1Aurora, NE 68818-2017Fax: 402 694-2297Email: clerk@hamilton.net

Harlan Harlan County ClerkPO Box 698Alma, NE 68920-0379Fax: 308 928-2079Email: clerk@harlan.nacone.org

Hayes Hayes County ClerkPO Box 370Hayes Center, NE 69032-0370Fax: 308 286-3208Email: clerk@Hayes.nacone.org

Hitchcock Hitchcock County ClerkPO Box 248Trenton, NE 69044-0248Fax: 308 334-5398Email: clerk@hitchcock.nacone.org

Holt Holt County ClerkPO Box 329O'Neil, NE 68763-0329Fax: 402 336-1762Email: holtclerkcathy@morcomm.net

Hooker Hooker County ClerkPO Box 184Mullen, NE 69152-0184Fax: 308 546-2490Email: soscou93@nebnet.net

Howard Howard County ClerkPO Box 25Saint Paul, NE 68873-0025Fax: 308 754-4125Email: clerk@howard.nacone.org

Jefferson Jefferson County Clerk411 4th StreetFairbury, NE 68352-2536Fax: 402 729-2016Email: countyclerk@jeffconebraska.us

Johnson Johnson County ClerkPO Box 416Tecumseh, NE 68450-0416Fax: 402 335-6311Email: clerk@johnson.nacone.org

Kearney Kearney County ClerkPO Box 339Minden, NE 68959-0339Fax: 308 832-2729Email: clerk@kearney.nacone.org

Keith Keith County Clerk511 North Spruce Street, Suite 102Ogallala, NE 69153-2146Fax: 308 284-6277Email: clerk@keithcountyne.gov

Keya Paha Keya Paha County ClerkPO Box 349Springview, NE 68778-0349Fax: 402 497-3799Email: clerk@keyapaha.nacone.org

Kimball Kimball County Clerk114 East 3rd St., Suite 6Kimball, NE 69145-1296Fax: 308 235-3654Email: clerk@kimball.nacone.org

Knox Knox County ClerkPO Box 166 Center, NE 68724-0166Fax: 402 288-5605Email: clerk@knox.nacone.org

Lancaster Lancaster Election Commissioner601 North 46th StreetLincoln, NE 68503-3720Fax: 402 441-6379Email: dshively@lancaster.ne.gov

Lincoln Lincoln County Clerk301 North Jeffers, Room 101North Platte, NE 69101-3997Fax: 308 535-3522Email: rosselbj@co.lincoln.ne.us

Logan Logan County ClerkPO Box 8Stapleton, NE 69163-0008Fax: 308 636-2333Email: clerk@logan.nacone.org

Loup Loup County ClerkPO Box 187Taylor, NE 68879-0187Fax: 308 942-3103Email: clerk@loup.nacone.org

McPherson McPherson County ClerkPO Box 122Tryon, NE 69167-0122Fax: 308 587-2363Email: clerk@mcpherson.nacone.org

Madison Madison County ClerkPO Box 290Madison, NE 68748-0290Fax: 402 454-6682Email: coclerk@co.madison.ne.us

Merrick Merrick County ClerkPO Box 27Central City, NE 68826-0027Fax: 308 946-2332Email: clerk@merrick.nacone.org

Morrill Morrill County ClerkPO Box 610Bridgeport, NE 69336-0610Fax: 308 262-1469Email: clerk@morrill.nacone.org

Nance Nance County ClerkPO Box 338 Fullerton, NE 68638-0338Fax: 308 536-2742Email: dzareknanceclerk@hamilton.net

Nemaha Nemaha County Clerk1824 N StreetAuburn, NE 68305-2399Fax: 402 274-4389Email: clerk@nemaha.nacone.org

Nuckolls Nuckolls County ClerkPO Box 366Nelson, NE 68961-0366Fax: 402 225-4301Email: clerk@nuckolls.nacone.org

Otoe Otoe County ClerkPO Box 249Nebraska City, NE 68410-0249Fax: 402 873-9506Email: clerk@otoe.nacone.org

Pawnee Pawnee County ClerkPO Box 431Pawnee City, NE 68420-0431Fax: 402 852-2963Email: clerk@pawnee.nacone.org

Perkins Perkins County ClerkPO Box 156Grant, NE 69140-0156Fax: 308 352-2455Email: clerk@perkins.nacone,org

Phelps Phelps County ClerkPO Box 404Holdrege, NE 68949-0404Fax: 308 995-4368Email: clerk@phelps.nacone.org

Pierce Pierce County Clerk111 West Court Room 1Pierce, NE 68767-0218Fax: 402 329-6439Email: piecoclk@ptcnet.net

Platte Platte Election Commissioner2610 14th Street, 3rd FloorColumbus, NE 68601Fax: 402 564-7733Email: pcelect@megavision.com

Polk Polk County ClerkPO Box 276Osceola, NE 68651-0276Fax: 402 747-2656Email: clerk@polk.nacone.org

Red Willow Red Willow County Clerk502 Norris AvenueMcCook, NE 69001-3159Fax: 308 345-4460Email: clerk@redwillow.nacone.org

Richardson Richardson County Clerk1700 Stone AvenueFalls City, NE 68355-2091Fax: 402 245-2946Email: clerk@richardson.nacone.org

Rock Rock County ClerkPO Box 367Bassett, NE 68714-0367Fax: 402 684-2741Email: clerk@rock.nacone.org

Saline Saline County ClerkPO Box 865Wilber, NE 68465-0865Fax: 402 821-3381Email: clerk@saline.nacone.org

Sarpy Sarpy Election Commissioner501 Olson Ddrive, Suite 4Papillion, NE 68046-2845Fax: 402 593-5770Email: wbena@sarpy.com

Saunders Saunders County ClerkPO Box 61Wahoo, NE 68066-0061Fax: 402 443-5010Email: countyclerk@co.saunders.ne.us

Scotts Bluff Scotts Bluff County Clerk1825 10th StreetGering, NE 69341-2487Fax: 308 436-3178Email: vdulaney@scottsbluffcounty.org

Seward Seward County ClerkPO Box 190Seward, NE 68434-0190Fax: 402 643-9243Email: sschweitzer@windstream.net

Sheridan Sheridan County ClerkPO Box 39Rushville, NE 69360-0039Fax: 308 327-2712Email: clerk@sheridan.nacone.org

Sherman Sherman County ClerkPO Box 456Loup City, NE 68853-0456Fax: 308 745-0297Email: clerk@sherman.nacone.org

Sioux Sioux County ClerkPO Box 158Harrison, NE 69346-0158Fax: 308 668-2443Email: mzimmerman@sioux.nacone.org

Stanton Stanton County ClerkPO Box 347Stanton, NE 68779-0347Fax: 402 439-2200Email: clerk@stanton.nacone.org

Thayer Thayer County Clerk225 North 4th Street, Room 201Hebron, NE 68370Fax: 402 768-2129Email: clerk@thayer.nacone.org

Thomas Thomas County ClerkPO Box 226Thedford, NE 69166-0226Fax: 308 645-2623Email: clerk@thomas.nacone.org

Thurston Thurston County ClerkPO Box G Pender, NE 68047-0138Fax: 402 385-3544Email: clerk@thurston.nacone.org

Valley Valley County Clerk125 South 15th StreetOrd, NE 68862-1444Fax: 308 728-7725Email: clerk@valley.nacone.org

Washington Washington County ClerkPO Box 466Blair, NE 68008-0466Fax: 402 426-6825Email: clerk@washingtoncountyne.org

Wayne Wayne County ClerkPO Box 248Wayne, NE 68787-0248Fax: 402 375-4137Email: coclerk@bloomnet.com

Webster Webster County ClerkPO Box 250Red Cloud, NE 68970-2399Fax: 402 746-2710Email: clerk@webster.nacone.org

Wheeler Wheeler County ClerkPO Box 127Bartlett, NE 68622-0127Fax: 308 750-3470Email: clerk@wheeler.nacone.org

York York County Clerk510 Lincoln AvenueYork, NE 68467-2945Fax: 402 362-2651Email: clerk@york.nacone.org

Nevadahttp://www.nvsos.gov

* Nevada has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for the Federal primary andgeneral elections immediately following the date which theCounty Clerk received the request.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you leave this block blank, youwill be registered as nonpartisan and will receive anonpartisan ballot for each nonpartisan primary election. Ifyou want to change your political party affiliation, submit acompleted FPCA indicating your new party preference tothe local election official no later than 31 days before theelection. Political party affiliation is not required if onlyrequesting absentee ballots for general elections.

Your val id Nevada Driver 's License OR Nevadaidentification card number is required for voter registration.If you do not have either, provide the last four digits of yourSocial Security number. If you do not possess any of theseidentification numbers, contact your local election officialto be assigned a unique identification number.

Block 5: Recommended but not required. Provide yourcontact information to allow the local election official tofollow up if more information is required.

Block 6: Nevada allows you to receive your blank ballot bymail, email, or fax. Please rank your preference of how youwould like to receive your absentee ballot. Provide youremail address or fax number in Block 5. If you do not makea selection, then your local election official will mail yourballot to you.

Block 7: Complete street address of your Nevada votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: To receive a sample ballot in large print, specifythis request here. Provide any information that may assistyour election official in accepting this application.

Nevada allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office, with the subject line “OfficialNevada FPCA”. Email addresses can be found at http://www.nvsos.gov.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found at

Registration N/A May 12, 2012 October 6, 2012

Ballot Request N/A 5 pm, June 5, 2012 5 pm, October 30, 2012

Ballot Return N/A 7 pm, June 12, 2012 7 pm, November 6, 2012

Nevada 2012-13 Voting Assistance Guide

http://www.nvsos.gov. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toNevada’s voter registration verification website at: https://nvsos.gov/votersearch/.

Late Registration

Members of the Armed Forces discharged within 60 days ofan election may register in person in their county of votingresidence upon return to that county.

Voting Your Ballot Local election officials send absentee ballots no later than20 days before elections for voters who reside withinNevada and no later than 45 days before elections for voterswho reside outside of Nevada.

Voted ballots must be received by local elections officialsby 7 pm on Election Day.

You may return the voted ballot by mail, email, or fax.

If you choose to return your voted ballot by email or fax,you must submit the declaration with your ballot. If you didnot receive a copy of the declaration, please contact yourlocal election official for further instructions. If you chooseto return your voted ballot via email, submit it with thesubject line “Official Nevada Voted Ballot.”

You may track the status of your ballot by contacting yourlocal election office. Contact information available at:https://nvsos.gov/votersearch/.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Nevada allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in general,special, and primary elections for local, State and Federaloffices. Feel free to use the FWAB to vote anytime beforean election.

Block 1: Nevada allows you to use this form forregistration.

2012-13 Voting Assistance Guide Nevada

Enter your valid Nevada Driver's License OR Nevadaidentification card number. If you do not have either,provide the last four digits of your Social Security number.If you do not possess any of these identification numbers,contact your local election official to be assigned a uniqueidentification number.

Block 5: Recommended but not required. Provide yourcontact information to allow the local election official tofollow up if more information is required.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you leave this block blank, you will beregistered as nonpartisan and will receive a nonpartisanballot for each nonpartisan primary election. If you want tochange your political party affiliation, submit a completedFederal Post Card Application no later than 30 days beforethe election.

Block 7: Complete street address of your Nevada votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal, State, or local officeor ballot questionin any general, primary, or special election. To find out theraces and candidates for which you can vote, go to http://www.nvsos.gov. For each office for which you vote, writein either a candidate's name or a political party designation.Once the ballot is complete, fold and place it in the securityenvelope and seal. Place only the voted ballot in thesecurity envelope and do not write on the security envelope.

Nevada allows you to submit the FWAB by mail, email, orfax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Email directly to your localelection office, with the subject line “Official Nevada VotedBallot”. Email addresses can be found at ht tp: / /www.nvsos.gov.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers can be found at http://www.nvsos.gov. Include ballot, voter affirmation, and coversheet with secrecy waiver. You may also use the DoDElectronic Transmission Service to fax your FWAB toll-free. To use the Electronic Transmission Service, use thecover sheet available in Chapter 1 or at www.fvap.gov, andfax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

Carson City Carson City County Clerk885 E. Musser Street, Suite 1025Carson City, NV 89701-4475Fax: 775 887-2146Email:elections@carson.org

Churchill Churchill County Clerk155 N. Taylor Street, Suite 110Fallon, NV 89406-2748Fax: 775 423-7069Email: khelton@churchillcounty.org

Clark Clark County Registrar of VotersClark County Elections DepartmentMail Requests, PO Box 3909Las Vegas, NV 89127Fax: 702 455-2793Email: elinfo@clarkcountynv.gov

Douglas Douglas County Clerk1616 8th Street, 2nd FloorPO Box 218 Minden, NV 89423-0218Fax: 775 782-9016Email: ttran@co.douglas.nv.us

Elko Elko County Clerk550 Court Street, 3rd FloorCounty CourthouseElko, NV 89801-3700Fax: 775 753-4610Email: cfosmo@elkocountynv.net

Esmeralda Esmeralda County ClerkPO Box 547 Goldfield, NV 89013-0547Fax: 775 485-6376Email: celgan@citlink.net

Eureka Eureka County ClerkCounty CourthousePO Box 677Eureka, NV 89316-0677Fax: 775 237-6015Email: jberg.ecct@eurekanv.org

Humboldt Humboldt County Clerk50 W. 5th Street, #207Winnemucca, NV 89445-3199Fax: 775 623-6309Email: coclerk@hcnv.us

Lander Lander County Clerk315 S. Humboldt StreetBattle Mountain, NV 89820-9998Fax: 775 635-5761Email: landercountyclerk@gmail.com

Nevada 2012-13 Voting Assistance Guide

Lincoln Lincoln County ClerkPO Box 90Pioche, NV 89043-0090Fax: 775 962-5180Email: llloyd@lincolnnv.com

Lyon Lyon County Clerk27 S. Main StreetYerington, NV 89447-2571Fax: 775 463-5305Email: nbryan@lyon-county.org

Mineral Mineral County Clerk105 S. A Street, Suite 1PO Box 1450 Hawthorne, NV 89415-1450Fax: 775 945-0706Email: clerk-treasurer@mineralcountynv.org

Nye Nye County ClerkPO Box 1031Tonopah, NV 89049-1031Fax: 775 482-8133Email: smerlino@co.nye.nv.us

Pershing Pershing County ClerkPO Box 820Lovelock, NV 89419-0820Fax: 775 273-3015Email: ldonaldoson@pershingcounty.net

Storey Storey County ClerkCounty Courthouse,26 “B” StreetDrawer “D”Virginia City, NV 89440-0139Fax: 775 847-0921Email: clerk@storeycounty.org

Washoe Washoe Registrar of VotersPO Box 11130Reno, NV 89520-0027Fax: 775 328-3747Email: electionsdepartment@washoecounty.us

White Pine White Pine County Clerk801 Clark Street, Suite 4Ely, NV 89301-1994Fax: 775 289-2544Email: wpclerk@mwpower.net

New Hampshirewww.sos.nh.gov

Registering and Requesting Your Absentee BallotThe Federal Post Card Application (FPCA) registers you tovote and requests absentee ballots for all regularlyscheduled Federal elections for the calendar year in which itis submitted, except that an FPCA received on or afterJanuary of 2011 is valid through the 2012 PresidentialPrimary. To vote in other 2012 elections, you must submitan FPCA on or after January of 2012.

Uniformed Service members, their families and overseascitizens can register to vote and request their absentee ballotby completing and returning the FPCA. After you receivethe absentee ballot and affadavit, complete them asinstructed and return them by mail.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation in anticipation of a State primaryelection, you must submit a completed FPCA indicatingyour new party preference to the local election official bythe first Tuesday of June in that year. Political partyaffiliation is not required if only requesting absentee ballotsfor general elections.

Your valid New Hampshire Driver's License number ORthe last four digits of your Social Security number isrequired for voter registration.

Block 6: New Hampshire allows you to receive the blankballot by mail or email. Please rank your preference of howyou would like to receive your absentee ballot. Provideyour email address in Block 5. If you do not make aselection, then your local election official will mail yourballot to you.

Block 7: Complete street address of your New Hampshirevoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the town or city where youclaim legal voting residence.

Block 9: In addition to mailing a regular ballot, NewHampshire provides a Special Write-In Absentee Ballot toany voter unable to vote in the regular absentee votingprocess due to the requirements of military service or due toliving in remote areas outside the U.S. and Canada. Thisballot is available for the State primary no later than July 15and for the general election no later than the date of theState primary. This ballot allows you to vote for Federaloffices. To request it, write in Block 9: “I am unable to voteby regular absentee ballot or in person due to requirementsof military service or due to living in isolated areas outsidethe United States and Canada. I request a special write-inabsentee ballot.”

DEADLINES Presidential PrimaryJanuary 10, 2012

Registration January 10, 2012 September 11, 2012 November 6, 2012

Ballot Request January 9, 2012 September 10, 2012 November 5, 2012

Ballot Return January 10, 2012 September 11, 2012 November 6, 2012

New Hampshire 2012-13 Voting Assistance Guide

New Hampshire allows you to submit the FPCA by mail,email, or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. It is recommendedthat you also submit the FPCA by mail. Email directly toyour local election office. Email addresses can be found at:www.sos.nh.gov under “Elections”.

If you choose to fax your FPCA, it is recommended thatyou also submit the FPCA by mail. Fax the form directly toyour local election official. Fax numbers can be found atwww.sos.nh.gov/clerks.htm. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, click on http://cfs.sos.nh.gov/app/Public/AbsenteeBallot.aspx or contact your local election office.Contact information can be found at www.sos.nh.gov under“Elections”.

A U.S. citizen who was born abroad and who is eligible tovote and who has never lived in the U.S. may register andvote in the town or city in New Hampshire where a parentor legal guardian would be eligible to register and vote.

Voting Your Ballot Local election officials send absentee ballots at least 45 daysbefore elections.

Voted ballots must be received by the local election officialby 5 pm on Election Day.

You may track the status of your ballot at: http://cfs.sos.nh.gov/app/Public/AbsenteeBallot.aspx.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!New Hampshire allows you to use the Federal Write-InAbsentee Ballot (FWAB) for voting in primary, special, andgeneral elections for Federal office. If you are registeredand have requested your absentee ballot, feel free to use theFWAB to vote anytime before an election.

2012-13 Voting Assistance Guide New Hampshire

Block 1: New Hampshire does not allow you to use thisform for registration. Do not check this block.

Block 4: Enter your valid New Hampshire Driver's Licensenumber, the last four digits of your Social Security number,OR your State voter registration number.

Block 7: Complete street address of your New Hampshirevoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the town or city where youclaim legal voting residence.

Vote Your FWAB:

Vote for any Federal office in a primary, special, or generalelection. To find out the races and candidates for which youcan vote, go to www.sos.nh.gov under “Elections”. Foreach office for which you vote, write in either a candidate'sname or a political party designation. Once the ballot iscomplete, you must fold and place it in the securityenvelope and seal for the ballot to be counted. Place onlythe voted ballot in the security envelope and do not write onthe security envelope.

Insert the sealed security envelope and the Voter'sDeclaration/Affirmation into the mailing envelope and mailyour FWAB directly to your local election official. If youdo not send the signed declaration/affirmation, your ballotwill not be counted.

Local Election Office Addresses

Berlin City Clerk of BerlinCity Hall Main StreetBerlin, NH 03570Fax: (603) 752-8586

Claremont City Clerk of Claremont58 Opera House SquareClaremont, NH 03743Fax: (603) 542-7014Email: cityclerk@claremontnh.com

Concord City Clerk of Concord41 Green StreetConcord, NH 03301-4255Fax: (603) 225-8592Email: cityclerk@onconcord.com

Dover City Clerk of Dover288 Central AvenueDover, NH 03820-4198Fax: (603) 516-6666Email: j.gaouette@ci.dover.nh.us

Franklin City Clerk of Franklin316 Central StreetFranklin, NH 03235-1774Fax: (603) 934-7413Email: chalberg@franklinnh.org

Keene City Clerk of Keene3 Washington StreetKeene, NH 03431-3124Fax: (603) 357-9884Email: plittle@ci.keene.nh.us

Laconia City Clerk of LaconiaPO Box 489Laconia, NH 03246Fax: (603) 524-1766Email: cityclerk@city.laconia.nh.us

Lebanon City Clerk of Lebanon51 N. Park StreetLebanon, NH 03766-1317Fax: (603) 448-4891Email: sandi.allard@lebcity.com

Manchester Office of the City Clerk1 City Hall PlazaManchester, NH 03101Fax: (603) 624-6481Email: cityclerk@manchesternh.gov

Nashua City Clerk of Nashua229 Main StreetNashua, NH 03061Fax: (603) 589-3029

Portsmouth City Clerk of Portsmouth1 Junkins AvenuePortsmouth, NH 03801-4561Fax: (603) 427-1579Email: cityclerk@ch.cityofportsmouth.com

Rochester City Clerk of Rochester31 Wakefield StreetRochester, NH 03867-1916Fax: (603) 335-7565Email: joseph.gray@rochesternh.net

Somersworth City Clerk of SomersworthOne Government WaySomersworth, NH 03878-3113Fax: (603) 692-9574

Town Mailing Address

Acworth Town Clerk of AcworthPOBox 37Acworth, NH 03061Fax: (603) 835-7901Email: atclerk@sover.net

Albany Town Clerk of Albany1972 Route 16, Suite BAlbany, NH 03818-2699Fax: (603) 447-6038

Alexandria Town Clerk of Alexandria47A Washburn RoadAlexandria, NH 03222Fax: (603) 744-8577Email: alexandrianh@metrocast.net

Allenstown Town Clerk of Allenstown16 School StreetAllenstown, NH 03275-1917Fax: (603) 485-8669Email: allenstowntownclerk@comcast.net

Alstead Town Clerk of AlsteadPO Box 65Alstead, NH 03602Fax: (603) 835-2178Email: townofalstead@comcast.net

Alton Town Clerk of AltonPO Box 637Alton, NH 03809Fax: (603) 875-3894Email: townclerk@alton.nh.gov

Amherst Town Clerk of AmherstPO Box 9602 Main StreetAmherst, NH 03031Fax: (603) 673-6794Email: ndemers@amherstnh.gov

Andover Town Clerk of AndoverPO Box 61Andover, NH 03216Fax: (603) 735-6975

Antrim Town Clerk of AntrimPO Box 517Antrim, NH 03440Fax: (603) 588-2969Email: antrimatc@tds.net

Ashland Town Clerk of AshlandPO Box 517Ashland, NH 03217Fax: (603) 968-3776

Atkinson Town Clerk of Atkinson21 Academy StreetAtkinson, NH 03811-2204Fax: (603) 362-5305Email: townclerk@toa.mv.com

Auburn Town Clerk of AuburnPO Box 309Auburn, NH 03032Fax: (603) 483-0518Email: townhall@townofauburnnh.com

Barnstead Town Clerk of BarnsteadPO Box 11Barnstead, NH 03225Fax: (603) 269-4072Email: barntownhall@metrocast.net

Barrington Town Clerk of Barrington41 Province LaneBarrington, NH 03825-3937Fax: (603) 664-5179

Bartlett Town Clerk of BartlettRR #1, Box 50Intervale, NH 03845Fax: (603) 356-2300

Bath Town Clerk of BathPO Box 165Bath, NH 03740Fax: (603) 747-0497

Bedford Town Clerk of Bedford24 N. Amherst RoadBedford, NH 03110-5404Fax: (603) 472-4573Email: wjenkins@ci.bedford.nh.us

Belmont Town Clerk of BelmontPO Box 310Belmont, NH 03220Fax: (603) 267-8305Email: clacasse@belmontnh.org

Bennington Town Clerk of Bennington7 School Street, Unit 101Bennington, NH 03442-4125Fax: (603) 588-8005

Benton Town Clerk of Benton110 Flanders RoadBenton, NH 03570

Bethlehem Town Clerk of BethlehemPO Box 189Bethlehem, NH 03574Fax: (603) 869-2280

Boscawen Town Clerk of Boscawen116 N. Main StreetBoscawen, NH 03303-1123Fax: (603) 753-9184

Bow Town Clerk of Bow10 Grandview RoadBow, NH 03304-3415Fax: (603) 225-5428Email: townclerk@bow-nh.gov

Bradford Town Clerk of BradfordPO Box 607Bradford, NH 03221Fax: (603) 938-2094Email: bradfordnh@srnet.com

Brentwood Town Clerk of Brentwood1 Dalton RoadBrentwood, NH 03833Fax: (603) 642-6310

Bridgewater Town Clerk of BridgewaterPO Box 419Bridgewater, NH 03264Fax: (603) 968-3506

Bristol Town Clerk of Bristol230 Lake StreetBristol, NH 03222-3572Fax: (603) 744-2521

Brookfield Town Clerk of BrookfieldPO Box 756Brookfield, NH 03872Fax: (603) 522-6245

Brookline Town Clerk of BrooklinePO Box 336Brookline, NH 03033Fax: (603) 673-8136

Campton Town Clerk of Campton1307 NH Rte 175Campton, NH 03223-4801Fax: (603) 726-9817

Canaan Town Clerk of CanaanPO Box 38Canaan, NH 03741Fax: (603) 523-4526

Candia Town Clerk of Candia74 High StreetCandia, NH 03034-2751Fax: (603) 483-0252Email: cdupere@townofcandia.org

Canterbury Town Clerk of CanterburyPO Box 500Canterbury, NH 03224Fax: (603) 783-0501Email: townclk@totalnetnh.net

Carroll Town Clerk of CarrollPO Box 88Twin Mountain, NH 03224Fax: (603) 846-5713Email: info@twinmountain.com

Center Harbor Town Clerk of Center HarborPO Box 140Center Harbor, NH 03226Fax: (603) 253-8420

Charlestown Town Clerk of CharlestownPO Box 834Charlestown, NH 03603Fax: (603) 826-5181

Chatham Town Clerk of Chatham1681 Main RoadChatham, NH 03813-5205Fax: (603) 694-2043

Chester Town Clerk of Chester84 Chester StreetChester, NH 03036Fax: (603) 887-4334

Chesterfield Town Clerk of ChesterfieldPO Box 64Chesterfield, NH 03443Fax: (603) 363-8047

Chichester Town Clerk of Chichester54 Main StreetChichester, NH 03234-6508Fax: (603) 798-3170Email: townclerk@chichesternh.org

Clarksville Town Clerk of Clarksville408 NH Rt. 145Clarksville, NH 03592-7229Fax: (603) 246-3480Email: twnclark@usadatanet.net

Colebrook Town Clerk of Colebrook17 Bridge StreetColebrook, NH 03576-3032

Columbia Town Clerk of ColumbiaPO Box 157Colebrook, NH 03576Fax: (603) 237-8270

Conway Town Clerk of Conway1634 E. Main StCntr. Conway, NH 03813-4117Fax: (603) 447-1348Email: conway@conwaynh.org

Cornish Town Clerk of CornishPO Box 183Cornish Flat, NH 03746Fax: (603) 675-5605

Croydon Town Clerk of Croydon879 NH RT 10Croydon, NH 03773-6102Fax: (603) 863-2601

Dalton Town Clerk of Dalton756 Dalton RoadDalton, NH 03598-5712Fax: (603) 887-9642

Danbury Town Clerk of Danbury23 High StreetDanbury, NH 03230-4740Fax: (603) 768-3100

Danville Town Clerk of DanvillePO Box 11Danville, NH 03819Fax: (603) 382-3363Email: townclerk@townofdanville.org

Deerfield Town Clerk of DeerfieldPO Box 159Deerfield, NH 03037Fax: (603) 463-2820Email: dfldtwn@metrocast.net

Deering Town Clerk of Deering762 Deering Crt RoadPO Box 1947Deering, NH 03244-6509Fax: (603) 464-3804Email: deering_nh@conknet.com

Derry Town Clerk of Derry14 Manning StreetDerry, NH 03038-3201Fax: (603) 432-8176Email: townclerk@ci.derry.nh.us

Dixville Town Clerk of Dixville1000 Cold Spring RoadDixville Notch, NH 03576Fax: (603) 255-4363

Dorchester Town Clerk of Dorchester368 N. Dorchester RoadDorchester, NH 03266-6210Phone: (603) 786-9076Email: brenhowe@wildblue.net

Dublin Town Clerk of DublinBox 62Dublin, NH 03444Fax: (603) 563-9221

Dummer Town Clerk of Dummer75 Hill RoadDummer, NH 03588-5425Fax: (603) 449-3349

Dunbarton Town Clerk of Dunbarton1011 School StreetDunbarton, NH 03045-4816Fax: (603) 774-5541Email: townclerk@dunbartonnh.org

Durham Town Clerk of Durham15 Newmarket RoadDurham, NH 03824-2815Fax: (603) 868-8033Email: lpitt@ci.durham.nh.us

East Kingston Town Clerk of East KingstonPO Box 249East Kingston, NH 03827Fax: (603) 642-8794Email: ektctc@verizon.net

Easton Town Clerk of Easton1060 Easton Valley RoadEaston, NH 03580-5015Fax: (603) 823-7780Email: eastontownclerk@aaahawk.com

Eaton Town Clerk of EatonPO Box 118Eaton Center, NH 03832Fax: (603) 447-2560Email: eatonth@adelphia.net

Effingham Town Clerk of Effingham68 School StS Effingham, NH 03882Fax: (603) 539-7637Email: effingham_marilynn@roadrunner.com

Ellsworth Town Clerk of Ellsworth12 Ellsworth Pond RoadCampton, NH 03223-8101Fax: (603) 726-8994

Enfield Town Clerk of EnfieldPO Box 373Enfield, NH 03748Fax: (603) 632-5182Email: townclerk@enfield.nh.us

Epping Town Clerk of Epping157 Main StreetEpping, NH 03042-2440Fax: (603) 679-3002Email: administrator@townofepping.com

Epsom Town Clerk of EpsomPO Box 10Epsom, NH 03234Fax: (603) 736-8539Email: epsomtown@metrocast.net

Errol Town Clerk of ErrolPO Box 100Errol, NH 03579Fax: (603) 482-3804Email: erroltownclerk@ncia.net

Exeter Town Clerk of Exeter10 Front StreetExeter, NH 03833-2737Fax: (603) 772-4709Email: webmaster@exeternh.org

Farmington Town Clerk of Farmington356 Main StreetFarmington, NH 03835Fax: (603) 755-9128Email: tctc@worldpath.net

Fitzwilliam Town Clerk of FitzwilliamPO Box 725Fitzwilliam, NH 03447Fax: (603) 585-7744Email: fitzclerk@ptcnh.net

Francestown Town Clerk of Francestown21 Main StreetFrancestown, NH 03043Fax: (603) 547-2622

Franconia Town Clerk of FranconiaPO Box 900Franconia, NH 03580Fax: (603) 823-5581

Freedom Town Clerk of FreedomPO. Box 457Freedom, NH 03836Fax: (603) 539-8270

Fremont Town Clerk of FremontPO Box 120Fremont, NH 03044Fax: (603) 895-3149

Gilford Town Clerk of Gilford47 Cherry Valley RoadGilford, NH 03249-6843Fax: (603) 527-4719Email: townclerk-taxcollector@gilfordnh.org

Gilmanton Town Clerk of GilmantonPO Box 550Gilmanton, NH 03237Fax: (603) 267-6704

Gilsum Town Clerk of GilsumPO Box 36Gilsum, NH 03448Fax: (603) 352-0845

Goffstown Town Clerk of Goffstown16 Main StreetGoffstown, NH 03045-1761Fax: (603) 497-8993

Gorham Town Clerk of Gorham20 Park StreetGorham, NH 03581-1644Fax: (603)-466-2744Email: glapierre@gorhamnh.org

Goshen Town Clerk of GoshenPO Box 58Goshen, NH 03752Fax: (603) 863-6139

Grafton Town Clerk of GraftonPO Box 297Grafton, NH 03240Fax: (603) 523-4397Email: grafton_twn@endor.com

Grantham Town Clerk of Grantham300 Rte 10 SouthGrantham, NH 03753Fax: (603) 863-4499Email: reigenbrode@granthamnh.net

Greenfield Town Clerk of GreenfieldPO. Box 256Greenfield, NH 03047Fax: (603) 547-3004Email: greenfieldnhtc@verizon.net

Greenland Town Clerk of GreenlandPO Box 100Greenland, NH 03840Fax: (603) 430-3761Email: mmorgan@greenland-nh.com

Greenville Town Clerk of Greenville46 Main StreetGreenville, NH 03048Fax: (603) 878-4951Email: greenvillebos@adelphia.net

Groton Town Clerk of Groton754-A N. Groton RoadGroton, NH 03241-4529Fax: (603) 744-3382Email: townofgroton@adelphia.net

Hampstead Town Clerk of HampsteadPO Box 29811 Main StreetHampstead, NH 03841Fax: (603) 329-7174Email: tcurran@hampsteadnh.us

Hampton Town Clerk of Hampton100 Winnacunnet RoadHampton, NH 03842-2119Fax: (603) 929-5917Email: townclerk@hamptonnh.gov

Hampton Falls Town Clerk of Hampton Falls1 Drinkwater Road Town HallHampton Falls, NH 03844-2116Fax: (603) 926-1848Email: townclerk@hamptonfalls.org

Hancock Town Clerk of HancockPO Box 6Hancock, NH 03449Fax: (603) 525-4427Email: office@hancocknh.org

Hanover Town Clerk of HanoverPO Box 483Hanover, NH 03755Fax: (603) 643-1720Email: elizabeth.meade@hanovernh.org

Harrisville Town Clerk of HarrisvillePO Box 284Harrisville, NH 03450Fax: (603) 827-2917

Harts Location Town Clerk of Harts Location5 Forest RoadHarts Location, NH 03812-4102

Haverhill Town Clerk of Haverhill2975 Dartmouth College HighwayNo. Haverhill, NH 03774-4535Fax: (603) 787-2226

Hebron Town Clerk of HebronPO Box 55E. Hebron, NH 03241Fax: (603) 744-7999Email: hebronclerk@metrocast.net

Henniker Town Clerk of Henniker18 Depot Hill RoadHenniker, NH 03242-3447Fax: (603) 428-4366Email: henniker@conknet.com

Hill Town Clerk of HillPO Box 251Hill, NH 03242Fax: (603) 934-2174

Hillsborough Town Clerk of HillsboroughPO Box 1699Hillsborough, NH 03244Fax: (603) 464-4270Email: debbie@hillsboroughnh.net

Hinsdale Town Clerk of HinsdalePO Box 31Hinsdale, NH 03451Fax: (603) 336-5711

Holderness Town Clerk of HoldernessPO Box 203Holdemess, NH 03245Fax: (603) 968-9954Email: ellenlking@adelphia.net

Hollis Town Clerk of Hollis7 Monument SquareHollis, NH 03049-6102Fax: (603) 465-2964Email: townclerk@hollis.nh.us

Hooksett Town Clerk of Hooksett35 Main StHooksett, NH 03106-1312Fax: (603) 485-4423Email: lnepveu@hooksett.org

Hopkinton Town Clerk of HopkintonPO Box 446Contoolook, NH 03229Fax: (603) 746-4011Email: taxcollector@hopkinton-nh.gov

Hudson Town Clerk of Hudson12 School StreetHudson, NH 03051-4243Fax: (603) 598-6481Email: cnichols@seresc.net

Jackson Town Clerk of JacksonPO Box 336Jackson, NH 03846Fax: (603) 383-6890

Jaffrey Town Clerk of Jaffrey10 Goodnow StreetJaffrey, NH 03452-5415Fax: (603) 532-7862Email: chamberlainm@townofjaffrey.com

Jefferson Town Clerk of Jefferson84 Stage Hollow RoadJefferson, NH 03583-6828Fax: (603) 586-4553

Kensington Town Clerk of Kensington95 Amesbury RoadKensington, NH 03833-5620Fax: (603) 772-6841Email: townclerk@kensingtontown.com

Kingston Town Clerk of KingstonPO Box 657Kingston, NH 03848Fax: (603) 642-3204

Lancaster Town Clerk of Lancaster25 Main StreetLancaster, NH 03584-3005Fax: (603) 788-2114Email: townclerk@lancasternh.org

Landaff Town Clerk of LandaffPO Box 125Landaff, NH 03585Fax: (603) 838-6220Email: townoflandaff@juno.com

Langdon Town Clerk of Langdon5 Walker Hill RoadLangdon, NH 03602-8409Fax: (603) 835-2389

Lee Town Clerk of Lee7 Mast RoadLee, NH 03824-6567 Fax: (603) 659-7202Email: dguimond@leenh.org

Lempster Town Clerk of LempsterPO Box 33Lempster, NH 03605Fax: (603) 863-8105Email: lempsternh@nhvt.net

Lincoln Town Clerk of LincolnPO Box 39Lincoln, NH 03251Fax: (603) 745-6743Email: townclerk@lincolnnh.org

Lisbon Town Clerk of Lisbon46 School StreetLisbon, NH 03585-6512Fax: (603) 838-6790Email: lisbonnh@adelphia.net

Litchfield Town Clerk of Litchfield2 Liberty Way, Suite 3Litchfield, NH 03051-2345Fax: (603) 424-8154Email: txcollector4u@yahoo.com

Littleton Town Clerk of Littleton125 Main Street, Suite 202Littleton, NH 03561-4061 Fax: (603) 444-0735Email: jwhite@townoflittleton.org

Londonderry Town Clerk of Londonderry268B Mammoth RoadLondonderry, NH 03053-3400Fax: (603) 421-9617Email: mseymour@londonderrynh.org

Loudon Town Clerk of LoudonPO Box 7837Loudon, NH 03301Fax: (603) 798-3539Email: townclerkloudon@tds.net

Lyman Town Clerk of Lyman65 Parker Hill Lyman, NH 03585-3409Fax: (603) 838-6818

Lyme Town Clerk of LymePO Box 342Lyme, NH 03768Fax: (603) 795-4637

Lyndeborough Town Clerk of LyndeboroughPO Box 6Lyndeborough, NH 03082Fax: (603) 654-5777

Madbury Town Clerk Madbury13 Town Hall RoadMadbury, NH 03823Fax: (603) 742-2505

Madison Town Clerk of MadisonPO Box 248Madison, NH 03849Fax: (603) 367-4547Email: clerk@madison-nh.org

Marlborough Town Clerk of MarlboroughPO Box 487Marborough, NH 03455Fax: (603) 876-4703Email: townclerk@marlboroughnh.org

Marlow Town Clerk of MarlowPO Box 184Marlow, NH 03456Fax: (603) 446-3806Email: marlowclerk@netryders.com

Mason Town Clerk of Mason16 Darling Hill RoadMason, NH 03048-4615Fax: (603) 878-4892

Meredith Town Clerk of Meredith41 Main StreetMeredith, NH 03253-5836Fax: (603) 279-1042

Merrimack Town Clerk of Merrimack6 Baboosic Lake Road Merrimack, NH 03054Fax: (603) 424-0461Email: dtrippett@ci.merrimack.nh.us

Middleton Town Clerk of Middleton182 Kings HighwayMiddleton, NH 03887-6201Fax: (603) 473-2577

Milan Town Clerk of MilanPO Box 158Milan, NH 03588Fax: (603) 449-2624Email: milantc@netzero.net

Milford Town Clerk of Milford1 Union SquareMilford, NH 03055-4230Fax: (603) 673-2273Email: peggylangell@milford.nh.gov

Millsfield Town Clerk of Millsfield25 Main StreetErrol, NH 03579Fax: (603) 482-3353

Milton Town Clerk of MiltonPO Box 180Milton, NH 03851Fax: (603) 652-4930Email: miltontc@metrocast.net

Monroe Town Clerk of MonroePO Box 637Monroe, NH 03771-3337Fax: (603) 638-2021Email: monroe@surfglobal.net

Mont Vernon Town Clerk of Mont VernonPO Box 417Mont Vernon, NH 03507Fax: (603) 673-0914Email: mvtownclerk@comcast.net

Moultonborough Town Clerk of MoultonboroughPO Box 15Moultonborough, NH 03254Fax: (603) 476-2778Email: tclerk@worldpath.net

Nelson Town Clerk of Nelson7 Nelson Common RoadNelson, NH 03457Fax: (603) 847-3197Email: townofnelson1@cheshire.net

New Boston Town Clerk of New BostonPO Box 250New Boston, NH 03070Fax: (603) 487-2975Email: townclerk@new-boston.nh.us

New Castle Town Clerk of New CastlePO Box 367New Castle, NH 03854Fax: (603) 433-6198Email: ncbjross@comcast.net

New Durham Town Clerk of New DurhamPO Box 207New Durham, NH 03855Fax: (603) 859-6644Email: ndclerk@worldpath.net

New Hampton Town Clerk of New HamptonPO Box 538New Hampton, NH 03256Fax: (603) 744-5106Email: admin@new-hampton.nh.us

New Ipswich Town Clerk of New Ipswich661 Turnpike RoadNew Ipswich, NH 03071-3738Fax: (603) 878-3855Email: newipswich@monad.net

New London Town Clerk of New London375 Main StreetNew London, NH 03257Fax: (603) 526-9494Email: tctc@nl-nh.com

Newbury Town Clerk of NewburyPO Box 253Newbury, NH 03255Fax: (603) 763-5298Email: linda@newburynh.org

Newfields Town Clerk of Newfields65 Main StreetNewfields, NH 03856Fax: (603) 772-9004Email: townclerk@newfieldsnh.gov

Newington Town Clerk of Newington205 Nimble Hill RoadNewington, NH 03801Fax: (603) 436-7188Email: jane@newington.nh.us

Newmarket Town Clerk of Newmarket186 Main StreetNewmarket, NH 03857-1838Fax: (603) 659-3441Email: becky@newmarketnh.gov

Newport Town Clerk of Newport15 Sunapee StreetNewport, NH 03773-1462Fax: (603) 863-8008

Newton Town Clerk of NewtonPO Box 375Newton, NH 03858Fax: (603) 382-2596Email: newtontownclerknh@comcast.net

North Hampton Town Clerk of North Hampton237 Atlantic AvenueNorth Hampton, NH 03862Fax: (603) 964-2906Email: djchase@northhampton-nh.gov

Northfield Town Clerk of Northfield21 Summer StreetNorthfield, NH 03276-1616Fax: (603) 286-3328Email: northfld@metrocast.net

Northumberland Town Clerk of Northumberland3 State StreetGroveton, NH 06582-4082Fax: (603) 636-6098

Northwood Town Clerk of Northwood818 First NH TurnpikeNorthwood, NH 03261-3342Fax: (603) 942-9107Email: townclerk-taxcollector@town.northwood.nh.us

Nottingham Town Clerk of NottinghamPO Box 114Nottingham, NH 03290Fax: (603) 679-1013

Orange Town Clerk of Orange293 Tuttle Hill RoadOrange, NH 03741-5105Fax: (603) 523-7054Email: orange@endor.com

Orford Town Clerk of Orford59 Archery Town RoadOrford, NH 03777-4200Fax: (603) 353-4889

Ossipee Town Clerk of OssipeePO Box 67Center Ossipee, NH 03814Fax: (603) 539-2856Email: ossipeetc@verizon.net

Pelham Town Clerk of Pelham6 Village GreenPelham, NH 03076Fax: (603) 508-3096Email: Elections@sos.state.nh.us

Pembroke Town Clerk of Pembroke311 Pembroke StreetPembroke, NH 03275-3234Fax: (603) 485-3967Email: jgoff@pembroke-nh.com

Peterborough Town Clerk of Peterborough1 Grove StreetPeterborough, NH 03458-1422Fax: (603) 924-8001Email: lguyette@townofpeterborough.us

Piermont Town Clerk of PiermontPO Box 27Piermont, NH 03779Fax: (603) 272-4947

Pittsburg Town Clerk of Pittsburg1526 Main StreetPittsburg, NH 03592Fax: (603) 538-6697

Pittsfield Town Clerk of PittsfieldPO Box 98Pittsfield, NH 03263Fax: (603) 435-7922Email: pittsfieldnh@metrocast.net

Plainfield Town Clerk of PlainfieldPO Box 380Meriden, NH 03770Fax: (603) 469-3642Email: plainfield.ta@plainfieldnh.org

Plaistow Town Clerk of Plaistow145 Main Street, Suite 2Plaistow, NH 03865-3057Fax: (603) 382-7183Email: tmsecretary@plaistow.com

Plymouth Town Clerk of Plymouth6 Post Office SquarePlymouth, NH 03264Fax: (603) 536-0036Email: ecorrow@plymouth-nh.org

Randolph Town Clerk of Randolph130 Durand RoadRandolph, NH 03570Fax: (603) 466-9856Email: townclerk@randolph.nh.gov

Raymond Town Clerk of Raymond4 Epping StreetRaymond, NH 03077-1219Fax: (603) 895-0903Email:dgagnon@townofraymondnh.com

Richmond Town Clerk of Richmond105 Old Homestead HighwayRichmond, NH 03470-4708Fax: (603) 239-6202

Rindge Town Clerk of RindgePO Box 11Rindge, NH 03461Fax: (603) 899-2101Email: Elections@sos.state.nh.us

Rollinsford Town Clerk of RollinsfordPO Box 309Rollinsford, NH 03869Fax: (603) 740-0254Email: town@rollinsford.nh.us

Roxbury Town Clerk of Roxury404 Branch RoadRoxbury, NH 03431-8601Fax: (603) 352-4903

Rumney Town Clerk of RumneyPO Box 275Rumney, NH 03266Fax: (603) 786-2237Email: rumneyclerk@adelphia.net

Rye Town Clerk of Rye10 Central RoadRye, NH 03870-2522Fax: (603) 964-4132Email: janei@town.rye.nh.us

Salem Town Clerk of Salem33 Geremonty DriveSalem, NH 03079-3314Fax: (603) 898-1223

Salisbury Town Clerk of SalisburyPO Box 2Salisbury, NH 03268Fax: (603) 648-6658

Sanbornton Town Clerk of Sanborton573 Sanborn RoadPO Box 124Sanbornton, NH 03269Fax: (603) 286-9544Email: jgoss@sanborntonnh.org

Sandown Town Clerk of SandownPO Box 583 Sandown, NH 03873Fax: (603) 887-8977Email: mshort@sandown.us

Sandwich Town Clerk of SandwhichPO Box 194 Ctr. Sandwich, NH 03227Fax: (603) 284-6819

Seabrook Town Clerk of Seabrook99 Lafayette RoadSeabrook, NH 03874Fax: (603) 474-8007

Sharon Town Clerk of Sharon432 NH Route 123Sharon, NH 03458Fax: (603) 924-3103

Shelburne Town Clerk of Shelburne74 Village RoadShelburne, NH 03581-3212Fax: (603) 466-5271Email: info@shelburnenh.com

South Hampton Town Clerk of South Hampton3 Hilldale AvenueSouth Hampton, NH 03827-3513Fax: (603) 394-7696

Springfield Town Clerk of SpringfieldPO Box 22Springfield, NH 03284Fax: (603) 763-3336

Stark Town Clerk of Stark1189 Stark HighwayStark, NH 03582-6214Fax: (603) 636-6199Email: starktownof@nhecwb.com

Stewartstown Town Clerk of StewarstownPO Box 119W. Stewartstown, NH 03597Fax: (603) 246-3329

Stoddard Town Clerk of Stoddard2175 RT 9Stoddard, NH 03464-4353Fax: (603) 446-2203Email: joanread@cheshire.net

Strafford Town Clerk of StraffordPO Box 169Strafford, NH 03884Fax: (603) 664-7276

Stratford Town Clerk of StratfordPO Box 366N Stratford, NH 03590Fax: (603) 922-3317Email: townofstratford@gmail.com

Stratham Town Clerk of Stratham10 Bunker Hill AvenueStratham, NH 03885-2403Fax: (603) 772-0517Email: library@wigginml.org

Sugar Hill Town Clerk of Sugar HillPO Box 574Sugar Hill, NH 03585Fax: (603) 823-8446Email: townclerk@sugarhillnh.org

Sullivan Town Clerk of SullivanPO Box 110Sullivan, NH 03445Fax: (603) 847-9154Email: sullivannh@earthlink.net

Sunapee Town Clerk of SunapeePO Box 303Sunapee, NH 03782Fax: (603) 763-4908Email: betty@town.sunapee.nh.us

Surry Town Clerk of Surry1 Village RdSurry, NH 03431-8112Fax: (603) 357-4890Email: lsportello@ne.rr.com

Sutton Town Clerk of SuttonPO Box 487North Sutton, NH 03260Fax: (603) 927-4631Email: townofsutton@mcttelecom.com

Swanzey Town Clerk of SwanzeyPO Box 10009620 Old Homestead HwySwanzey, NH 03446Fax: (603) 352-6250Email: cderocher@town.swanzey.nh.us

Tamworth Town Clerk of Tamworth84 Main StreetTamworth, NH 03886Fax: (603) 323-2347Email: tamworthtown@adelphia.net

Temple Town Clerk of TemplePO Box 69Temple, NH 03084Fax: (603) 878-5067Email: temple@tellink.net

Thornton Town Clerk of Thornton16 Merrill Access RoadThornton, NH 03223-6127Fax: (603) 726-2078Email: townofthornton@eagle1st.com

Tilton Town Clerk of Tilton257 Main StreetTilton, NH 03276-2113Fax: (603) 286-3519Email: tiltontc@metrocast.net

Troy Town Clerk of TroyPO Box 249Troy, NH 03465Fax: (603) 242-3430

Tuftonboro Town Clerk of TuftonboroPO Box 98Tuftonboro, NH 03816Fax: (603) 569-4328Email: townclerk@tuftonboro.org

Unity Town Clerk of Unity13 Center Road #7Unity, NH 03773Fax: (603) 542-9736Email: unitynh@valley.net

Wakefield Town Clerk of Wakefield2 High StreetSanbornville, NH 03872-4395Fax: (603) 522-6794Email: townclerk@wakefieldnh.com

Walpole Town Clerk of WalpolePO Box 756Walpole, NH 03608Fax: (603) 756-4153Email: ssmith@walpolenh.us

Warner Town Clerk of WarnerPO Box 265Warner, NH 03278Fax: (603) 456-3576Email: townclerk@warner.nh.us

Warren Town Clerk of WarrenPO Box 40Warren, NH 03279Fax: (603) 764-9296Email: warrennh@earthlink.net

Washington Town Clerk of Washington7 Half Moon Pond RoadWashington, NH 03280-3102Fax: (603) 495-3299

Waterville Valley Town Clerk of Waterville ValleyPO Box 500Waterville Valley, NH 03215Fax: (603) 236-2056

Weare Town Clerk of Weare15 Flanders Memorial RoadWeare, NH 03281Fax: (603) 529-7571Email: mbillodeau@weare.nh.gov

Webster Town Clerk of Webster945 Battle StreetWebster, NH 03303-7306Fax: (603) 648-6055Email: townofwebsternh@tds.net

Wentworth Town Clerk of WentworthPO Box 2Wentworth, NH 03282Fax: (603) 764-9362Email: wentworth2@adelphia.net

Westmoreland Town Clerk of WestmorelandPO Box 111Westmoreland, NH 03467Phone: (603) 399-7211Fax: (603) 399-4386

Whitefield Town Clerk of Whitefield7 Jefferson RoadWhitefield, NH 03598-3101Fax: (603) 837-3148Email: townofwhitefield@ne.rr.com

Wilmot Town Clerk of WilmotPO Box 94Wilmot, NH 03287Fax: (603) 837-3148Email: townofwhitefield@ne.rr.com

Wilton Town Clerk of WiltonPO Box 83Wilton, NH 03086Fax: (603) 654-6663Email: tow@tellink.net

Winchester Town Clerk of WinchesterPO Box 512Winchester, NH 03470Fax: (603) 239-4146Email: townclerk@winchesternh.us

Windham Town Clerk of WindhamPO Box 120Windham, NH 03087Fax: (603) 425-6582Email: jtuck@windhamnewhampshire.com

Windsor Town Clerk of Windsor14 White Pond RoadWindsor, NH 03244Fax: (603) 478-3293Email: windsor.nh@gsinet.net

Wolfeboro Town Clerk of WolfeboroPO Box 1207Wolfeboro, NH 03894Fax: (603) 569-5328Email: patmw1@metrocast.net

Woodstock Town Clerk of WoodstockPO Box 156 NO. Woodstock, NH 03262Fax: (603) 745-2393Email:judy_w@roadrunner.com

Jersey

New Jerseyhttp://www.state.nj.us/state/elections/

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for the next scheduled electionunless it is requested for all regularly scheduled electionsfor the calendar year in which it is submitted.

Block 4: Sex

Date of Birth

Your valid New Jersey Driver's License number is requiredfor voter registration. If you do not have a New JerseyDriver’s License, provide the last four digits of your SocialSecurity number. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: New Jersey allows you to receive your absenteeballot by mail, email, or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you. If you wish to receive your blankFederal office ballot by email or fax, the local electionoffice must receive your FPCA no later than 4 days beforethe election.

Block 7: Complete street address of your New Jerseyvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Affirmation Sign and date. No witness or notary required.

New Jersey allows you to submit the FPCA by mail, email,or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. You must also submitthe FPCA by mail. Email directly to your local electionoff ice . Emai l addresses can be found a t h t tp : / /www.state.nj.us/state/elections/loc_officials_doe.html.

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the formdirectly to your local election official. Fax numbers can befound a t h t tp : / /www.s ta te .nj .us /s ta te /e lec t ions/loc_officials_doe.html. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-

Registration May 15, 2012 May 15, 2012 October 16, 2012

Ballot Return June 5, 2012 June 5, 2012 November 6, 2012

New Jersey 2012-13 Voting Assistance Guide

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to NewJersey’s voter registration verification website at:www.njelections.org, by clicking on the Voter Informationlink.

Uniformed Service members may ask a friend or relative toapply for an absentee ballot on their behalf by requesting an“Application by Relative or Friend of a Military ServiceVoter” from their local election office.

Late Registration

Discharged military personnel and their families andreleased civilians attached to or serving with the ArmedForces and their families who are previously registered tovote in New Jersey and return to New Jersey after theregistration deadline may still register and obtain anemergency voting form at their local election office. If theywere not previously registered to vote in New Jersey, theymay obtain an emergency voting form by showing theirdischarge or certification of service to the local electionofficial.

Voting Your BallotLocal election officials send absentee ballots approximately45 days before elections.

Voted ballots must be received by the local electionofficial by the close of polls on Election Day.

You may return the voted ballot by mail, email, or fax nolater than 8 pm on Election Day. You must also submit theoriginal ballot by mail with certification. Use FPCA emailand fax instructions under “How and Where to Submit YourFPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD”. Thislabel is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You canreturn your ballot with this label attached at any MPO/FPO,

American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

You may track the status of your ballot at: http://www.njelections.org/vote-by-mail-provisional-ballot-count.html.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!New Jersey allows you to use the Federal Write-InAbsentee Ballot (FWAB) for voting in all elections forFederal office. If you are registered and have requestedyour absentee ballot, feel free to use the FWAB to voteanytime before an election.

Block 1: New Jersey does not allow you to use this formfor registration. Do not check the registration box.

2012-13 Voting Assistance Guide New Jersey

Jersey

Block 4: Sex

Date of Birth

Enter your valid New Jersey Driver's License number, thelast four digits of your Social Security number, OR yourState voter registration number.

Block 7: Complete street address of your New Jerseyvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go to http://www.state.nj.us/state/elections/. For each office for whichyou vote, write in either a candidate's name or a politicalparty designation. Once the ballot is complete, fold andplace it in the security envelope and seal. Place only thevoted ballot in the security envelope and do not write on thesecurity envelope.

New Jersey allows you to submit the FWAB by mail, emailor fax.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail directly to your local electionoffice. Addresses can be found below.

If you choose to email your FWAB, you should send theballot as a signed, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at http://www.state.nj.us/state/elections/loc_officials_doe.html. You must also submit the FWAB bymail.

If you choose to fax your FWAB, you must also submit theFWAB by mail. It is recommended that you fax the ballotdirectly to your local election official. Fax numbers can befound a t h t tp : / /www.s ta te .nj .us /s ta te /e lec t ions/loc_officials_doe.html. Include ballot, voter affirmation,and cover sheet with secrecy waiver. You may also use theDoD Electronic Transmission Service to fax your FWABtoll-free. To use the Electronic Transmission Service, usethe cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-freefrom the U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

Atlantic Mail FPCA to: Atlantic County Clerk5901 Main StreetMays Landing, NJ 08330Fax: 609-909-5107Email: Evote_request@aclink.org

Mail FWAB to: Atlantic County Board of Elections Historic CourtHouse Complex5903 Main StreetMays Landing, NJ 08330Fax: 609-645-5875Email: Evote_submit@aclink.org

Bergen Mail FPCA to: Bergen County Clerk1 Bergen County Plaza, Room 130Hackensack, NJ 07601Fax: 201-336-7075Email: MVERRASTRO@co.Bergen.nj.us

Mail FWAB to: Bergen County Board of Elections1 Bergen County Plaza, Room 130Hackensack, NJ 07601Fax: 201-336-6234Email: fedballots@bergen.nj.us

Burlington Mail FPCA to: Burlington County ClerkClerks Building, Room 10449 Rancocas RoadPO Box 6000Mt. Holly, NJ 08060Fax: 609-265-5032Email: osballot@co.burlington.nj.us

Mail FWAB to: Burlington County Board of Elections 49 Rancocas Road, Room G22PO Box 6000Mt. Holly, NJ 08060Fax: 609-702-7079Email: osreturn@co.burlington.nj.us

Camden Mail FPCA to: Camden County ClerkPO Box 150Camden, NJ 08101Fax: 856-756-2213Email: electdiv@camdencounty.com

Mail FWAB to: Camden County Board of Elections509 LakelandRoadBlackwood, NJ 08012Fax: 856-401-8689Email: BOBV@CamdenCounty.com

Cape May Mail FPCA to: Cape May County ClerkPO Box 5000Cape May Court House, NJ 08210Fax: 609-465-8625Email: jhunt@co.cape-may.nj.us

Mail FWAB to: Cape May County Board of Elections10 Mechanic StreetPO Box 5000Cape May Court House, NJ 08210Fax: 609-465-1639Email: election@capemaycountygov.net

Cumberland Mail FPCA to: Cumberland County Clerk60 West Broad StreetBridgeton, NJ 08302Fax: 856-455-1410Email: absenteerequest@co.cumberland.nj.us

Mail FWAB to: Cumberland County Board of Elections555 Shiloh PikeBridgeton, NJ 08302Fax: 856-451-3172Email: absenteereturn@co.cumberland.nj.us

Essex Mail FPCA to: Essex County ClerkPO Box 690Newark, NJ 07101-0690Fax: 973-621-5178Email: info@essexclerk.com

Mail FWAB to: Essex County Board of Elections465 Dr. Martin Luther King, Jr. Blvd.Newark, NJ 07102Fax: 973-621-2540Email: lvonnessi@aol.com

Gloucester Mail FPCA to: Gloucester County ClerkPO Box 129Woodbury, NJ 08096Fax: 856-251-1646Email: ccelections@co.gloucester.nj.us

Mail FWAB to: Gloucester County ClerkPO Box 352Woodbury, NJ 08096Fax: 856-251-1645Email: boe@co.glouchester.nj.us

Hudson Mail FPCA to: Hudson County Clerk257 Cornelison Avenue, 4th FloorJersey City, NJ 07302Fax: 201-369-3478Email: vote@hcnj.us

Mail FWAB to: Hudson County Board of Elections257 Cornelison Avenue, 4th FloorJersey City, NJ 07302Fax: 201-369-3436Email: Eballot@hcnj.us

Hunterdon Mail FPCA to: Hunterdon County ClerkHall of Records, 71 Main StreetFlemington, NJ 08822Fax: 908-782-4068Email: countyclerk@co.hunterdon.nj.us

Mail FWAB to: Hunterdon County ClerkPO Box 2900Flemington, NJ 08822Fax: 908-806-4686Email: elections@co.hunterdon.nj.us

Mercer Mail FPCA to: Mercer County Clerk209 South Broad StreetTrenton, NJ 08650Fax: 609-394-8785Email: vote@mercercounty.org

Mail FWAB to: Mercer County Board of Elections640 South Broad StreetTrenton, NJ 08650Fax: 609-278-2713Email: returnballot@mercercounty.org

Middlesex Mail FPCA to: Middlesex County Clerk75 Bayard Street, 4th Fl.New Brunswick, NJ 08901Fax: 732-745-2170Email: request.absentee@co.middlesex.nj.us

Mail FWAB to: Middlesex County Board of Elections777 Jersey AvenueNew Brunswick, NJ 08901Fax: 732-214-1656Email: absenteeballot@co.middlesex.nj.us

Monmouth Mail FPCA to: Monmouth County Clerk300 Halls Mill RoadFreehold, NJ 07728-8835Fax: 732-409-4887Email: eballotapp@co.monmouth.nj.us

Mail FWAB to: Monmouth County Board of Elections300 Halls Mill RoadFreehold, NJ 07728-8835Fax: 732-303-7648Email: eballotvote@co.monmouth.nj.us

Morris Mail FPCA to: Morris County ClerkPO Box 315Morristown, NJ 07963-0315Fax: 973-285-5233Email: MorrisCountyClerkElections@co.morris.nj.us

Mail FWAB to: Morris County Board of Elections1 Court Street Morristown, NJ 07960Fax: 973-984-8412Email: BDonegan@co.morris.nj.us

Ocean Mail FPCA to: Ocean County Clerk118 Washington Street, Room 107Toms River, NJ 08753Fax: 732-349-4336Email: OceanCountyUOCAVA@co.ocean.nj.us

Mail FWAB to: Ocean County Board of Elections129 Hooper AvenuePO Box 2006Toms River, NJ 08754Fax: 732-506-5110Email: ocevaballot@co.ocean.nj.us

Passaic Mail FPCA to: Passaic County Clerk401 Grand Street, Room 130Paterson, NJ 07505Fax: 973-742-5744Email: Hanak@passaiccountynj.org

Mail FWAB to: Passaic County Clerk401 Grand Street, Room 130Paterson, NJ 07505Fax: 973-523-9121Email: Return-ballots@passaiccountynj.org

2012-13 Voting Assistance Guide New Jersey

Jersey

Salem Mail FPCA to: Salem County Clerk92 Market StreetSalem, NJ 08079Fax: 856-935-8882Email: GGILL@SALEMCOUNTYNJ.GOV

Mail FWAB to: Salem County Board of Elections94 Market Street Salem, NJ 08079Fax: 856-935-6725Email: overseasballot@salemcountynj.gov; asosnowik@saelmcountynj.gov

Somerset Mail FPCA to: Somerset County ClerkPO Box 3000 Somerville, NJ 08876Fax: 908-231-0026Email: millerd@co.somerset.nj.us

Mail FWAB to: Somerset County ClerkPO Box 3000 Somerville, NJ 08876Fax: 908-231-9465Email: Federalvoter@co.somerset.nj.us

Sussex Mail FPCA to: Sussex County Clerk83 Spring Street, Suite 304Newton, NJ 07860Fax: 973-383-7493Email: ballot@sussex.nj.us

Mail FWAB to: Sussex County Board of Elections83 Spring Street, Suite 305Newton, NJ 07860Fax: 973-579-0955Email: voter@sussex.nj.us

Union Mail FPCA to: Union County Clerk2 Broad Street, Room 113Elizabeth, NJ 07207-6099Fax: 908-558-3592Email: Lbobish@ucnj.org

Mail FWAB to: Union County Board of Elections271 North Board StreetElizabeth, NJ 07208Fax: 908-527-4127Email: Pcampo@ucnj.org

Warren Mail FPCA to: Warren County Clerk413 Second StreetBelvidere, NJ 07823Fax: 908-475-6208Email: bwilson@co.warren.nj.gov orpkolb@co.warren.nj.gov

Mail FWAB to: Warren County Board of Elections413 Second StreetBelvidere, NJ 07823Email: wduffy@co.warren.nj.us

Mexico

New Mexicowww.sos.state.nm.us

Registering and Requesting Your Absentee BallotRegistration is not required but you must still complete theFederal Post Card Application to request an absentee ballot.The Federal Post Card Application registers you to vote andrequests absentee ballots for all elections held through thenext regularly scheduled general election.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, submit a completed FPCAindicating your new party preference to the local electionofficial no later than 28 days before the election. Politicalparty affiliation is not required if only requesting absenteeballots for general elections. However, to vote in a primaryelection you must be registered with a major party.

Your full Social Security number is required if you are afirst-time voter in New Mexico.

Block 6: New Mexico allows you to receive your absenteeballot by mail, email, or fax. Please rank your preference of

how you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your New Mexicovoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

New Mexico allows you to submit the FPCA by mail,email, or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. You must also submitthe FPCA by mail. Email directly to your local electionoff ice . Emai l addresses can be found a t h t tp : / /www.sos.state.nm.us/sos-CClerk.html.

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the formdirectly to your local election official. Fax numbers can be

Ballot Return 7 pm, June 5, 2012 7 pm, June 5, 2012 7 pm, November 6, 2012

New Mexico 2012-13 Voting Assistance Guide

found at http://www.sos.state.nm.us/sos-CClerk.html. Youmay also use the DoD Electronic Transmission Service tofax your FPCA to l l - f ree . To use the Elec t ron icTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to NewMexico’s voter registration verification website at: https://voterview.state.nm.us/.

Voting Your Ballot Local election officials mail absentee ballots approximately45days before primary, general, and special elections.

Voted ballots must be received by the local electionsoffice before 7 pm on Election Day.

You may return your voted ballot by mail, email, or fax.Use FPCA email and fax instructions under “How andWhere to Submit Your FPCA.”

You may track the status of your ballot by contacting yourcounty clerk. Contact information is available at:www.sos.state.nm.us.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!New Mexico allows you to use the Federal Write-InAbsentee Ballot (FWAB) for registration and voting ingeneral, special, and primary elections for local, State andFederal offices. If you have requested your absentee ballot,feel free to use the FWAB to vote anytime before an election.

Block 1: New Mexico allows you to use this form forregistration.

Your full Social Security number is required if you are afirst-time voter in New Mexico.

2012-13 Voting Assistance Guide New Mexico

Mexico

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you want to change your political partyaffiliation, submit a completed Federal Post CardApplication indicating your new party preference to thelocal election official no later than 28 days before theelection.

Block 7: Complete street address of your New Mexicovoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.sos.state.nm.us. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

New Mexico allows you to submit the FWAB by mail,email, or fax.

If you choose to email your FWAB, you should send theballot as a signed, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at http://www.sos.state.nm.us/sos-CClerk.html.You must also submit the FWAB by mail.

If you choose to fax your FWAB, you must also submit theFWAB by mail. It is recommended that you fax the ballotdirectly to your local election official. Fax numbers can befound at http://www.sos.state.nm.us/sos-CClerk.html.

Include ballot, voter affirmation, and cover sheet withsecrecy waiver. You may also use the DoD ElectronicTransmission Service to fax your FWAB toll-free. To usethe Electronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

Bernalillo Bernalillo County Clerk1 Civic Plaza, NW, 6th FloorAlbuquerque, NM 87102-2169Fax: 505 468-1293Email: clerk@bernco.gov

Catron Catron County ClerkCatron County Courthouse, Box 197Reserve, NM 87830-0197Fax: 575 533-6400Email: cclerk2@gilanet.com

Chaves Chaves County ClerkPO Box 580Roswell, NM 88202-0580Fax: 575 624-6523Email: coclerk@co.chaves.nm.us

Cibola Cibola County Clerk515 West High StreetGrants, NM 87020Fax: 505 285-2562Email: elisa.bro@co.cibola.nm.us

Colfax Colfax County ClerkPO Box 159Raton, NM 87740-0159Fax: 575 445-4031Email: clerk@co.colfax.nm.us

Curry Curry County Clerk700 N. Main Street, Suite 7PO Box 1168Clovis, NM 88102-1168Fax: 575 763-4232Email: currycountyboe@gmail.com

De Baca De Baca County ClerkPO Box 347Fort Sumner, NM 88119-0347Fax: 505 355-2441Email: dbclp@plateautel.net

Dona Ana Dona Ana County Bureau of ElectionsOffice of the County Clerk845 N. Motel Blvd.Las Cruces, NM 88007Fax: 575 527-9857Email:elections@donaanacounty.org

Eddy Eddy County Clerk325 S. Main StreetCarlsbad, NM 88220Fax: 575 234-1793Email: darlene@co.eddy.nm.us

Grant Grant County ClerkPO Box 898Silver City, NM 88062-0898Fax: 575 574-0073Email: grantrzamari@cybermesa.com

Guadalupe Guadalupe County Clerk1448 Historic Route 66, Suite 1Santa Rosa, NM 88435Fax: 575 472-4791Email: agallegos@guadco-nm.us

Harding Harding County Clerk35 Pine StreetMosquero, NM 87733Fax: 575 673-2922Email: hardingcc@plateautel.net

New Mexico 2012-13 Voting Assistance Guide

Hidalgo Hidalgo County Clerk300 S. Shakespeare StreetLordsburg, NM 88045-1939Fax: 575 542-3193Email: hidclk@aznex.com

Lea Lea County ClerkPO Box 1507Lovington, NM 88260-1507Fax: 575 396-3293Email: pchappelle@leacounty.net

Lincoln Lincoln County ClerkPO Box 338Carrizozo, NM 88301-0338Fax: 575 648-2576Email: rburrows@lincolncountynm.net

Los Alamos Los Alamos County Clerk2451 Central Ave, Suite DLos Alamos, NM 87544Fax: 505 662-8008Email: clerks@lacnm.us

Luna Luna County ClerkPO Box 1838Deming, NM 88030-1838Fax: 575 543-6617Email: Karen_Smyer@lunacountynm.us

McKinley McKinley County Clerk207 W. Hill StreetGallup, NM 87301Fax: 505 863-1419Email: clerk@co.mckinley.nm.us

Mora Mora County ClerkPO Box 360Mora, NM 87732-0360Fax: 575 387-9023Email: mora_clerk@yahoo.com

Otero Otero County Clerk1104 North White Sands Blvd, Suite CAlamogordo, NM 88310Fax: 575 443-2922Email: rholmes@co.otero.nm.us

Quay Quay County ClerkPO Box 1225Tucumcari, NM 88401-1225Fax: 575 461-0513Email: ellen.white@quaycounty-nm.gov

Rio Arriba Rio Arriba County ClerkPO Box 158Tierra Amarilla, NM 87575Fax: 505 588-7418Email: mamorales@rio-arriba.org

Roosevelt Roosevelt County Clerk109 W. First Street, Lobby Box 4Portales, NM 88130-5901Fax: 575 356-3560Email: jcollins@rooseveltcounty.com

Sandoval Sandoval County ClerkPO Box 40Bernalillo, NM 87004-0040Fax: 505 771-8610Email: bchavez@sandovalcountynm.gov

San Juan San Juan County ClerkPO Box 550Aztec, NM 87410-0550Fax: 505 334-3635Email: dholmes@sjcounty.net

San Miguel San Miguel County Clerk500 W. National Avenue, Suite 113Las Vegas, NM 87701-3703Fax: 505 454-1799Email: mrivera@smcounty.net

Santa Fe Santa Fe County ClerkPO Box 1985Santa Fe, NM 87504-1985Fax: 505 995-2767Email: vespinoza@co.santa-fe.nm.us

Sierra Sierra County Clerk100 N. Date Street, Suite 6T or C, NM 87901-2398Fax: 575 894-2516Email: cgreerclerk@sierracountynm.gov

Socorro Socorro County ClerkPO Box ISocorro, NM 87801-0001Fax: 575 835-1043Email: rvega@co.socorro.nm.us

Taos Taos County Clerk105 Albirght Street, Suite DTaos, NM 87571Fax: 575 737-6390Email: elaine.montano@taoscounty.org

Torrance Torrance County ClerkPO Box 767Estancia, NM 87016Fax: 505 384-4080Email: lkayser@torrancecountynm.org

Union Union County ClerkPO Box 430Clayton, NM 88415Fax: 505 374-9491Email: unionclerk@plateautel.net

Valencia Valencia County ClerkPO Box 969Los Lunas, NM 87031Fax: 505 866-2023Email: sally.perea@co.valencia.nm.us

New Yorkwww.elections.ny.gov

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all local, State and Federalelections held through the next two regularly scheduledgeneral elections.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to be an unaffiliatedvoter, write “none.” Only the Independence Party allowsunaffiliated voters, under certain circumstances, toparticipate in its primary elections. Political party affiliationis not required if only requesting absentee ballots forgeneral elections.

Enter your valid New York Driver's License number, thelast four digits of your Social Security number, OR yourState voter registration number. If you do not possess any ofthese identification numbers, New York shall assign anumber that will serve to identify you for voter registrationpurposes.

Block 6: New York allows you to receive your absenteeballot by mail, email, or fax. Check how you would like toreceive your absentee ballot. Provide your email address orfax number in Block 5. If you do not make a selection, thenyour local election official will mail your ballot to you.

Block 7: Complete street address of your New York votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

New York allows you to submit the FPCA by mail, email,or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly to

April 24, 2012

State Primary(Federal Offices)

June 26, 2012

State Primary(State Offices)

September 11, 2012

General ElectionNovember 6,

Registration March 30, 2012 June 1, 2012 August 17, 2012 October 12, 2012

Ballot Request March 30, 2012 June 1, 2012 August 17, 2012 October 26, 2012

Ballot Return Postmarked By: April 23, 2012

Received By: May 1, 2012

Postmarked By: June 25, 2012

Received By: July 3, 2012

Postmarked By: September 10, 2012

Received By: September 18, 2012

Postmarked By: November 5, 2012

Received By: November 19,

New York 2012-13 Voting Assistance Guide

your local election office. Email addresses can be found athttp://www.elections.ny.gov.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://www.elections.ny.gov. Youmay also use the DoD Electronic Transmission Service tofax your FPCA to l l - f ree . To use the Elec t ron icTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to NewYork’s voter registration verification website at: https://voterlookup.elections.state.ny.us/votersearch.aspx.

If you are outside the U.S., your spouse, parent, adult child,brother, sister or duly authorized agent may apply to thelocal board of elections for an absentee ballot on yourbehalf.

Late Registration

Recent inductees and their eligible dependent(s) residing inthe same election district are allowed to register up to 10days before a general or special election. Honorablydischarged military voters are allowed to register up to 10days before a general election and they would not need tore-register if they are returning to their county of record inNew York, in which they were already registered. Onlythose moving into NY, or into a different county within NYwould need to register as a new voter.

A U.S. citizen who was born abroad and who is eligible tovote and who has never lived in the U.S. may register andvote in the county where a parent would be eligible toregister and vote (for Federal offices only).

Voting Your Ballot Local election officials mail absentee ballots approximately32 days before most elections. (Absentee ballots are sent 45

days before special elections and 25 days before schoolboard elections in New York City and Buffalo.)

For General Elect ions , voted bal lots must bepostmarked by the day before the election and receivedby the local election office no later than 13 days after theelection. For Primary Elections, voted ballots must bepostmarked by the day before the election and receivedby the local election office no later than 7 days after theelection.

No witness or notary is required on voted ballots. The votedballot’s mailing envelope may be witnessed to show that theballot was mailed no later than the day before the election.This ensures that ballots received with no postmarks orother date/time markings or indicia, will be counted.

The voted ballot must be returned by mail.

You may track the status of your ballot at: http://www.secureballotusa.com/NY.

If you do not receive your State absentee ballot by October2, 2012, use the Federal Write-in Absentee Ballot. If youreceive your State absentee ballot, vote and return it. If both

2012-13 Voting Assistance Guide New York

ballots are received by the deadline, only the State ballotwill be counted.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot (FWAB)New York allows uniformed service members and theirfamilies to use the Federal Write-In Absentee Ballot(FWAB) for voting in primary, special, run-off, and generalelections for Federal, State, and local offices and non-candidate ballot issues.

New York allows overseas citizens to use the Federal Write-In Absentee Ballot (FWAB) for voting in primary, special,run-off, and general elections for Federal office.

If you are registered and have requested your absenteeballot, feel free to use the FWAB to vote anytime before anelection. If you are not already registered the ballot will notbe counted but the FWAB will be used to register you forfuture elections.

Block 1: New York allows you to use this form forregistration.

Enter your valid New York Driver's License number, thelast four digits of your Social Security number, OR yourState voter registration number. If you do not possess any ofthese identification numbers, New York shall assign anumber that will serve to identify you for voter registrationpurposes."

Block 7: Complete street address of your New York votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: New York allows you to receive your absenteeballot by mail, email, or fax. Identify how you would like toreceive your absentee ballot.

Provide any information that may assist the local electionofficial in accepting this ballot or application.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.elections.ny.gov. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

Albany County Board of Elections32 N. Russell RoadAlbany, NY 12206-1019Fax: 518 487-5077Email:matthew.clyne@albanycounty.com

Allegany County Board of Elections6 Schuyler StreetBelmont, NY 14813-1015Fax: 585 268-9406Email: BroughB@alleganyco.com

Broome County Board of Elections60 Hawley Street, PO Box 1766Binghamton, NY 13902-3722Fax: 607 778-2174Email: bcboe@co.broome.ny.us

Cattaraugus County Board of Elections302 Court StreetLittle Valley, NY 14755-1091Fax: 716 938-2775Email: kcburleson@cattco.org

Cayuga County Board of Elections10 Court StreetAuburn, NY 13021-3714Fax: 315 253-1289Email: election@cayugacounty.us

Chautauqua County Board of Elections7 N. Erie StreetMayville, NY 14757-1007Fax: 716 753-4111Email: vote@co.chautauqua.ny.us

Chemung County Board of ElectionsP.O. Box 588Elmira, NY 14902-0588Fax: 607 737-5499Email: modell@co.chemung.ny.us

Chenango County Board of Elections5 Court Street Norwich, NY 13815-1676Fax: 607 337-1766Email: harrietj@co.chenango.ny.us

Clinton County Board of ElectionsCounty Government Center, Suite 104137 Margaret StreetPlattsburgh, NY 12901-2933Fax: 518 565-4508Email: boe@co.clinton.ny.us

Columbia County Board of Elections401 State StreetHudson, NY 12534-1996Fax: 518 828-2624Email: elections@columbiacountyny.com

Cortland County Board of ElectionsCortland County Court House60 Central Avenue, Room 102Cortland, NY 13045-2746Fax: 607 758-5513Email: rhowe@cortland-co.org

Delaware County Board of Elections3 Gallant AvenueDelhi, NY 13753-1095Fax: 607 746-6516Email: William.Campbell@co.delaware.ny.us

Dutchess County Board of Elections47 Cannon StreetPoughkeepsie, NY 12601-3270Fax: 845 486-2483Email: dutchesselections@dutchessny.gov

Erie County Board of Elections134 W. Eagle StreetBuffalo, NY 14202-3896Fax: 716 858-8282Email: mario.alaimo@erie.gov

Essex County Board of Elections7551 Court StreetPO Box 217 Elizabethtown, NY 12932-9801Fax: 518 873-3479Email: dsherman@co.essex.ny.us

Franklin County Board of Elections355 West Main Street, Suite 161Malone, NY 12953-1823Fax: 518 481-6018Email: kfleury@co.franklin.ny.us

Fulton County Board of Elections2714 State Highway 29, Suite 1Johnstown, NY 12095-9946Fax: 518 736-1612Email: boe@co.fulton.ny.us

Genesee County Board of ElectionsCounty Building One15 Main Street, PO Box 284Batavia, NY 14021Fax: 585 344-8562Email: election@co.geneseeny.us

Greene County Board of Elections411 Main Street, Suite 437PO Box 307Catskill, NY 12414-1445Fax: 518 719-3784Email: elections@discovergreene.com

Hamilton County Board of ElectionsCounty ComplexRoute 8, PO Box 175 Lake Pleasant, NY 12108-9801Fax: 518 548-6345Email: cathyrogers41@gmail.com

Herkimer County Board of Elections109 Mary Street, Suite 1306Herkimer, NY 13350-0527Fax: 518 867-1106Email: tscalise@herkimercounty.org

Jefferson County Board of Elections175 Arsenal StreetWatertown, NY 13601-2543Fax: 315 785-5197Email: jerrye@co.jefferson.ny.us

Lewis County Board of Elections7660 North State StreetLowville, NY 13367-9801Fax: 315 376-2860Email: elections@lewiscountyny.org

Livingston County Board of ElectionsCounty Government Center6 Court Street, Room 104Geneseo, NY 14454-1043Fax: 585 243-7015Email: nleven@co.livingston.ny.us

Madison County Board of ElectionsN. Court Street, PO Box 666Wampsville, NY 13163-9998Fax: 315 366-2532Email: ann.jones@madisoncounty.ny.us

Monroe County Board of Elections39 Main Street WestRochester, NY 14614-1408Fax: 585 753-1570Email: rmurray@monroecounty.gov

Montgomery County Board of Elections9 Park Street, PO Box 1500Fonda, NY 12068-1500Fax: 518 853-8392Email:jduchessi@co.montgomery.ny.us

Nassau County Board of Elections240 Old Country RoadMineola, NY 11501-4800Fax: 516 571-2058Email: skilbride@nassaucountyny.gov

Niagara County Board of Elections111 Main Street, Suite 100Lockport, NY 14094-3718Fax: 716 438-4054Email: maryann.casamento@niagracounty.com

Oneida County Board of ElectionsUnion Station321 Main Street, 3rd FloorUtica, NY 13501Fax: 315 798-6412Email: pmandryck@ocgov.net

Onondaga County Board of Elections1000 Erie Blvd WestSyracuse, NY 13204Fax: 315 435-8451Email: boemiofed@ongov.net

Ontario County Board of Elections74 Ontario StreetCanandaigua, NY 14424-1801Fax: 585 393-2941Email: mary.salotti@co.ontario.ny.us

Orange County Board of Elections25 Court Lane, PO Box 30Goshen, NY 10924-1508Fax: 845 291-2437Email: dgreen@orangecountygov.com

Orleans County Board of ElectionsCounty Office Building14012 State Route 31Albion, NY 14411-9382Fax: 585 589-2771Email: dpiedimonte@orleansny.com

Oswego County Board of Elections185 E. Seneca Street, Box 9Oswego, NY 13126-2118Fax: 315 349-8357Email: dwart@oswegocounty.com

Otsego County Board of Elections140 County Highway 33 West, Suite 2Cooperstown, NY 13326-1193Fax: 607 547-4248Email: rosss@otsegocounty.com

2012-13 Voting Assistance Guide New York

Putnam County Board of Elections25 Old Route 6Carmel, NY 10512Fax: 845 808-1920Email: putnamcountyelections@putnamcountyny.gov

Rensselaer County Board of Elections1600 7th AvenueTroy, NY 12180-4098Fax: 518 270-2909Email:msweeney@rensco.com

Rockland County Board of Elections11 New Hempstead RoadNew City, NY 10956-3600Fax: 845 638-5196Email: kellya@co.rockland.ny.us

St. Lawrence County Board of Elections48 Court StreetCanton, NY 13617-9987Fax: 315 386-2737Email: gward@stlawco.org.

Saratoga County Board of Elections50 W. High StreetBallston Spa, NY 12020-1979Fax: 518 884-4751Email: elections@saratogacountyny.gov

Schenectady County Board of Elections388 Broadway, Suite ESchenectady, NY 12305-2520Fax: 518 377-2716Email: arthur.brassard@schenectadycounty.com

Schoharie County Board of ElectionsCounty Office Building284 Main Street, PO Box 99Schoharie, NY 12157-9998Fax: 518 295-8419Email: BOE@co.schoharie.ny.us

Schuyler County Board of ElectionsCounty Office Building105 9th Street, Unit 13Watkins Glen, NY 14891-9972Fax: 607 535-8364Email: elections@co.schuyler.ny.us

Seneca County Board of Elections1 DiPronio DriveWaterloo, NY 13165-1681Fax: 315 539-3710Email: jmooney@co.seneca.ny.us

Steuben County Board of Elections3 E. Pulteney SquareBath, NY 14810-1510Fax: 607 664-2376Email: veronica @co.steuben.ny.us

Suffolk County Board of ElectionsYaphank Avenue, PO Box 700Yaphank, NY 11980-9733Fax: 631 852-4590Email: anita.katz@suffolkcountyny.gov

Sullivan County Board of Elections100 North St., PO Box 5012Monticello, NY 12701-5192Fax: 845 807-0410Email:scboe@co.sullivan.ny.us

Tioga County Board of ElectionsCounty Office Building56 Main StreetOwego, NY 13827-1595Fax: 607 687-6348Email: saddlemires@co.tioga.ny.us

Tompkins County Board of ElectionsCourt House Annex 128 E. Buffalo StreetIthaca, NY 14850-4207Fax: 607 274-5533Email: sdewitt@tompkins-co.org

Ulster County Board of Elections284 Wall StreetKingston, NY 12401-3641Fax: 845 334-5434Email: efer@co.ulster.ny.us

Warren County Board of Elections1340 State Route 9Lake George, NY 12845-9803Fax: 518 761-6480Email: caseym@co.warren.ny.us

Washington County Board of Elections383 BroadwayFort Edward, NY 12828-1021Fax: 518 746-2179Email: lallen@co.washington.ny.us

Wayne County Board of Elections7376 State Route 31PO Box 636Lyons, NY 14489-0636Fax: 315 946-7409Email: elections@co.wayne.ny.us

Westchester County Board of Elections25 Quarropas StreetWhite Plains, NY 10601-4824Fax: 914 995-3190Email: smm2@westchestergov.com

Wyoming County Board of Elections4 Perry AvenueWarsaw, NY 14569-1220Fax: 585 786-8843Email: wlsimpson@frontiernet.net

Yates County Board of Elections417 Liberty Street, Suite 1124Penn Yan, NY 14527-1100Fax: 315 536-5523Email: boardofelections@yatescounty.org

New York City (Send to Borough Board of Elections)

Borough Mailing Address

NY (Manhattan) Borough Board of Elections200 Varick Street, 10th FloorNew York, NY 10014-4810Fax: 646 638-1967Email: mcolden@boe.nyc.ny.us

Bronx Borough Board of Elections1780 Grand Concourse, 5th FloorBronx, NY 10457-5500Fax: 718 299-2140Email: fchadwick@boe.nyc.ny.us

Kings (Brooklyn) Borough Board of Elections345 Adams Street, 4th FloorBrooklyn, NY 11201-3719Fax: 718 246-5958Email: msattie@boe.nyc.ny.us

Queens Borough Board of Elections126-06 Queens Blvd.Kew Gardens, NY 11415-1500Fax: 718 459-3385Email: bconacchio@boe.nyc.ny.us

Richmond (Staten Island) Borough Board of Elections1 Edgewater PlazaStaten Island, NY 10305-4900Fax: 718 876-0079Email: carmetta@boe.nyc.ny.us

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North Carolinawww.ncsbe.gov

*This election will take place on June 26, 2012 if there are no Federal races on the ballot. You will need to request your ballot by June 25, 2012 and return it by Election Day.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted. AnyFPCA received prior to November 2, 2010 is valid throughthe next two regularly scheduled general elections forFederal office.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are a registered non-partisan or undeclared, you must indicate which party ballotyou want to receive. If you want to change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference to the local election official no laterthan 25 days prior to the election. Political party affiliationis not required if only requesting absentee ballots forgeneral elections.

Date of Birth

Your valid North Carolina Driver's License number OR thelast four digits of your Social Security number is requiredfor voter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: North Carolina allows you to receive yourabsentee ballot by mail, email, or fax. Please rank yourpreference of how you would like to receive your absenteeballot. Provide your email address or fax number in Block5. If you do not make a selection, then your local electionofficial will mail your ballot to you.

Blocks 7: Complete street address of your North Carolinavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

May 8, 2012

State Runoff Primary

July 17, 2012*

Registration May 7, 2012 May 7, 2012 May 7, 2012 November 5, 2012

Ballot Request May 7, 2012 May 7, 2012 July 16, 2012 November 5, 2012

Ballot Return May 8, 2012 May 8, 2012 July 17, 2012 November 6, 2012

North Carolina 2012-13 Voting Assistance Guide

North Carolina allows you to submit the FPCA by mail,email, or fax.

If you choose to email, email the signed, scanned formdirectly to UOCAVA.ABSENTEE@sboe.state.nc.us oryour local election official. Local election official emailaddresses can be found on the North Carolina State Electionwebsite at http://www.sboe.state.nc.us/content.aspx?id=13.You may also use our Electronic Transmission Service bysending the form as an attachment to ets@fvap.gov.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found atwww.ncsbe.gov. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to NorthCarolina’ s voter registration verification website at: http://www.sboe.state.nc.us/VoterLookup.aspx.

Late Registration

Any member of the Uniformed Services who is qualified tovote absentee and returns to North Carolina after theregistration deadline, may still register and vote in personup to and including Election Day.

A U.S. Citizen who was born abroad and has never lived inthe U.S. may register and vote in the North Carolina countywhere a parent would be eligible to register and vote.

Voting Your Ballot Local election officials send absentee ballots approximately60 days before general elections and 50 days beforestatewide primary elections.

You may return the voted ballot by mail, email or fax. UseFPCA fax and email instructions under “How and Where toSubmit Your FPCA.”

You may track the status of your ballot at: http://www.sboe . s t a t e .nc .us /VoterLookup.aspx?Feature=voterinfo.

2012-13 Voting Assistance Guide North Carolina

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Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!North Carolina allows you to use the Federal Write-InAbsentee Ballot (FWAB) for voting in all elections. If youare registered and have requested your absentee ballot, feelfree to use the FWAB to vote anytime before an election.

The FWAB may be used to register to vote and/or requestan absentee ballot as long as it is received no later than 5:00p.m. on the day before the election. If received later thanthat date, then the voter must already be registered and havealready requested an absentee ballot.

Block 1: North Carolina does allow you to use this form forregistration.

Enter your valid North Carolina Driver's License number,the last four digits of your Social Security number OR yourState voter registration number.

Block 7: Complete street address of your North Carolinavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Affirmation: Sign and date. No witness or notary requried.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.ncsbe.gov. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

North Carolina allows you to submit the FWAB by mail,email, or fax.

If you choose to email your FWAB, you should send it as as igned , scanned a t t achment toUOCAVA.ABSENTEE@sboe.state.nc.us or your localelection official. Local election official email addresses canbe found on the North Carolina State Election website athttp://www.sboe.state.nc.us/content.aspx?id=13. Includeballot, voter affirmation, and cover sheet with secrecywaiver. You may also use our Electronic TransmissionService by sending the form as an attachment toets@fvap.gov.

If you choose to fax your FWAB, you should send it to(919) 715-0351 or to your local election official. Faxnumbers can be found at www.ncsbe.gov. Include ballot,voter affirmation, and cover sheet with secrecy waiver. Youmay also use the DoD Electronic Transmission Service tofax your FWAB tol l - f ree . To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Alamance Alamance County Board of Elections115 South Maple StreetGraham, NC 27253-2804Fax: 336 570-6757Email: ALAMANCE.boe@ncsbe.gov

Alexander Alexander County Board of ElectionsPO Box 326Taylorsville, NC 28681-0326Fax: 828 632-1381Email: ALEXANDER.boe@ncsbe.gov

Alleghany Alleghany County Board of ElectionsPO Box 65Sparta, NC 28675-0065Fax: 336 372-5435Email: ALLEGHANY.boe@ncsbe.gov

Anson Anson County Board of ElectionsPO Box 768Wadesboro, NC 28170-0768Fax: 704 994-3260Email: ANSON.boe@ncsbe.gov

Ashe Ashe County Board of Elections150 Gov. Circle, Suite 2100Jefferson, NC 28640-8959Fax: 336 846-5574Email: ASHE.boe@ncsbe.gov

Avery Avery County Board of ElectionsPO Box 145Newland, NC 28657-0145Fax: 828 733-8283Email: AVERY.boe@ncsbe.gov

Beaufort Beaufort County Board of ElectionsPO Box 1016Washington, NC 27889-1016Fax: 252 974-2962Email: BEAUFORT.boe@ncsbe.gov

Bertie Bertie County Board of ElectionsPO Box 312Windsor, NC 27983-0312Fax: 252 794-5368Email: BERTIE.boe@ncsbe.gov

Bladen Bladen County Board of ElectionsPO Box 512Elizabethtown, NC 28337-0512Fax: 910 862-7820Email: BLADEN.boe@ncsbe.gov

Brunswick Brunswick County Board of ElectionsPO Box 2Bolivia, NC 28422-0002Fax: 910 253-2618Email: BRUNSWICK.boe@ncsbe.gov

Buncombe Buncombe County Board of ElectionsPO Box 7468Asheville, NC 28802-7468Fax: 828 250-6262Email: BUNCOMBE.boe@ncsbe.gov

Burke Burke County Board of ElectionsPO Box 798Morganton, NC 28680-0798Fax: 828 433-1706Email: BURKE.boe@ncsbe.gov

Cabarrus Cabarrus County Board of ElectionsPO Box 1315Concord, NC 28026-1315Fax: 704 920-2831Email: CABARRUS.boe@ncsbe.gov

Caldwell Caldwell County Board of ElectionsPO Box 564Lenoir, NC 28645-0564Fax: 828 757-1195Email: CALDWELL.boe@ncsbe.gov

Camden Camden County Board of ElectionsPO Box 206Camden, NC 27921-0206Fax: 252 338-1271Email: CAMDEN.boe@ncsbe.gov

Carteret Carteret County Board of Elections1702 Live Oak Street, Suite 200Beaufort, NC 28516-1519Fax: 252 728-8571Email: CARTERET.boe@ncsbe.gov

Caswell Caswell County Board of ElectionsPO Box 698,Yanceyville, NC 27379-0698Fax: 336 694-9924Email: CASWELL.boe@ncsbe.gov

Catawba Catawba County Board of ElectionsPO Box 132Newton, NC 28658-0389Fax: 828 464-9832Email: CATAWBA.boe@ncsbe.gov

Chatham Chatham County Board of ElectionsPO Box 111Pittsboro, NC 27312-0111Fax: 919 542-6430Email: CHATHAM.boe@ncsbe.gov

Cherokee Cherokee County Board of Elections17 Peachtree Street, Suite BMurphy, NC 28906-2944Fax: 828 837-7998Email: CHEROKEE.boe@ncsbe.gov

Chowan Chowan County Board of ElectionsPO Box 133Edenton, NC 27932-0133Fax: 252 482-5920Email: CHOWAN.boe@ncsbe.gov

Clay Clay County Board of Elections54 Church Street Hayesville, NC 28904-7769Fax: 828 389-3757Email: CLAY.boe@ncsbe.gov

Cleveland Cleveland County Board of ElectionsPO Box 1299Shelby, NC 28151-1299Fax: 704 484-4958Email: CLEVELAND.boe@ncsbe.gov

Columbus Columbus County Board of ElectionsPO Box 37Whiteville, NC 28472-0037Fax: 910 640-0916Email: COLUMBUS.boe@ncsbe.gov

Craven Craven County Board of Elections406 Craven StreetNew Bern, NC 28560-4911Fax: 252 636-6687Email: CRAVEN.boe@ncsbe.gov

Cumberland Cumberland County Board of Elections301 East Russell StreetFayetteville, NC 28301-5743Fax: 910 678-7738Email: CUMBERLAND.boe@ncsbe.gov

Currituck Currituck County Board of ElectionsPO Box 177Currituck, NC 27929-0177Fax: 252 232-2427Email: CURRITUCK.boe@ncsbe.gov

Dare Dare County Board of ElectionsPO Box 1000Manteo, NC 27954-1000Fax: 252 475-1223Email: DARE.boe@ncsbe.gov

Davidson Davidson County Board of ElectionsPO Box 1084Lexington, NC 27293-1084Fax: 336 242-2199Email: DAVIDSON.boe@ncsbe.gov

Davie Davie County Board of Elections161 Poplar Street, Suite 102Mocksville, NC 27028-2225Fax: 336 751-0185Email: DAVIE.boe@ncsbe.gov

Duplin Duplin County Board of ElectionsPO Box 975Kenansville, NC 28349-0975Fax: 910 296-2167Email: DUPLIN.boe@ncsbe.gov

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Durham Durham County Board of ElectionsPO Box 868Durham, NC 27702-0868Fax: 919 560-0688Email: DURHAM.boe@ncsbe.gov

Edgecombe Edgecombe County Board of ElectionsPO Box 10Tarboro, NC 27886-0010Fax: 252 641-1740Email: EDGECOMBE.boe@ncsbe.gov

Forsyth Forsyth County Board of Elections201 North Chestnut StreetWinston Salem, NC 27101-4120Fax: 336 727-2893Email: FORSYTH.boe@ncsbe.gov

Franklin Franklin County Board of ElectionsPO Box 180Louisburg, NC 27549-0180Fax: 919 496-7418Email: FRANKLIN.boe@ncsbe.gov

Gaston Gaston County Board of ElectionsPO Box 1396Gastonia, NC 28053-1396Fax: 704 852-6011Email: GASTON.boe@ncsbe.gov

Gates Gates County Board of ElectionsPO Box 621Gatesville, NC 27938-0621Fax: 252 357-4341Email: GATES.boe@ncsbe.gov

Graham Graham County Board of ElectionsPO Box 1239Robbinsville, NC 28771-1239Fax: 828 479-4264Email: GRAHAM.boe@ncsbe.gov

Granville Granville County Board of ElectionsPO Box 83Oxford, NC 27565-0083Fax: 919 690-0245Email: GRANVILLE.boe@ncsbe.gov

Greene Greene County Board of ElectionsPO Box 583Snow Hill, NC 28580-0583Fax: 252 747-2426Email: GREENE.boe@ncsbe.gov

Guilford Guilford County Board of ElectionsPO Box 3427Greensboro, NC 27402-3427Fax: 336 641-7676Email: GUILFORD.boe@ncsbe.gov

Halifax Halifax County Board of ElectionsPO Box 101Halifax, NC 27839-0101Fax: 252 583-1068Email: HALIFAX.boe@ncsbe.gov

Harnett Harnett County Board of ElectionsPO Box 356Lillington, NC 27546-0356Fax: 910 893-4655Email: HARNETT.boe@ncsbe.gov

Haywood Haywood County Board of Elections1233 North Main Street, Annex IIWaynesville, NC 28786-2599Fax: 828 452-6750Email: HAYWOOD.boe@ncsbe.gov

Henderson Henderson County Board of ElectionsPO Box 2090Hendersonville, NC 28793-2090Fax: 828 697-4590Email: HENDERSON.boe@ncsbe.gov

Hertford Hertford County Board of ElectionsPO Box 416Winton, NC 27986-0416Fax: 252 358-7803Email: HERTFORD.boe@ncsbe.gov

Hoke Hoke County Board of ElectionsPO Box 1565Raeford, NC 28376-1565Fax: 910 875-9084Email: HOKE.boe@ncsbe.gov

Hyde Hyde County Board of ElectionsPO Box 152Swan Quarter, NC 27885-0152Fax: 252 926-3707Email: HYDE.boe@ncsbe.gov

Iredell Iredell County Board of Elections203 Stockton StreetStatesville, NC 28677-5245Fax: 704 832-2312Email: IREDELL.boe@ncsbe.gov

Jackson Jackson County Board of Elections401 Grindstaff Cove RoadSylva, NC 28779-2705Fax: 828 586-1951Email: JACKSON.boe@ncsbe.gov

Johnston Johnston County Board of ElectionsPO Box 1172Smithfield, NC 27577-1172Fax: 919 989-5142Email: JOHNSTON.boe@ncsbe.gov

Jones Jones County Board of ElectionsPO Box 263Trenton, NC 28585-0263Fax: 252 448-1040Email: JONES.boe@ncsbe.gov

Lee Lee County Board of ElectionsPO Box 1443Sanford, NC 27331Fax: 919 708-5347Email: LEE.boe@ncsbe.gov

Lenoir Lenoir County Board of ElectionsPO Box 3503Kinston, NC 28502-3503Fax: 252 523-3472Email: LENOIR.boe@ncsbe.gov

Lincoln Lincoln County Board of Elections115 West Main Street, Room 201Lincolnton, NC 28092-2611Fax: 704 736-8804Email: LINCOLN.boe@ncsbe.gov

Macon Macon County Board of Elections5 West Main StreetFranklin, NC 28734-3005Fax: 828 349-2557Email: MACON.boe@ncsbe.gov

Madison Madison County Board of ElectionsPO Box 142Marshall, NC 28753-0142Fax: 828 649-0187Email: MADISON.boe@ncsbe.gov

Martin Martin County Board of ElectionsPO Box 801Williamston, NC 27892-0801Fax: 252 789-4319Email: MARTIN.boe@ncsbe.gov

McDowell McDowell County Board of ElectionsPO Box 1509Marion, NC 28752-1509Fax: 828 659-3294Email: MCDOWELL.boe@ncsbe.gov

Mecklenburg Mecklenburg County Board of ElectionsPO Box 31788Charlotte, NC 28231-1788Fax: 704 343-0537Email: MECKLENBURG.boe@ncsbe.gov

Mitchell Mitchell County Board of Elections328 Long View Drive, Room 103Bakersville, NC 28705Fax: 828 688-1651Email: MITCHELL.boe@ncsbe.gov

Montgomery Montgomery County Board of ElectionsPO Box 607Troy, NC 27371-0607Fax: 910 576-2118Email: MONTGOMERY.boe@ncsbe.gov

Moore Moore County Board of ElectionsPO Box 787Carthage, NC 28327-0787Fax: 910 947-2389Email: MOORE.boe@ncsbe.gov

Nash Nash County Board of ElectionsPO Box 305Nashville, NC 27856-0305Fax: 252 459-1371Email: NASH.boe@ncsbe.gov

New Hanover New Hanover County Board of Elections230 Government Center Drive, Suite 180Wilmington, NC 28403-1672Fax: 910 798-7295Email: NEWHANOVER.boe@ncsbe.gov

Northampton Northampton County Board of ElectionsPO Box 603Jackson, NC 27845-0603Fax: 252 534-1202Email: NORTHAMPTON.boe@ncsbe.gov

Onslow Onslow County Board of Elections4024 Richlands HighwayJacksonville, NC 28540-8872Fax: 910 455-1390Email: ONSLOW.boe@ncsbe.gov

Orange Orange County Board of ElectionsPO Box 220Hillsborough, NC 27278-0220Fax: 919 644-3318Email: ORANGE.boe@ncsbe.gov

Pamlico Pamlico County Board of ElectionsPO Box 464Bayboro, NC 28515-0464Fax: 252 745-4114Email: PAMLICO.boe@ncsbe.gov

Pasquotank Pasquotank County Board of ElectionsPO Box 1797Elizabeth City, NC 27906-1797Fax: 252 331-2560Email: PASQUOTANK.boe@ncsbe.gov

Pender Pender County Board of ElectionsPO Box 1232Burgaw, NC 28425-1232Fax: 910 259-1269Email: PENDER.boe@ncsbe.gov

Perquimans Perquimans County Board of ElectionsPO Box 336Hertford, NC 27944-0336Fax: 252 426-5068Email: PERQUIMANS.boe@ncsbe.gov

Person Person County Board of Election331 South Morgan StreetRoxboro, NC 27573-5223Fax: 336 598-0300Email: PERSON.boe@ncsbe.gov

Pitt Pitt County Board of ElectionsPO Box 56Greenville, NC 27835-0056Fax: 252 830-1157Email: PITT.boe@ncsbe.gov

Polk Polk County Board of ElectionsPO Box 253Columbus, NC 28722-0253Fax: 828 894-3565Email: POLK.boe@ncsbe.gov

Randolph Randolph County Board of ElectionsShaw Building158 Worth StreetAsheboro, NC 27203-5565Fax: 336 318-6903Email: RANDOLPH.boe@ncsbe.gov

Richmond Richmond County Board of ElectionsPO Box 1843Rockingham, NC 28380-1843Fax: 910 417-4900Email: RICHMOND.boe@ncsbe.gov

Robeson Robeson County Board of ElectionsPO Box 2159Lumberton, NC 28359-2159Fax: 910 671-3089Email: ROBESON.boe@ncsbe.gov

Rockingham Rockingham County Board of ElectionsPO Box 22Wentworth, NC 27375-0208Fax: 336 342-8228Email: ROCKINGHAM.boe@ncsbe.gov

Rowan Rowan County Board of Elections130 West Innes StreetSalisbury, NC 28144-4375Fax: 704 216-8145Email: ROWAN.boe@ncsbe.gov

Rutherford Rutherford County Board of ElectionsPO Box 927Rutherfordton, NC 28139-0927Fax: 828 287-6140Email: RUTHERFORD.boe@ncsbe.gov

Sampson Sampson County Board of ElectionsPO Box 33Clinton, NC 28329-0033Fax: 910 590-2818Email: SAMPSON.boe@ncsbe.gov

Scotland Scotland County Board of Elections231 East Cronly Street, Suite 305Laurinburg, NC 28352-3820Fax: 910 277-2928Email: SCOTLAND.boe@ncsbe.gov

Stanly Stanly County Board of ElectionsPO Box 1309Albemarle, NC 28002-1309Fax: 704 986-3798Email: STANLY.boe@ncsbe.gov

Stokes Stokes County Board of ElectionsPO Box 34Danbury, NC 27016-0034Fax: 336 593-4022Email: STOKES.boe@ncsbe.gov

Surry Surry County Board of ElectionsPO Box 372Dobson, NC 27017-0372Fax: 336 401-8228Email: SURRY.boe@ncsbe.gov

Swain Swain County Board of ElectionsPO Box 133Bryson City, NC 28713-0133Fax: 828 488-6463Email: SWAIN.boe@ncsbe.gov

Transylvania Transylvania County Board of ElectionsPO Box 868Brevard, NC 28712-0868Fax: 828 884-8682Email: Transylvania.boe@ncsbe.gov

Tyrrell Tyrrell County Board of ElectionsPO Box 449Columbia, NC 27925-0449Fax: 252 796-5375Email: TYRRELL.boe@ncsbe.gov

Union Union County Board of ElectionsPO Box 1106Monroe, NC 28111-1106Fax: 704 282-1083Email: UNION.boe@ncsbe.gov

Vance Vance County Board of Elections300 South Garnett Street, Suite CHenderson, NC 27536-4578Fax: 252 430-7370Email: VANCE.boe@ncsbe.gov

Wake Wake County Board of ElectionsPO Box 695Raleigh, NC 27602-0695Fax: 919 856-5864Email: WAKE.boe@ncsbe.gov

Warren Warren County Board of ElectionsPO Box 803Warrenton, NC 27589-0803Fax: 252 257-5232Email: WARREN.boe@ncsbe.gov

Washington Washington County Board of ElectionsPO Box 1007Plymouth, NC 27962-1007Fax: 252 793-5801Email: WASHINGTON.boe@ncsbe.gov

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Watauga Watauga County Board of ElectionsPO Box 528Boone, NC 28607-0528Fax: 828 265-8068Email: WATAUGA.boe@ncsbe.gov

Wayne Wayne County Board of Elections209 South William StreetGoldsboro, NC 27530-4824Fax: 919 731-1409Email: WAYNE.boe@ncsbe.gov

Wilkes Wilkes County Board of Elections110 North Street, Room 315Wilkesboro, NC 28697-2469Fax: 336 651-7560Email: WILKES.boe@ncsbe.gov

Wilson Wilson County Board of ElectionsPO Box 2121Wilson, NC 27894-2121Fax: 252 399-2838Email: WILSON.boe@ncsbe.gov

Yadkin Yadkin County Board of ElectionsPO Box 877Yadkinville, NC 27055-0877Fax: 336 679-2289Email: YADKIN.boe@ncsbe.gov

Yancey Yancey County Board of ElectionsPO Box 763Burnsville, NC 28714-0763Fax: 828 682-2209Email: YANCEY.boe@ncsbe.gov

North Dakotawww.nd.gov/sos/

* North Dakota has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotNorth Dakota does not have voter registration. You muststill complete the Federal Post Card Application to requestan absentee ballot. The form requests absentee ballots forall regularly scheduled elections for the calendar year inwhich it is submitted.

Enter your North Dakota Driver's License OR State issuedidentification number. If you do not possess either of theseidentification numbers, leave this block blank.

Block 5: Recommended but not required unless you wishto receive your ballot by fax or electronically. Provide yourcontact information to allow your local election official tofollow up if more information is required.

Block 6: North Dakota allows you to receive your absenteeballot by mail, email, or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do not

make a selection but provide an email address, then yourlocal election official will email your ballot to you.

Block 7: Complete street address of your North Dakotavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

North Dakota allows you to submit the FPCA by mail,email, or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found atthe end of this section.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found at

Registration N/A N/A N/A

Ballot Request N/A April 28, 2012 September 22, 2012

Ballot Return N/A Postmarked by: June 12, 2012

Received by: June 15 or 18, 2012, depending on the county

Received by: November 9 or 12, 2012, depending on the

county

North Dakota 2012-13 Voting Assistance Guide

www.nd.gov/sos/electvote/voting/index.html. You may alsouse the DoD Electronic Transmission Service to fax yourFPCA toll-free. To use the Electronic Transmission Service,use the cover sheet avai lable in Chapter 1 or a twww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

To find out the status of your absentee ballot request, youmay t r ack in on l ine a t h t tps : / / v ip . sos .nd .gov /AbsenteeTracker.aspx.

A U.S. citizen who was born abroad and who is eligible tovote and who has never lived in the U.S. may vote in thecounty where a parent is eligible to vote.

Voting Your Ballot Local election officials send absentee ballots 46 days beforeelections.

Voted ballots must be postmarked before Election Dayand received by the local election office before thecounty canvassing board meets, as early as 3 days afterthe election.

You may track the status of your ballot at: https://vip.sos.nd.gov/AbsenteeTracker.aspx.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!North Dakota allows you to use the Federal Write-InAbsentee Ballot (FWAB) as a simultaneous absentee ballotrequest and for voting in primary, special, and generalelections for Federal, State, and local offices and ballotquestions. Feel free to use the FWAB to vote anytime beforean election.

Block 1: North Dakota does not require voter registration.Do not check the registration block.

2012-13 Voting Assistance Guide North Dakota

Enter your valid North Dakota Driver's License number ORState issued identification number. If you do not possesseither of these identification numbers, leave this blockblank.

Block 7: Complete street address of your North Dakotavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any local, State or Federal office or ballot questionin a general, special, or primary election. To find out theraces and candidates for which you can vote, go to https://vip.sos.ov/wheretovote.aspx. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

If using the FWAB simultaneously as a ballot request formand voted ballot, it must be submitted to the local electionoffice before 11:59 pm on the day before the election.

If using the FWAB as a voted ballot only, it must bereceived by the local election office by the ballot returndeadline. If you receive the State ballot after submitting thevoted FWAB, you may also vote and return the State ballot.If both ballots are received by the deadline, only the Stateballot will be counted.

North Dakota allows you to submit the FWAB by mail,email, or fax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voter

affirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found below. It is recommended that you also submit theFWAB by mail.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers can be found below.Include ballot, voter affirmation, and cover sheet withsecrecy waiver. You may also use the DoD ElectronicTransmission Service to fax your FWAB toll-free. To usethe Electronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

Adams Adams County AuditorPO Box 589Hettinger, ND 58639-0589Fax: 701 567-2910Email: pcarroll@nd.us

Barnes Barnes County Auditor230 4th Street NW, Room 202Valley City, ND 58072-2947Fax: 701 845-8548Email: emcgough@co.barnes.nd.us

Benson Benson County AuditorPO Box 206Minnewaukan, ND 58351-0206Fax: 701 473-5571Email: bserickson@state.nd.us

Billings Billings County AuditorPO Box 168Medora, ND 58645-0168Fax: 701 623-4761Email: jjurgens@nd.gov

Bottineau Bottineau County Auditor314 W. 5th Street,Bottineau, ND 58318-1268Fax: 701 228-5181Email: list.herbel@co.bottineau.nd.us

Bowman Bowman County Auditor104 1st Street NW, Suite 1Bowman, ND 58623-4342Fax: 701 523-4899Email: stivis@bowmancountynd.gov

Burke Burke County AuditorPO Box 310Bowbells, ND 58721-0310Fax: 701 377-2020Email: jsjensen@nd.gov

Burleigh Burleigh County AuditorPO Box 5518Bismarck, ND 58506-5518Fax: 701 222-7528Email: kglatt@nd.gov

Cass Cass County AuditorPO Box 2806Fargo, ND 58108-2806Fax: 701 241-5728Email: buckhoused@casscountynd.gov

Cavalier Cavalier County Auditor901 3rd Street, Suite 15Langdon, ND 58249-2457Fax: 701 256-2546Email: droppel@nd.gov

Dickey Dickey County AuditorPO Box 215Ellendale, ND 58436-0215Fax: 701 349-4639Email: bkuska@nd.gov

Divide Divide County AuditorPO Box 49Crosby, ND 58730-0049Fax: 701 965-4370Email: gjastrze@nd.gov

Dunn Dunn County Auditor205 Owens StManning, ND 58642-0105Fax: 701 573-4323Email: rehauck@nd.gov

Eddy Eddy County Auditor524 Central AvenueNew Rockford, ND 58356-1652Fax: 701 947-2279Email: mripplin@nd.gov

Emmons Emmons County AuditorPO Box 129Linton, ND 58552-0129Fax: 701 254-4012Email: mohlhauser@nd.gov

Foster Foster County AuditorPO Box 104Carrington, ND 58421-0104Fax: 701 652-2173Email: rschlotm@nd.gov

Golden Valley Golden Valley County AuditorPO Box 67 Beach, ND 58621-0067Fax: 701 872-4383Email: cstedman@midstate.net

Grand Forks Grand Forks County AuditorPO Box 5726Grand Forks, ND 58206-5726Fax: 701 780-8207Email: debbie.nelson@gfcounty.com

Grant Grant County AuditorPO Box 227Carson, ND 58529-0227Fax: 701 622-3005Email: kbachmeier@nd.gov

Griggs Griggs County AuditorPO Box 511Cooperstown, ND 58425-0511Fax: 701 797-3587Email: cindy.anton@griggscounty.gov

Hettinger Hettinger County AuditorPO Box 157Mott, ND 58646-0157Fax: 701 824-2717Email: rsteiner@nd.gov

Kidder Kidder County AuditorPO Box 167Steele, ND 58482-0167Fax: 701 475-2202Email: mkeily@nd.gov

LaMoure LaMoure County AuditorPO Box 128LaMoure, ND 58458-0128Fax: 701 883-4514Email: michial.johnson@co.lamoure.nd.us

Logan Logan County Auditor301 BroadwayNapoleon, ND 58561-7010Fax: 701 754-2280Email: baschuma@nd.gov

McHenry McHenry County Auditor401 Main Street S, Room 201Towner, ND 58788-4029Fax: 701 537-5969Email: dcarpenter@nd.gov

McIntosh McIntosh County AuditorPO Box 39Ashley, ND 58413-0039Fax: 701 288-3671Email: gketterl@nd.gov

McKenzie McKenzie County AuditorPO Box 543Watford City, ND 58854-0543Fax: 701 444-4113Email: lsvihovec@co.mckenzie.nd.us

McLean McLean County AuditorPO Box 1108Washburn, ND 58577-1108Fax: 701 462-3542Email: lfoss@nd.gov

Mercer Mercer County AuditorPO Box 39Stanton, ND 58571-0039Fax: 701 745-3793Email: merhardt@nd.gov

Morton Morton County Auditor210 2nd Avenue, NWMandan, ND 58554-3158Fax: 701 667-3453Email: dawn.rhone@mortonnd.org

Mountrail Mountrail County AuditorPO Box 69Stanley, ND 58784-0069Fax: 701 628-2276Email: joanh@co.mountrail.nd.us

Nelson Nelson County Auditor210 B Avenue West, Suite 201Lakota, ND 58344-7410Fax: 701 247-2754Email: wdavidson@nd.gov

Oliver Oliver County AuditorPO Box 188Center, ND 58530-0188Fax: 701 794-3476Email: jhintz@nd.gov

Pembina Pembina County Auditor301 Dakota Street W1Cavalier, ND 58220-4100Fax: 701 265-4876Email: lschlitt@nd.gov

Pierce Pierce County Auditor240 SE 2nd Street, Suite 6Rugby, ND 58368-1897Fax: 701 776-6942Email: kfursath@nd.gov

Ramsey Ramsey County Auditor524 4th Avenue NE, Unit 6Devils Lake, ND 58301-2490Fax: 701 662-7049Email: befische@nd.gov

Ransom Ransom County AuditorPO Box 668Lisbon, ND 58054-0668Fax: 701 683-5827Email: cgilbert@nd.gov

Renville Renville County AuditorPO Box 68Mohall, ND 58761-0068Fax: 701 756-7158Email: lfisher@nd.gov

Richland Richland County Auditor418 2nd Avenue NWahpeton, ND 58075-4400Fax: 701 642-7701Email: hbailey@co.richland.nd.us

Rolette Rolette County AuditorPO Box 939Rolla, ND 58367-0939Fax: 701 477-6339Email: vmccloud@nd.gov

2012-13 Voting Assistance Guide North Dakota

Sargent Sargent County Auditor355 Main Street S, Suite 1Forman, ND 58032-4149Fax: 701 724- 6244Email: sherry.hosford@co.sargent.nd.us

Sheridan Sheridan County AuditorPO Box 439McClusky, ND 58463-0439Fax: 701 363-2953Email: smurray@nd.gov

Sioux Sioux County AuditorPO Box LFort Yates, ND 58538-0529Fax: 701 854-3854Email: bhettich@nd.gov

Slope Slope County AuditorPO Box NNAmidon, ND 58620-0449Fax: 701 879-6278Email: lbuzalsky@nd.gov

Stark Stark County AuditorPO Box 130Dickinson, ND 58602-0130Fax: 701 456-7634Email: khaag@starkcountynd.gov

Steele Steele County AuditorPO Box 275Finley, ND 58230-0275Fax: 701 524-1715Email: lleadbet@nd.gov

Stutsman Stutsman County Auditor511 2nd Avenue SE, Suite102Jamestown, ND 58401-4298Fax: 701 251-6325Email: nojohnso@nd.gov

Towner Towner County AuditorPO Box 603Cando, ND 58324-0603Fax: 701 968-4342Email: jmorloch@nd.gov

Traill Traill County AuditorPO Box 429,Hillsboro, ND 58045-0429Fax: 701 636-5418Email: rebecca.braaten@co.traill.nd.us

Walsh Walsh County Auditor600 Cooper AvenueGrafton, ND 58237-1509Fax: 701 352-3340Email: skinsala@nd.gov

Ward Ward County AuditorPO Box 5005Minot, ND 58702-5005Fax: 701 857-6424Email: devra.smestad@wardnd.com

Wells Wells County AuditorPO Box 37Fessenden, ND 58438-0037Fax: 701 547-3719Email: jrudel@nd.gov

Williams Williams County AuditorPO Box 2047Williston, ND 58802-2047Fax: 701 577-4510Email: bethi@co.williams.nd.us

Ohiowww.sos.state.oh.us/SOS/elections/overseas.aspx

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted, or 90days prior to the election, whichever is earlier.

Block 2: To vote in partisan primary elections, you must enteryour political party affiliation or write in the party ballot youwant to receive. Political party affiliation is not required if onlyrequesting absentee ballots for general elections, nonpartisanprimary elections, and issues only elections.

Block 3: Name (Last, First, Middle). Enter any former nameunder which you were registered in Ohio.

Your valid Ohio Driver's License number OR the last fourdigits of your Social Security number is required for voterregistration. If you do not possess either of these identificationnumbers, the State shall assign a number that will serve toidentify you for voter registration purposes.

Block 6: Ohio allows you to receive your absentee ballot bymail, fax, or email. Check how you would like to receive yourabsentee ballot. Provide your email address or fax number inBlock 5. If you do not make a selection, then your localelection official will mail your ballot to you.

Block 7: Complete street address of your Ohio votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 9: Fill in the length of time you resided in Ohioimmediately before leaving Ohio. Provide any information thatmay assist the local election official in accepting thisapplication.

Ohio allows you to submit the FPCA by mail, email, or fax.

Registration February 6, 2012 February 6, 2012 October 9, 2012

Ballot Request March 3, 2012 March 3, 2012 November 3, 2012

Ballot Return From Within U.S.: Postmarked by: March

5, 2012 Received by: March 16,

2012From Outside U.S.:

Received by: March 16, 2012

From Within U.S.: Postmarked by: March 5,

2012 Received by: March 16,

Received by: March 16, 2012

From Within U.S.: Postmarked by: November 5,

2012 Received by: November 16,

Ohio 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. Email directly to your localelection office. Email addresses can be found atwww.sos.state.oh.us/SOS/elections/overseas.aspx.

If you choose to fax your FPCA, fax the form directly to yourlocal election official. Fax numbers can be found atwww.sos.state.oh.us/SOS/elections/overseas.aspx. You mayalso use the DoD Electronic Transmission Service to fax yourFPCA toll-free. To use the Electronic Transmission Service,use the cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to Ohio’ svoter registration verification website at: http:/ /www.sos.state.oh.us/SOS/voterquery.aspx.

If you are an active duty member of the Armed Forces, or afamily member, your parent, spouse, father-in-law, mother-in-law, grandparent, sibling, child, stepparent, stepchild, uncle,aunt, nephew or niece may request an absentee ballot on yourbehalf using either the FPCA or a form provided by the localelection office.

Late Registration

If a member of the U.S. Armed Forces is discharged after theregistration deadline, that person and their spouse are permittedto vote before election day at their local election office in thecounty in which they are eligible to register.

A U.S. citizen who was born abroad and who is eligible to voteand who has never lived in the U.S. may register and vote inthe town or city in Ohio where a parent or legal guardianwould be eligible to register and vote.

Voting Your Ballot Local election officials mail absentee ballots no later than 45days before elections.

Voted ballots from within the U.S. must be postmarked nolater than the day before the election and received by thelocal election office no later than 10 days after the election.

Voted ballots from outside the U.S. need not bepostmarked. Those that are not postmarked must bereceived by the local election office no later than 10 daysafter the election. Those that are postmarked must bepostmarked not later than the close of polls on ElectionDay and received by the local election office no later than10 days after the election.

You may track the status of your ballot at: https://usoav.sos.state.oh.us/UOCAVA_vr__Login.aspx.

If you do not receive your State absentee ballot by October2, 2012, use the Federal Write-in Absentee Ballot. If youreceive your State absentee ballot, vote and return it. If both

2012-13 Voting Assistance Guide Ohio

ballots are received by the deadline, only the State ballotwill be counted.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Ohio allows you to use the Federal Write-In Absentee Ballot(FWAB) for voting in primary, special, and general electionsfor Federal, State, and local offices and non-candidate ballotissues. If you are registered and have requested your absenteeballot, feel free to use the FWAB to vote anytime before anelection.

Block 1: Ohio does not allow you to use this form forregistration. Do not check the registration block.

Enter your valid Ohio Driver's License number, the last fourdigits of your Social Security number, OR your State voterregistration number.

Block 7: Complete street address of your Ohio votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 9: Fill in the length of time you resided in Ohioimmediately before leaving Ohio. (“I was an Ohio resident for______.”) Provide any information that may assist the localelection official in accepting this ballot or application.

Vote Your FWAB:

Vote for any Federal office in a general election. To find out theraces and candidates for which you can vote, go towww.sos.state.oh.us/SOS/elections/overseas.aspx. For eachoffice for which you vote, write in either a candidate's name ora political party designation. Once the ballot is complete, foldand place it in the security envelope and seal. Place only the

voted ballot in the security envelope and do not write on thesecurity envelope.

Adams Director, Adams County Board of Elections215 N. Cross Street, Room 103 West Union, OH 45693-1389Fax: 937 544-5111Email: adams@sos.state.oh.us

Allen Director, Allen County Board of Elections204 N. Main Street Lima, OH 45801-4433Fax: 419 222-0311Email: allen@sos.state.oh.us

Ashland Director, Ashland County Board of Elections110 Cottage Street Ashland, OH 44805-2183Fax: 419 282-4260Email: sleininger@ashlandcounty.org

Ashtabula Director, Ashtabula County Board of Elections8 W. Walnut Street Jefferson, OH 44047-1097Fax: 440 576-1445Email: elections@co.ashtabula.oh.us

Athens Director, Athens County Board of Elections15 S. Court Street, Room 130 PO Box 609Athens, OH 45701-2836Fax: 740 592-3262Email: athens@sos.state.oh.us

Auglaize Director, Auglaize County Board of Elections209 S. Blackhoof, Room 205Wapakoneta, OH 45895-1983Fax: 419 739-6721Email: auglaize@sos.state.oh.us

Belmont Director, Belmont County Board of Elections103 Plaza Drive, Suite BPO Box 663 St. Clairsville, OH 43950Fax: 740 526-0512Email: belmont@sos.state.oh.us

Brown Director, Brown County Board of Elections800 Mt. Orab Pike, Suite 111Georgetown, OH 45121-1283Fax: 937 378-6457Email: brown@sos.state.oh.us

Butler Director, Butler County Board of Elections1802 Princeton RoadHamilton, OH 45011-4742Fax: 513 887-5535Email: butler@sos.state.oh.us

Carroll Director, Carroll County Board of ElectionsCourt House119 S. Lisbon Street, Suite 102Carrollton, OH 44615-1489Fax: 330 627-5387Email: carroll@sos.state.oh.us

Champaign Director, Champaign County Board of Elections1512 S. U.S. Highway 68, Suite L100Urbana, OH 43078-9288Fax: 937 484-1578Email: champaig@sos.state.oh.us

Clark Director, Clark County Board of Elections3130 E. Main Street, PO Box 1766 Springfield, OH 45501-1766Fax: 937 328-2603Email: elections@clarkcountyohio.gov

Clermont Director, Clermont County Board of Elections76 S. Riverside DriveBatavia, OH 45103-2961Fax: 513 732-7330Email: clermont@sos.state.oh.us

Clinton Director, Clinton County Board of Elections46 S. South Street, 1st Floor, Room 126Wilmington, OH 45177-2214Fax: 937 383-3538Email: vote@cinci.rr.com

Columbiana Director, Columbiana County Board of Elections41 N. Park Avenue Lisbon, OH 44432-1258Fax: 330 424-6661Email: columbia@sos.state.oh.us

Coshocton Director, Coshocton County Board of Elections724 S. Seventh Street, Room 100Coshocton, OH 43812-2397Fax: 740 623-6524Email: coshocto@sos.state.oh.us

Crawford Director, Crawford County Board of Elections130 N. Walnut Street, Suite ABucyrus, OH 44820-2383Fax: 419 562-2235Email: crawford@sos.state.oh.us

Cuyahoga Director, Cuyahoga County Board of Elections2925 Euclid Avenue Cleveland, OH 44115-2497Fax: 216 443-6633Email: ElectionInfo@cuyahogacounty.us

Darke Director, Darke County Board of Elections300 Garst AvenueGreenville, OH 45331-1409Fax: 937 548-2820Email: darke@sos.state.oh.us

Defiance Director, Defiance County Board of Elections1300 E. Second Street, Ste. 103Defiance, OH 43512-2255Fax: 419 782-5773Email: defiance@sos.state.oh.us

Delaware Director, Delaware County Board of Elections2079 U.S. 23NPO Box 8006Delaware, OH 43015Fax: 740 833-2079Email: delaware@sos.state.oh.us

Erie Director, Erie County Board of Elections2900 Columbus Avenue, Room 101Sandusky, OH 44870-5553Fax: 419 626-0034Email: erie@sos.state.oh.us

Fairfield Director, Fairfield County Board of Elections951 Liberty DriveLancaster, OH 43130-8045Fax: 740 681-4727Email: info@fairfieldelections.com

Fayette Director, Fayette County Board of Elections133 S. Main Street, Suite 404Washington Court House, OH 43160Fax: 740 335-3574Email: fayette@sos.state.oh.us

Franklin Director, Franklin County Board of Elections280 E. Broad Street, 1st FloorColumbus, OH 43215-4572Fax: 614 525-3489Email: boe@vote.franklincountyohio.gov

Fulton Director, Fulton County Board of Elections135 Courthouse PlazaWauseon, OH 43567-1235Fax: 419 337-2363Email: fulton@ohiosecretaryofstate.gov

Gallia Director, Gallia County Board of Elections18 Locust Street, Room 1266, 2nd Floor Gallipolis, OH 45631-1292Fax: 740 441-2049Email: gallia@sos.state.oh.us

Geauga Director, Geauga County Board of Elections470 Center Street, Bldg. 6-AChardon, OH 44024-1243Fax: 440 285-0959Email: akimbrew@co.geauga.oh.us

Greene Director, Greene County Board of Elections551 Ledbetter RoadXenia, OH 45385Fax: 937 562-6171Email:absenteevote@co.greene.oh.us

Guernsey Director, Guernsey County Board of Elections627 Wheeling Avenue, Suite 101Cambridge, OH 43725-2284Fax: 740 432-6784Email: guernsey@sos.state.oh.us

Hamilton Director, Hamilton County Board of Elections824 BroadwayCincinnati, OH 45202-1345Fax: 513 579-0988Email: hamilton@sos.state.oh.us

Hancock Director, Hancock County Board of Elections201 E. Lincoln Street RearFindlay, OH 45840-3301Fax: 419 424-7293Email: bdelections@co.hancock.oh.us

Hardin Director, Hardin County Board of Elections1 Court House Square, Suite 170 Kenton, OH 43326-2387Fax: 419 674-2213Email: hardin@sos.state.oh.us

Harrison Director, Harrison County Board of ElectionsCourt House538 North Main Street, Suite B Cadiz, OH 43907-1197Fax: 740 942-8531Email: harrison@sos.state.oh.us

Henry Director, Henry County Board of Elections1827 Oakwood AvenueNapoleon, OH 43545-9243Fax: 419 592-7957Email: grace.speiser@henrycountyohio.com

Highland Director, Highland County Board of Elections1575 N. High Street, Suite 200Hillsboro, OH 45133-1089Fax: 937 393-5854Email: highland@sos.state.oh.us

Hocking Director, Hocking County Board of Elections1 E. Main Street, PO Box 109 Logan, OH 43138-1207Fax: 740 380-3712Email: hocking@sos.state.oh.us

Holmes Director, Holmes County Board of Elections75 E. Clinton Street, Suite 108 Millersburg, OH 44654-1269Fax: 330 674-5978Email: holmes@sos.state.oh.us

Huron Director, Huron County Board of Elections180 Milan Avenue, Suite 4Norwalk, OH 44857-1168Fax: 419 668-8710Email: huron@sos.state.oh.us

Jackson Director, Jackson County Board of Elections275 Portsmouth Street, Suite 2 Jackson, OH 45640-1769Fax: 740 288-3631Email: jackson@sos.state.oh.us

Jefferson Director, Jefferson County Board of Elections117 N. 3rd StreetSteubenville, OH 43952-4499Fax: 740 283-8640Email: jefferso@sos.state.oh.us

Knox Director, Knox County Board of Elections117 E. High Street, Suite 210 Mount Vernon, OH 43050-3401Fax: 740 393-6717Email: knox@sos.state.oh.us

Lake Director, Lake County Board of Elections105 Main Street, PO Box 490Painesville, OH 44077-0490Fax: 440 350-2670Email: lake@sos.state.oh.us

2012-13 Voting Assistance Guide Ohio

Lawrence Director, Lawrence County Board of Elections111 S. 4th Street, Veterans SquareIronton, OH 45638-1521Fax: 740 533-2730Email: cathyoverbeck@cloh.com

Licking Director, Licking County Board of Elections20 S. 2nd Street P.O. Box 4261Newark, OH 43058-4261Fax: 740 670-5081Email: elections@lcounty.com

Logan Director, Logan County Board of ElectionsCourt House225 S. Main StreetBellefontaine, OH 43311-2075Fax: 937 599-7270Email: elections@co.logan.oh.us

Lorain Director, Lorain County Board of Elections1985 N. Ridge Road, EastLorain, OH 44055-3344Fax: 440 326-5931Email: lorain@sos.state.oh.us

Lucas Director, Lucas County Board of ElectionsOne Government Center, Suite 300 Toledo, OH 43604-2250Fax: 419 213-4069Email: boe@co.lucas.oh.us

Madison Director, Madison County Board of Elections117 W. High Street, Suite 102London, OH 43140-1095Fax: 740 852-7131Email: electionboard@co.madison.oh.us

Mahoning Director, Mahoning County Board of Elections2801 Market StreetYoungstown, OH 44507-1695Fax: 330 783-2801Email: tmccabe@mahoningcounty.org

Marion Director, Marion County Board of Elections222 W. Center StreetMarion, OH 43302-3646Fax: 740 223-4099Email: marion@sos.state.oh.us

Medina Director, Medina County Board of Elections4210 N. Jefferson St., PO Box 506Medina, OH 44256Fax: 330 722-9299Email: medina@sos.state.oh.us

Meigs Director, Meigs County Board of Elections117 E. Memorial Drive, Suite 1Pomeroy, OH 45769-0688Fax: 740 992-2645Email: meigs@sos.state.oh.us

Mercer Director, Mercer County Board of Elections101 N. Main St., Room 107Celina, OH 45822-1790Fax: 419 586-2748Email: mercer@sos.state.oh.us

Miami Director, Miami County Board of Elections215 W. Main StreetTroy, OH 45373-3263Fax: 937 440-3901Email: elections55@co.miami.oh.us

Monroe Director, Monroe County Board of Elections47084 Black Walnut Parkway, Suite 3PO Box 270Woodsfield, OH 43793-1001Fax: 740 472-2517Email: monroe@sos.state.oh.us

Montgomery Director, Montgomery County Board of Elections451 West Third Street, PO Box 8705 Dayton, OH 45481-8705Fax: 937 496-7798Email: harsmans@mcohio.org

Morgan Director, Morgan County Board of Elections155 E. Main Street, Room 157McConnelsville, OH 43756-1296Fax: 740 962-3099Email: morgan@sos.state.oh.us

Morrow Director, Morrow County Board of Elections619 Marion Road Room 146Mount Gilead, OH 43338-1097Fax: 419 946-9861Email: morrow@sos.state.oh.us

Muskingum Director, Muskingum County Board of Elections205 N. Seventh StreetZanesville, OH 43701-3709Fax: 740 455-7178Email: muskingu@sos.state.oh.us

Noble Director, Noble County Board of Elections140 Court HouseCaldwell, OH 43724-1243Fax: 740 732-6577Email: noble@sos.state.oh.us

Ottawa Director, Ottawa County Board of Elections8444 W. State Route 163, Suite 101Oak Harbor, OH 43449-8884Fax: 419 898-3146Email: ottawa@sos.state.oh.us

Paulding Director, Paulding County Board of Elections105 E. Perry StreetPaulding, OH 45879-1412Fax: 419 399-8250Email: paulding@sos.state.oh.us

Perry Director, Perry County Board of Elections121 W. Brown Street, PO Box 187 New Lexington, OH 43764-1241Fax: 740 342-4787Email: perry@sos.state.oh.us

Pickaway Director, Pickaway County Board of Elections141 W. Main Street, Suite 800Circleville, OH 43113-1601Fax: 740 477-2991Email: pickaway@sos.state.oh.us

Pike Director, Pike County Board of Elections230 Waverly Plaza, Suite 1100Waverly, OH 45690-1288Fax: 740 947-5973Email: pike@sos.state.oh.us

Portage Director, Portage County Board of Elections449 S. Meridian Stree,t Room 101Ravenna, OH 44266-2963Fax: 330 297-3518Email: portage@sos.state.oh.us

Preble Director, Preble County Board of Elections101 E. Main StreetEaton, OH 45320-1758Fax: 937 456-2986Email: preble@electionsonthe.net

Putnam Director, Putnam County Board of Elections336 E. Main Street, Suite AOttawa, OH 45875-1957Fax: 419 523-3417Email: putnam@sos.state.oh.us

Richland Director, Richland County Board of Elections1495 W. Longview Ave. Suite 101Mansfield, OH 44906Fax: 419 774-5534Email: boe@richlandcountyoh.us

Ross Director, Ross County Board of Elections475 Western Avenue, Suite D PO Box 1663Chillicothe, OH 45601-3207Fax: 740 775-2383Email: ross@sos.state.oh.us

Sandusky Director, Sandusky County Board of Elections2020 Countryside Drive Fremont, OH 43420-9574Fax: 419 334-6184Email: sandusky@sos.state.oh.us

Scioto Director, Scioto County Board of ElectionsCourt House602 Seventh Street, Room 105 Portsmouth, OH 45662-3927Fax: 740 355-8363Email: scioto@sos.state.oh.us

Seneca Director, Seneca County Board of Elections71 S. Washington Street, Suite 1101Tiffin, OH 44883-2302Fax: 419 443-7925Email: seneca@sos.state.oh.us

Shelby Director, Shelby County Board of Elections230 E. Court Street Sidney, OH 45365-3060Fax: 937 498-7326Email: shelby@sos.state.oh.us

Stark Director, Stark County Board of Elections201 3rd Street, NECanton, OH 44702-1296Fax: 330 451-7000Email: boe@co.stark.oh.us

Summit Director, Summit County Board of Elections470 Grant StreetAkron, OH 44311-1157Fax: 330 643-5422Email: summit@sos.state.oh.us

Trumbull Director, Trumbull County Board of Elections2947 Youngstown Road, SEWarren, OH 44484-5294Fax: 330 369-4160Email: kelly@tcvote.com

Tuscarawas Director, Tuscarawas County Board of ElectionsCourthouse Square, 101 E. High Ave. PO Box 69New Philadelphia, OH 44663-2599Fax: 330 343-3125Email: tuscaraw@sos.state.oh.us

Union Director, Union County Board of Elections940 London Avenue, Suite 1000Marysville, OH 43040-8036Fax: 937 642-2823Email: union@sos.state.oh.us

Van Wert Director, Van Wert County Board of Elections120 E. Main Street Van Wert, OH 45891-1428Fax: 419 238-7145Email: vanwert@sos.state.oh.us

Vinton Director, Vinton County Board of Elections31935 SR 93, Unit 1, Community Bldg., PO Box 314McArthur, OH 45651Fax: 419 238-7145Email: vanwert@sos.state.oh.us

Warren Director, Warren County Board of Elections406 Justice Drive, Room 323 Lebanon, OH 45036-2314Fax: 513 695-2953Email: wcboe@co.warren.oh.us

Washington Director, Washington County Board of Elections205 Putnam Street Marietta, OH 45750-3014Fax: 740 374-7698Email: washingt@sos.state.oh.us

Wayne Director, Wayne County Board of Elections200 Vanover Street, Suite 1Wooster, OH 44691-4849Fax: 330 287-5686Email: votewayne@sssnet.com

Williams Director, Williams County Board of Elections228 S. Main Street Bryan, OH 43506-1751Fax: 419 636-2975Email: williams@sos.state.oh.us

Wood Director, Wood County Board of Elections1 Courthouse Square Bowling Green, OH 43402-2427Fax: 419 354-1730Email: wood@sos.state.oh.us

Wyandot Director, Wyandot County Board of Elections109 South Sandusky Avenue Room 12Upper Sandusky, OH 43351-1423Fax: 419 294-6437Email: wyandot@sos.state.oh.us

Oklahomawww.elections.ok.gov

Registering and Requesting Your Absentee BallotRegistration is not required to apply for absentee ballots.However, if you are not registered to vote, you will becomeregistered upon submission of a valid FPCA. You must stillcomplete the Federal Post Card Application to request anabsentee ballot. The form requests absentee ballots for allFederal elections held through the next two regularlyscheduled general elections.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you are registered as non-partisanor undeclared, you cannot vote in party primaries. If you wantto change your political party affiliation, submit a completedFPCA indicating your new party preference to the localelection official not less than 24 days before the election.Oklahoma does not allow political party changes from April 1-August 31 in even-numbered years. If you submit a politicalparty change during that period, it will be held and processedon September 1. Political party affiliation is not required if onlyrequesting absentee ballots for general elections.

Your current and valid Oklahoma Driver's License number ORthe last four digits of your Social Security number is requiredfor voter registration. If you do not possess any of theseidentification numbers, please indicate this in Block 9. TheState shall assign a number that will serve to identify you forvoter registration purposes.

Block 6: Oklahoma allows you to receive the blank ballot bymail, fax or email. Please rank your preference of how youwould like to receive your absentee ballot. Provide your faxnumber or email address in Block 5. Please ensure that thisemail address does not block or filter emails forwarded fromyour county election official. If you do not make a selection,then your local election official will mail your ballot to you.

Block 7: Complete street address of your Oklahoma votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Oklahoma allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send the formdirectly to your local election office. Email addresses can befound at www.elections.ok.gov.

August 28, 2012

Ballot Request February 29, 2012 June 20, 2012 August 22, 2012 October 31, 2012

Ballot Return 7 pm, March 6, 2012 7 pm, June 26, 2012 7 pm, August 28, 2012

Oklahoma 2012-13 Voting Assistance Guide

If you choose to fax your FPCA, it is recommended that youfax the form directly to your local election official. Faxnumbers can be found at www.elections.ok.gov. You may alsouse the DoD Electronic Transmission Service to fax yourFPCA toll-free. To use the Electronic Transmission Service,use the cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office.

Late Registration

If you are honorably discharged or on leave from the U.S.Uniformed Services or terminated in your service oremployment overseas, and you are returning home toOklahoma within 90 days preceding an election, you may votein the upcoming election only (in the precinct where you are aqualified voter) without being registered.

Voting By Citizens Who Have Never Resided In TheU.S.

If a U.S. citizen outside the U.S. has never lived in the U.S. andeither parent is a qualified Oklahoma voter, he or she is eligibleto register and vote where his or her parent is a qualified voter.

Voting Your Ballot Local election officials send absentee ballots 45 days beforeelections.

Voted ballots must be received by the local election officeno later than 7 pm on Election Day.

You may return the voted ballot by mail or fax. Use FPCA faxinstructions under “How and Where to Submit Your FPCA.”You may also choose to email your ballot directly toets@fvap.gov for it to be forwarded to your local electionoffice by fax.

You may track the status of your ballot at: http://www.ok.gov/elections/Absentee_Voting/Military_Overseas_Voters/

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Oklahoma allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in general, special, and primaryelections for Federal and State offices even if you have notrequested an absentee ballot be sent to you. Feel free to use theFWAB to vote anytime before an election.

Block 1: Oklahoma does not require voter registration.However, if you are not registered to vote, you will becomeregistered upon submission of a valid Voter Declaration/Affirmation.

Block 3: Name (Last, First, Middle). Enter any name underwhich you were previously registered to vote in Oklahoma.

Enter the last four digits of your Social Security number ORyour valid Oklahoma Driver's License number. If you do not

2012-13 Voting Assistance Guide Oklahoma

possess any of these identification numbers, please indicatethis in Block 9. The State shall assign a number that will serveto identify you for voter registration purposes.

Block 6: Enter your political party affiliation if you want tovote in primary elections.

Block 7: Complete street address of your Oklahoma votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

Vote for any Federal or statewide office in any election. To findout the races and candidates for which you can vote, go towww.elections.ok.gov. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballot inthe security envelope and do not write on the securityenvelope.

Oklahoma allows you to submit the FWAB by mail, email orfax.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the ballot directly to your localelection office.

If you choose to email your FWAB, you must email it as asigned, scanned attachment to the DoD ElectronicTransmission Service at: ets@fvap.gov with instructions toforward it by fax to your local election office. Include ballot,voter affirmation, and cover sheet with secrecy waiver. Use thecover sheet available in Chapter 1 or at www.fvap.gov.

If you choose to fax your FWAB, it is recommended that youfax the ballot directly to your local election official. Fax

numbers can be found at www.elections.ok.us. Include ballot,voter affirmation, and cover sheet with secrecy waiver. Youmay also use the DoD Electronic Transmission Service to faxyour FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527, ortoll-free from the U.S., Canada, Guam, Puerto Rico, and theVirgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Adair Secretary, Adair County Election BoardPO Box 6Stilwell, OK 74960-0006Fax: 918 696-4905E-Mail: adairceb@yahoo.com

Alfalfa Secretary, Alfalfa County Election Board300 S Grand AvenueCherokee, OK 73728Fax: 580 596-2778E-Mail: alfalfaceb@att.net

Atoka Secretary, Atoka County Election Board200 E Court Street, Suite 106EAtoka, OK 74525-2056Fax: 580 889-5311E-Mail: atokaelection@gmail.com

Beaver Secretary, Beaver County Election BoardPO Box 639 Beaver, OK 73932-0639Fax: 580 625-4742E-Mail: beavereb@ptsi.net

Beckham Secretary, Beckham County Election Board310 E Madison AvenueSayre, OK 73662-3044Fax: 580 928-9266E-Mail: beckhamelectionbd@sbcglobal.net

Blaine Secretary, Blaine County Election Board212 N Weigle Avenue, Suite 6Watonga, OK 73772Fax: 580 623-5519E-Mail: blaineceb@io2online.com

Bryan Secretary, Bryan County Election Board217 N 16th AvenueDurant, OK 74701-3607Fax: 580 924-3228E-Mail: bryanelection@sbcglobal.net

Caddo Secretary, Caddo County Election BoardPO Box 277Anadarko, OK 73005-0277Fax: 405 247-2052E-Mail: caddoelectionboard@yahoo.com

Canadian Secretary, Canadian County Election BoardPO Box 307El Reno, OK 73036-2422Fax: 405 422-2450E-Mail: votinginfo@canadiancounty.org

Carter Secretary, Carter County Election Board106 Hinkle Street SWArdmore, OK 73401-6412Fax: 580 223-8203E-Mail: carterceb10@yahoo.com

Cherokee Secretary, Cherokee County Election Board914 S College AvenueTahlequah, OK 74464-4726Fax: 918 453-2022E-Mail: Cherokeecountyelectionboard11@gmail.com

Choctaw Secretary, Choctaw County Election BoardPO Box 517Hugo, OK 74743-0517Fax: 580 317-8245E-Mail: choctawcountyceb12@sbcglobal.net

Cimarron Secretary, Cimarron County Election BoardPO Box 331Boise City, OK 73933-0331Fax: 580 544-3377E-Mail: cimceb13@ptsi.net

Cleveland Secretary, Cleveland County Election Board641 E Robinson, Suite 200Norman, OK 73071-6656Fax: 405 366-0209E-Mail: cceb14@coxinet.net

Coal Secretary, Coal County Election Board4 N Main Street, Suite 10Coalgate, OK 74538-2844Fax: 580 927-3710E-Mail: ceb_15@yahoo.com

Comanche Secretary, Comanche County Election Board315 SW 5th Street, Room 206Lawton, OK 73501-4326Fax: 580 353-0049E-Mail: comancheceb16@comanchecounty.us

Cotton Secretary, Cotton County Election Board301 N Broadway Street, Room 3Walters, OK 73572-1271Fax: 580 875-3403E-Mail: cottonceb17@sbcglobal.net

Craig Secretary, Craig County Election Board210 W Delaware Avenue, Suite 108Vinita, OK 74301-4236Fax: 918 256-8173E-Mail: election18@junct.com

Creek Secretary, Creek County Election BoardPO Box 990Sapulpa, OK 74067-0990Fax: 918 227-6332E-Mail: creekelections@sbcglobal.net

Custer Secretary, Custer County Election BoardPO Box 1326Clinton, OK 73601-1326Fax: 580 323-5130E-Mail: custerco20@sbcglobal.net

Delaware Secretary, Delaware County Election BoardPO Box 589Jay, OK 74346-0589Fax: 918 253-3286E-Mail: dceb@brightok.net

Dewey Secretary, Dewey County Election BoardPO Box 115Taloga, OK 73667-0115Fax: 580 328-5768E-Mail: dceb_22@yahoo.com

Ellis Secretary, Ellis County Election BoardPO Box 492Arnett, OK 73832-0492Fax: 580 885-7258E-Mail: ellisceb23@gmail.com

Garfield Secretary, Garfield County Election BoardPO Box 1872Enid, OK 73702-1872Fax: 580 249-5959E-Mail: gceb24@ymail.com

Garvin Secretary, Garvin County Election Board201 W Grant Avenue, Room 8Pauls Valley, OK 73075-3234Fax: 405 238-1140E-Mail: garvinceb25@att.net

Grady Secretary, Grady County Election BoardPO Box 1226Chickasha, OK 73023-1226Fax: 405 224-6576E-Mail: gradyceb@sbcglobal.net

Grant Secretary, Grant County Election BoardPO Box 68Medford, OK 73759-0068Fax: 580 395-2603E-Mail: grantceb@gmail.com

Greer Secretary, Greer County Election BoardCounty CourthouseMangum, OK 73554Fax: 580 782-2307E-Mail: greerceb@yahoo.com

Harmon Secretary, Harmon County Election Board114 W Hollis Street, Rm 2-5Hollis, OK 73550-3053Fax: 580 688-9784E-Mail: harmon29electionboard@hotmail.com

Harper Secretary, Harper County Election BoardPO Box 541Buffalo, OK 73834-0541Fax: 580 735-2311E-Mail: HarperCEB01@pldi.net

Haskell Secretary, Haskell County Election BoardPO Box 300Stigler, OK 74462-0300Fax: 918 967-2199E-Mail: hceb31@yahoo.com

Hughes Secretary, Hughes County Election Board200 N Broadway, St., Suite 3Holdenville, OK 74848-3400Fax: 405 379-7734E-Mail: hughesceb32@plainsnet.net

Jackson Secretary, Jackson County Election BoardPO Box 154Altus, OK 73522-0154Fax: 580 482-2370E-Mail: jceb@jacksoncountyok.com

Jefferson Secretary, Jefferson County Election Board220 N Main Street, Room 203Waurika, OK 73573-2236Fax: 580 228-2775E-Mail: jeffcoeb34@gmail.com

Johnston Secretary, Johnston County Election Board403 W Main Street, Ste. 104Tishomingo, OK 73460-1753Fax: 580 371-3670E-Mail: johnstonceb01@yahoo.com

Kay Secretary, Kay County Election BoardPO Box 331Newkirk, OK 74647-0331Fax: 580 362-1100E-Mail: kayceb36@yahoo.com

Kingfisher Secretary, Kingfisher County Election Board101 S Main Street, Suite 8 Kingfisher, OK 73750-3241Fax: 405 375-5962E-Mail: kfrceb@gmail.com

Kiowa Secretary, Kiowa County Election Board228 N Lincoln StreetHobart, OK 73651-2604Fax: 580 726-2124E-Mail: countyceb38@yahoo.com

Latimer Secretary, Latimer County Election Board109 N Central Street, Suite 102Wilburton, OK 74578-2440Fax: 918 465-4019E-Mail: latelecbrd@yahoo.com

LeFlore Secretary, LeFlore County Election BoardPO Box 249Poteau, OK 74953-0249Fax: 918 647-5262E-Mail: leflorecountyelectionboard@yahoo.com

Lincoln Secretary, Lincoln County Election BoardPO Box 97Chandler, OK 74834-0097Fax: 405 258-5565E-Mail: linelection@brightok.net

Logan Secretary, Logan County Election Board224 E Vilas AvenueGuthrie, OK 73044-4834Fax: 405 282-1994E-Mail: loganceb42@live.com

Love Secretary, Love County Election Board405 W Main Street, Suite 103 Marietta, OK 73448-2849Fax: 580 276-2242E-Mail: loveceb@cableone.net

McClain Secretary, McClain County Election Board PO Box 759Purcell, OK 73080-0759Fax: 405 527-9347E-Mail: mcclainceb@gmail.com

McCurtain Secretary, McCurtain County Election Board108 N Central AvenueIdabel, OK 74745

2012-13 Voting Assistance Guide Oklahoma

McIntosh Secretary, McIntosh County Election BoardPO Box 1022Eufaula, OK 74432-1022Fax: 918 689-2914E-Mail: mcintoshceb_46@yahoo.com

Major Secretary, Major County Election Board500 E Broadway, Suite 8Fairview, OK 73737-2243Fax: 580 227-2736E-Mail: majorcountyeb@gmail.com

Marshall Secretary, Marshall County Election BoardPO Box 9Madill, OK 73446-0009.Fax: 580 795-5460E-Mail: marshallceb48@yahoo.com

Mayes Secretary, Mayes County Election Board1 Court Place, Suite 130Pryor, OK 74361-2449Fax: 918 825-3848E-Mail: mayesceb49@yahoo.com

Murray Secretary, Murray County Election BoardPO Box 556Sulphur, OK 73086-0556Fax: 580 622-4319E-Mail: Murrayco50@brightok.net

Muskogee Secretary, Muskogee County Election BoardPO Box 216Muskogee, OK 74402-0216Fax: 918 687-0382E-Mail: muskceb@yahoo.com

Noble Secretary, Noble County Election Board300 Courthouse Drive, Suite 2Perry, OK 73077-6649Fax: 580 336-2035E-Mail: 52nobleceb@gmail.com

Nowata Secretary, Nowata County Election BoardPO Box 680Nowata, OK 74048-0680Fax: 918 273-2578E-Mail: voteelections@cableone.net

Okfuskee Secretary, Okfuskee County Election Board209 N 3rd StreetOkemah, OK 74859-2627Fax: 918 623-1222E-Mail: okfuskee_54@yahoo.com

Oklahoma Secretary, Oklahoma County Election Board4201 N Lincoln Blvd. Oklahoma City, OK 73105-5210Fax: 405 713-7191E-Mail: UOCAVA@oklahomacounty.org

Okmulgee Secretary, Okmulgee County Election Board314 W 7th Street, Suite 102Okmulgee, OK 74447-5028Fax: 918 758-1275E-Mail: okmulgee_elections@yahoo.com

Osage Secretary, Osage County Election BoardPO Box 929Pawhuska, OK 74056-0929Fax: 918 287-4820E-Mail: oceb@sbcglobal.net

Ottawa Secretary, Ottawa County Election Board123 E Central Avenue, Suite 104Miami, OK 74354-7080Fax: 918 542-3005E-Mail: election58@att.net

Pawnee Secretary, Pawnee County Election BoardPO Box 38Pawnee, OK 74058-0038Fax: 918 762-2387E-Mail: PawneeCEB59@gmail.com

Payne Secretary, Payne County Election Board315 W 6th Avenue, Suite 207Stillwater, OK 74074-4080Fax: 405 747-8393E-Mail: payneceb60@brightok.net

Pittsburg Secretary, Pittsburg County Election Board109 E Carl Albert Parkway, Rm. 101McAlester, OK 74501Fax: 918 423-7088E-Mail: pittceb@allegiance.tv

Pontotoc Secretary, Pontotoc County Election BoardPO Box 302Ada, OK 74821-0302Fax: 580 421-7765E-Mail: pontotocceb62@sbcglobal.net

Pottawatomie Secretary, Pottawatomie County Election Board325 N Broadway Avenue, Suite 105Shawnee, OK 74801-6938Fax: 405 275-3240E-Mail: pottceb@sbcglobal.net

Pushmataha Secretary, Pushmataha County Election Board303 SW C St.Antlers, OK 74523-3864Fax: 580 298-3292E-Mail: pushceb1@sbcglobal.net

Roger Mills Secretary, Roger Mills County Election BoardPO Box 147Cheyenne, OK 73628-0147Fax: 580 497-3546E-Mail: rmcelectionbd@yahoo.com

Rogers Secretary, Rogers County Election Board415 W 1st StreetClaremore, OK 74017-7801Fax: 918 341-4666E-Mail: electionboard@rogerscounty.org

Seminole Secretary, Seminole County Election Board110 S Wewoka Avenue, Suite 101Wewoka, OK 74884-2645Fax: 405 257-3912E-Mail: semelectionboard@sbcglobal.net

Sequoyah Secretary, Sequoyah County Election Board117 S Oak Street, Ste. 110Sallisaw, OK 74955-4614Fax: 918 775-1205E-Mail: seqcoelectionboard@yahoo.com

Stephens Secretary, Stephens County Election Board101 S 11th Street, Room 100Duncan, OK 73533-4758Fax: 580 255-3188E-Mail: stephensceb@cableone.net

Texas Secretary, Texas County Election BoardPO Box 607Guymon, OK 73942-0607Fax: 580 338-2618E-Mail: texasceb70@ptsi.net

Tillman Secretary, Tillman County Election Board201 N Main Street, Room 5Frederick, OK 73542-5400Fax: 580 335-2699E-Mail: tillmanelect@pldi.net

Tulsa Secretary, Tulsa County Election Board555 N Denver AvenueTulsa, OK 74103-1008Fax: 918 596-5775E-Mail: Tulsaceb72@tulsacounty.org

Wagoner Secretary, Wagoner County Election BoardPO Box 714Wagoner, OK 74477-0714Fax: 918 485-8063E-Mail:wagonerelections@hotmail.com

Washington Secretary, Washington County Election Board420 S Johnstone Avenue, Suite 101Bartlesville, OK 74003-6602Fax: 918 337-2895E-Mail: WashingtonCEB74@countycourthouse.org

Washita Secretary, Washita County Election Board111 E Main Street, Suite 2Cordell, OK 73632-4831Fax: 580 832-3658E-Mail: washitaceb75@yahoo.com

Woods Secretary, Woods County Election BoardPO Box 184Alva, OK 73717-0184Fax: 580 327-6216E-Mail: woodsceb1@woodscounty.net

Woodward Secretary, Woodward County Election BoardPO Box 613Woodward, OK 73802-0613Fax: 580 254-6877E-Mail: election@woodwardcounty.org

Oregonwww.oregonvotes.org

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for every subsequent Federalelection held until the voter otherwise notifies the clerk, orthe county election official receives evidence that theelector’s voter registration is no longer current.

All information applies to Uniformed Service members,their families, and overseas citizens, as well as members ofthe U.S. Armed Forces and Merchant Marines who havebeen discharged within 30 days of an election.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. To vote in the elections of apolitical party that has authorized non-affiliated electors,write: “I want to vote in (fill in party) primary.” Politicalparty affiliation is not required if only requesting absenteeballots for general elections.

Your valid Oregon Driver's License number OR if you donot have an Oregon Driver's License the last four digits ofyour Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Oregon allows you to receive your absentee ballotby mail, email, or fax. Please rank your preference of howyou would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Oregon votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: In addition to mailing a regular ballot, Oregonprovides a State Write-In Absentee Ballot to any voterresiding outside the U.S. unable to vote using the regularabsentee voting process. This ballot may be requested anytime before the election. To request it, write in Block 9: “Iam outside the territorial limits of the United States and theDistrict of Columbia and I am unable to vote and return aregular absentee ballot by normal mail delivery in the timeprovided for regular absentee ballots. I request a specialwrite-in absentee ballot.” This request is valid only for theelection specified on the application.

Registration Received OR Postmarked by:

April 24, 2012

Received OR Postmarked by:

April 24, 2012

Received OR Postmarked by: October 17, 2012

Ballot Request N/A N/A N/A

Ballot Return 8 pm, May 15, 2012 8 pm, May 15, 2012 8 pm, November 6, 2012

Oregon 2012-13 Voting Assistance Guide

Oregon allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. You must also submitthe FPCA by mail. Email directly to your local electionoff ice . Emai l addresses can be found a t h t tp : / /www.oregonvotes.org.

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the formdirectly to your local election official. Fax numbers can befound at: http://www.oregonvotes.org. You may also use theDoD Electronic Transmission Service to fax your FPCAtoll-free. To use the Electronic Transmission Service, usethe cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-freefrom the U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contactinformation can be found at www.oregonvotes.org.

Voting Your Ballot Local election officials send absentee ballots 45 days beforeprimary and general elections.

Voted ballots must be received by the local electionoffice by 8 pm on Election Day.

Voted ballots must be returned by mail. If you are serving inthe U.S. Armed Forces or Merchant Marines, or you havebeen discharged within the last 30 days from the ArmedForces or Merchant Marinesserchant marine, you may alsoreturn your voted ballot by fax. Fax your voted ballot, alongwith an Oregon Facsimile Vote Secret Ballot Waiver Formdirectly to your local election official. The form and faxnumbers for local election officials are available at: http://www.oregonvotes.org. The Waiver Form is required.

You may track the status of your ballot at: http://oregonvotes.org/.

Haven’t Received Your Ballot? Use the Federal Write-In Absentee Ballot (FWAB)Oregon allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in general,special, and primary elections for local, State and Federaloffices. Feel free to use the FWAB to vote anytime before anelection.

2012-13 Voting Assistance Guide Oregon

Block 1: Oregon allows you to use this form forregistration.

Your valid Oregon Driver's License number OR if you donot have an Oregon Driver's License the last four digits ofyour Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation or write: “not affiliated with a party.” Somepolitical parties require you to be registered in their party tovote for their candidates in primary elections. If you want tovote in the elections of a political party that has authorizednon-affiliated electors, write: “I want to vote in (fill inparty) primary.”

Block 7: Complete street address of your Oregon votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any for local, State or Federal office in a general,special, or primary election. To find out the races andcand ida tes fo r which you can vo te , go towww.oregonvotes.org. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

If using the FWAB as a voted ballot only, it must be receivedby the local election office by the ballot return deadline. If youreceive the State ballot after submitting the voted FWAB, youmay also vote and return the State ballot. If both ballots arereceived by the deadline, only the State ballot will be counted.

Oregon allows you to submit the FWAB by mail, email, orfax.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail your FWAB directly to yourlocal election official.

If you choose to email your FWAB, you should send theform as a signed, scanned attachment. You must also submitthe FWAB by mail. Include ballot, voter affirmation, andcover sheet with secrecy waiver. Email directly to yourlocal election office. Email addresses can be found at http://www.sos.state.or.us/elections/other.info/clerk.htm.

If you choose to fax your FWAB, you must also submit theFWAB by mail. If faxing, you must use a signed "SEL 531:Facsimile Vote Secret Ballot Waiver Form.” This form mustaccompany your ballot. The Secret Ballot Waiver Form canbe found on Oregon's PDF Manuals and Forms page athttp://www.sos.state.or.us/elections/publications/complete_listing.html. The fax numbers can be found athttp://www.sos.state.or.us/elections/other.info/clerk.htm.

You may also use the DoD Electronic Transmission Serviceto fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Baker Baker County Clerk, Elections Office1995 3rd Street, Suite 150Baker City, OR 97814-3398Fax: (541) 523-8240Email:tgreen@bakercounty.org

Benton Benton County Clerk, Elections Office120 4th Street, Room 13Corvallis, OR 97330-0888Fax: (541) 766-6757Email: bcelections@co.benton.or.us

Clackamas Clackamas County Clerk, Elections Office1710 Red Soils Ct., Ste 100Oregon City, OR 97045Fax: (503) 655-8461Email: elections@co.clackamas.or.us

Clatsop Clatsop County Clerk, Elections Office820 Exchange Street, Suite 220Astoria, OR 97103Fax: (503) 325-9307Email: clerk@co.clatsop.or.us

Columbia Columbia County Clerk, Elections OfficeColumbia County Courthouse230 Strand Street Saint Helens, OR 97051-2089Fax: (503) 397-7266Email: betty.huser@co.columbia.or.us

Coos Coos County Clerk, Elections OfficeCoos County Courthouse250 N. BaxterCoquille, OR 97423-1899Fax: (541) 396-6551Email: elections@co.coos.or.us

Crook Crook County Clerk, Elections Office300 NE 3rd, Room 23Prineville, OR 97754-1919Fax: (541) 416-2145Email: dee.berman@co.crook.or.us

Curry Curry County Clerk, Elections OfficePO Box 746Gold Beach, OR 97444-0746Fax: (541) 247-6440Email: higginsc@co.curry.or.us

Deschutes Deschutes County Clerk, Elections Office1300 NW Wall Street, Suite 202Bend, OR 97701-1960Fax: (541) 383-4424Email: elections@deschutes.org

Douglas Douglas County Clerk, Elections OfficePO Box 10Roseburg, OR 97470-0004Fax: (541) 440-4408Email: elections@co.douglas.or.us

Gilliam Gilliam County Clerk, Elections OfficePO Box 427Condon, OR 97823-0427Fax: (541) 384-2166Email: rena.kennedy@co.gilliam.or.us

Grant Grant County Clerk, Elections Office201 S. Humbolt, Suite 290Canyon City, OR 97820-6186Fax: (541) 575-2248Email: percyb@grantcounty-or.gov

Harney Harney County Clerk, Elections Office450 N. Buena Vista, #14Burns, OR 97720-1533Fax: (541) 573-8370Email: clerk@co.harney.or.us

Hood River Hood River County Clerk, Elections Office601 State StreetHood River, OR 97031-2093Fax: (541) 387-6864Email: kim.kean@co.hood-river.or.us

Jackson Jackson County Clerk, Elections Office1101 W. Main Street, Suite 201Medford, OR 97501-2369Fax: (541) 774-6140Email: walkercd@jacksoncounty.org

Jefferson Jefferson County Clerk, Elections Office66 SE “D” Street, Suite C Madras, OR 97741-1739Fax: (541) 325-5018 Email: kathy.marston@co.jefferson.or.us

Josephine Josephine County Clerk, Elections OfficePO Box 69Grants Pass, OR 97528-0203Fax: (541) 474-5246Email: clerk@co.josephine.or.us

Klamath Klamath County Clerk, Elections Office305 Main StreetKlamath Falls, OR 97601-6332Fax: (541) 885-6757Email: lsmith@co.klamath.or.us

Lake Lake County Clerk, Elections Office513 Center StreetLakeview, OR 97630-1539Fax: (541) 947-0905Email: clerk@co.lake.or.us

Lane Lane County Clerk, Elections Office275 W. 10th AvenueEugene, OR 97401-3008Fax: (541) 682-2303Email: elections.customer@co.lane.or.us

Lincoln Lincoln County Clerk, Elections Office225 W. Olive Street, Room 201Newport, OR 97365-3869Fax: (541) 265-4950Email: countyclerk@co.lincoln.or.us

Linn Linn County Clerk, Elections Office300 4th Avenue SW, Room 205Albany, OR 97321-2393Fax: (541) 967-5109Email: sdruckenmiller@co.linn.or.us

Malheur Malheur County Clerk, Elections Office251 B Street W, Suite 4Vale, OR 97918-1375Fax: (541) 473-5523Email: ddelong@malheurco.org

Marion Marion County Clerk, Elections Office4263 Commercial Street SE, #300Salem, OR 97302-3987Fax: (503) 588-5383Email: elections@co.marion.or.us

Morrow Morrow County Clerk, Elections OfficePO Box 338Heppner, OR 97836-0338Fax: (541) 676-9876Email: bchilders@co.morrow.or.us

Multnomah Multnomah County Clerk, Elections Office1040 SE MorrisonPortland, OR 97214-2495Fax: (503) 988-3719Email: elections@co.multnomah.or.us

Polk Polk County Clerk, Elections Office850 Main StreetDallas, OR 97338-3128Fax: (503) 623-0717Email: unger.valerie@co.polk.or.us

Sherman Sherman County Clerk, Elections OfficePO Box 365Moro, OR 97039-0365Fax: (541) 565-3771Email: countyclerk@shermancounty.net

Tillamook Tillamook County Clerk, Elections Office201 Laurel AvenueTillamook, OR 97141-2311Fax: (503) 842-1599Email: clerk@co.tillamook.or.us

Umatilla Umatilla County Clerk, Elections OfficePO Box 1227Pendleton, OR 97801-0719Fax: (541) 278-5467Email: elections@co.umatilla.or.us

Union Union County Clerk, Elections Office1001 4th Street, Suite DLa Grande, OR 97850-2100Fax: (541) 963-1013Email: clerk31@union-county.org

Wallowa Wallowa County Clerk, Elections Office101 S. River Street, Room 100 Enterprise, OR 97828-1363Fax: (541) 426-5901Email: wcclerk@co.wallowa.or.us

Wasco Wasco County Clerk, Elections Office511 Washington Street, Room 201The Dalles, OR 97058-2266Fax: (541) 506-2531Email: lindab@co.wasco.or.us

2012-13 Voting Assistance Guide Oregon

Washington Washington County Clerk, Elections Office3700 SW Murray Blvd., Suite 101 Beaverton, OR 97005-2365Fax: (503) 846-5810Email: elections@co.washington.or.us

Wheeler Wheeler County Clerk, Elections OfficePO Box 327Fossil, OR 97830-0327Fax: (541) 763-2026 Email: bsitton@co.wheeler.or.us

Yamhill Yamhill County Clerk, Elections Office414 NE Evans StreetMcMinnville, OR 97128-4607Fax: (503) 434-7520Email: elections@co.yamhill.or.us

nsylvan

Pennsylvaniawww.dos.state.pa.us

Registering and Requesting Your Absentee BallotIf you are a Uniformed Service member, registration is notrequired. You must still complete the Federal Post CardApplication (FPCA) or the Pennsylvania absentee ballotapplication (which can be found at http://www.votespa.com/)to request an absentee ballot.

An FPCA submitted prior to October 28, 2009 registers you tovote and requests absentee ballots for all subsequent local,State, and Federal elections held through the next two regularlyscheduled general elections. An application submitted betweenOctober 29 - December 31, 2009 registers you to vote andrequests absentee ballots for all local, State, and Federalelections held through 2010. An application submitted afterJanuary 1, 2010 registers you to vote and requests absenteeballots for all local, State, and Federal elections held during thecalendar year in which it was submitted, so you should submita new application in each election year.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change your politicalparty affiliation, submit a completed FPCA indicating yournew party preference to the local election official. Politicalparty affiliation is not required if only requesting absenteeballots for general elections.

Block 4: Requested but not required. Enter the choice that bestdescribes you: AI = American Indian or Alaskan Native; AP =Asian or Pacific Islander not Native Hawaiian; B = Black, notof Hispanic Origin; H = Hispanic; M = Multi-racial; NH =

Native Hawaiian; W = White, not of Hispanic Origin; O =Other.

Date of Birth

Enter your valid Pennsylvania Driver's License number. If youdo not have a Pennsylvania Driver’s License, enter the last fourdigits of your Social Security number. If you do not possesseither of these identification numbers, the State shall assign anumber that will serve to identify you for voter registrationpurposes.

Block 6: Pennsylvania allows you to receive your ballot bymail, fax, or email. Please rank your preference of how youwould like to receive your absentee ballot. Provide your faxnumber or email address in Block 5. If you do not make aselection, then your local election official will mail your ballotto you.

Blocks 7: Complete street address of your Pennsylvania votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be must be within the county where you claimlegal voting residence.

Block 9: If you are in a remote area, you may receive a ballot50 days before the primary election and 70 days before thegeneral election. To request a ballot within these time frames,write in Block 9: “I am unable to vote during the regularabsentee balloting period by reason of performing militaryservice in an extremely remote or isolated area of the world. Irequest a special write-in absentee ballot.” OR “I am unable to

State PrimaryApril 24, 2012

Registration March 26, 2012 March 26, 2012 October 9, 2012

Ballot Request April 24, 2012 April 24, 2012 November 6, 2012

Ballot Return Postmarked by: April 23, 2012

Received by: May 1, 2012

Postmarked by: April 23, 2012

Received by: May 1, 2012

Pennsylvania 2012-13 Voting Assistance Guide

vote during the regular absentee ballot period by reason ofliving in an extremely remote or isolated area of the world. Irequest a special write-in absentee ballot.”

Pennsylvania allows you to submit the FPCA by mail, email,or fax. After faxing or emailing the FPCA, submit the FPCAby mail. The original FPCA must be received by the localelection official prior to the election in order for the ballot tocount.

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. Email directly to your localelection office. Email addresses can be found atwww.dos.state.pa.us.

If you choose to fax your FPCA, you must also submit theform by mail. Your original FPCA must be received by thelocal election office prior to the election in order for your ballotto count. Fax the form directly to your local election official.Fax numbers can be found at www.dos.state.pa.us. You mayalso use the DoD Electronic Transmission Service to fax yourFPCA toll-free. To use the Electronic Transmission Service,use the cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toPennsylvania’s voter registration verification website at: http://www.pavoterservices.state.pa.us. Your jurisdiction will contactyou if your registration is denied.

Voting Your BallotLocal election officials send absentee ballots approximately 45days before elections. If official absentee ballots are notavailable at that time, you will be sent a special write-inabsentee ballot.

Voted ballots must be postmarked no later than the daybefore the election and received by the local election officeno later than 7 days after the election.

You may return your voted ballot by first class mail, expressmail or overnight mail. Insert the voted ballot into the innerenvelope provided. Then insert the inner envelope or securityenvelope into the outer envelope. If you use express orovernight mail, insert the outer or return envelope into theovernight mail package and return it to your local electionoffice. If you receive the blank ballot by fax or email, you mayuse the Federal Write-In Absentee Ballot return envelope andsecurity envelope at www.fvap.gov.

If you are a military voter and you are present in your votingdistrict of residence on Election Day and have not alreadyvoted, you may apply in person at the local election office forthe absentee ballot and vote it in person.

You may track the status of your ballot at: https://www.pavoterservices.state .pa.us/Pages/AbsenteeBallotForm.aspx.

2012-13 Voting Assistance Guide Pennsylvania

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Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Pennsylvania allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in primary, special, and generalelections for Federal, State, and local offices and non-candidateballot issues in a Federal election year. If you are a registeredoverseas citizen or a registered/unregistered UniformedService members who has requested an absentee ballot, feelfree to use the FWAB to vote anytime before the election.

Block 1: Pennsylvania does not allow you to use this form forregistration. Do not check the registration block.

Block 4: Requested but not required. Enter the choice that bestdescribes you: AI = American Indian or Alaskan Native; AP =Asian or Pacific Islander not Native Hawaiian; B = Black, notof Hispanic Origin; H = Hispanic; M = Multi-racial; NH =Native Hawaiian; W = White, not of Hispanic Origin; O =Other.

Date of Birth

Enter your valid Pennsylvania Driver's License number, thelast four digits of your Social Security number, OR your Statevoter registration number.

Block 7: Complete street address of your Pennsylvania votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

Vote for any Federal, State and local office in a primary,special, or general election. To find out the races andcandidates for which you can vote, go to www.dos.state.pa.us.For each office for which you vote, write in either a candidate'sname or a political party designation. Once the ballot iscomplete, fold and place it in the security envelope and seal.

Place only the voted ballot in the security envelope and do notwrite on the security envelope.

Insert the sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and mail your FWAB toyour local election office.

Adams Adams County Board of ElectionsAdams County Courthouse117 Baltimore Street, Room 106Gettysburg, PA 17325-2312Fax: (717) 337-9830Email:mdutko@adamscounty.us

Allegheny Allegheny County Board of Elections542 Forbes Avenue, Suite 609Pittsburgh, PA 15219-2953Fax: (412) 350-5697Email: tstaten@county.allegheny.pa.us

Armstrong Armstrong County Board of Elections450 E.Market street, Suite 207Kittanning, PA 16201-1429Fax: (724) 548-3714Email: wjbuzzard@co.armstrong.pa.us

Beaver Beaver County Board of ElectionsBeaver County Courthouse810 Third StreetBeaver, PA 15009-2139Fax: (724) 728-9318Email: dmandity@beavercountypa.gov

Bedford Bedford County Board of Elections200 S. Juliana Street, 3rd FloorBedford, PA 15522-0166Fax: (814) 623-0991Email: pkoenig@bedfordcountypa.org

Berks Berks County Board of ElectionsBerks County Courthouse/Services Ctr.633 Court Street, 1st FloorReading, PA 19601-4302Fax: (610) 478-6218Email: elections@countyofberks.com

Blair Blair County Board of ElectionsBlair County Courthouse423 Allegheny Street, Suite 43Hollidaysburg, PA 16648-2022Fax: (814) 693-3033Email: ihealy@blairco.org

Bradford Bradford County Board of Elections6 Court St, Ste 2Towanda, PA 18848-1878Fax: (570) 265-1738Email: smithkorsr@bradfordco.org

Bucks Bucks County Board of Elections55 E. Court St.Doylestown, PA 18901-4318Fax: (215) 348-6387Email: dkdean@co.bucks.pa.us

Butler Butler County Board of Elections124 W. Diamond StreetPO Box 1208Butler, PA 16003-1208Fax: (724) 284-5311Email: sbrewer@co.butler.pa.us

Cambria Cambria County Board of ElectionsPO Box 269200 S. Center StreetEbensburg, PA 15931-1947Fax: (814) 472-9642Email: frsmith@co.cambria.pa.us

Cameron Cameron County Board of Elections20 E. Fifth StreetEmporium, PA 15834-1469Fax: (814) 486-3176Email: brenda@cameroncountypa.com

Carbon Carbon County Board of Elections76 Susquehanna StreetPO Box 170Jim Thorpe, PA 18229-0170Fax: (570) 732-0040Email: lisadart@carboncounty.net

Centre Centre County Board of Elections420 Holmes StreetBellefonte, PA 16823-1488Fax: (814) 355-6857Email: jemckinl@co.centre.pa.us

Chester Chester County Board of Elections601 Westtown Road, Suite 150PO Box 2747West Chester, PA 19380-0990Fax: (610) 344-5682Email: jlforsythe@chesco.org

Clarion Clarion County Board of Elections421 Main Street, Suite 19Clarion, PA 16214-1093Fax: (814) 226-8069Email: smoore@co.clarion.pa.us

Clearfield Clearfield County Board of Elections212 E. Locust St., Ste 106Clearfield, PA 16830-2448Fax: (814) 765-2640Email: elections@clearfieldco.org

Clinton Clinton County Board of Elections232 E. Main StreetGarden Building, 3rd FloorLock Haven, PA 17745-1385Fax: (570) 893 4354Email: sconway1@kcnet.org

Columbia Columbia County Board of Elections35 W. Main StreetPO Box 380Bloomsburg, PA 17815-0380Fax: (570) 784-0257Email: mrepasky@columbiapa.org

Crawford Crawford County Board of ElectionsCrawford County Courthouse903 Diamond ParkMeadville, PA 16335-2678Fax: (814) 337-0457Email: mmushrush@co.crawford.pa.us

Cumberland Cumberland County Board of Elections310 Allen RoadCarlisle, PA 17013Fax: (717) 240-7759Email: pdbrown@ccpa.net

Dauphin Dauphin County Board of ElectionsPO Box 12952 S. 2nd StreetHarrisburg, PA 17108-1295Fax: (717) 780-6478Email: schiavetta@dauphinc.org

Delaware Delaware County Bureau of Elections201 W. Front StreetGovernment Center BuildingMedia, PA 19063Fax: (610) 892-0641Email: DelcoElection@co.delaware.pa.us

Elk Elk County Board of Elections300 Center StreetPO Box 448Ridgway, PA 15853-4659Fax: (814) 776-5362Email: elkvoter@countyofelkpa.com

Erie Erie County Board of Elections140 W. 6th Street, Room 105Erie, PA 16501-1029Fax: (814) 451-7007Email: sdrayer@eriecountygov.org

Fayette Fayette County Board of ElectionsFayette County Public Service Building22 E. Main StreetUniontown, PA 15401-3412Fax: (724) 430-1289Email: lblosser@fayettepa.org

Forest Forest County Board of ElectionsPO Box 3526 Elm StreetTionesta, PA 16353-9724Fax: (814) 755-8837Email: jahitchcock@co.forest.pa.us

Franklin Franklin County Board of Elections157 Lincoln Way EastChambersburg, PA 17201-1824Fax: (717) 261-3131Email: voter@co.franklin.pa.us

Fulton Fulton County Board of Elections116 W. Market Street, Suite 203McConnelsburg, PA 17233-1018Fax: (717) 485-3411Email: celectionsdirector@co.fulton.pa.us

Greene Greene County Board of ElectionsCounty Office Building93 E. High Street, Room 102Waynesburg, PA 15370-1839Fax: (724) 852-5321Email: tkiger@co.greene.pa.us

Huntingdon Huntingdon County Board of ElectionsHuntington County Courthouse233 Penn StreetHuntingdon, PA 16652-1457Fax: (814) 643-8152Email: lsheffield@huntingtoncounty.net

Indiana Indiana County Board of Elections825 Philadelphia StreetIndiana, PA 15701-3934Fax: (724) 465-2935Email: dstreams@countyofindiana.org

Jefferson Jefferson County Board of Elections155 Main Street, 2nd FloorBrookville, PA 15825-1269Fax: (814) 849-4084Email: klupone@jeffersoncountypa.com

Juniata Juniata County Board of ElectionsBridge StreetPO Box 68Mifflintown, PA 17059Fax: (717) 436-7756Email: estong@co.juniata.pa.us

Lackawanna Lackawanna County Board of Elections2400 Stafford AvenueP.O. Box 4525Scranton, PA 18505Fax: (570) 963-6691Email: MedalisM@lackawannacounty.org

Lancaster Lancaster County Board of Elections150 N. Queen Street, Suite 102Lancaster, PA 17603-3562Fax: (717) 209-3076Email: voter@co.lancaster.pa.us

Lawrence Lawrence County Board of ElectionsLawrence County Government Center430 Court StreetNew Castle, PA 16101-3593Fax: (724) 656-1987Email: lcvote@co.lawrence.pa.us

Lebanon Lebanon County Board of ElectionsMunicipal Building, Room 209400 S. 8th StreetLebanon, PA 17042-6794Fax: (717) 274-8094Email: nyingst@lebcnty.org

Lehigh Lehigh County Board of ElectionsLehigh County Government Center17 S. 7th StreetAllentown, PA 18101-2401Fax: (610) 770-3845Email: timothybenyo@lehighcounty.org

Luzerne Luzerne County Board of Elections20 N. Pennsylvania Avenue, Suite 207Wilkes-Barre, PA 18701-3505Fax: (570) 820-6399Email: elections@luzernecounty.org

2012-13 Voting Assistance Guide Pennsylvania

nsylvan

Lycoming Lycoming County Board of Elections48 W. Third StreetWilliamsport, PA 17701-0536Fax: (570) 320-2117Email: sadams@lyco.org

McKean McKean County Board of ElectionsMcKean County Courthouse500 W. Main StreetSmethport, PA 16749-1149Fax: (814) 887-2242Email: jaordiway@mckeancountypa.org

Mercer Mercer County Board of Elections5 CourthouseMercer, PA 16137-1227Fax: (724) 662-1530Email: jgreenburg@mcc.co.mercer.pa.us

Mifflin Mifflin County Board of ElectionsMifflin County Courthouse20 N. Wayne StreetLewistown, PA 17044-1770Fax: (717) 242-5455Email: voterregistration@co.mifflin.pa.us

Monroe Monroe County Board of ElectionsMonroe County Administration OfficesOne Quaker Plaza, Room 105Stroudsburg, PA 18360-2170Fax: (570) 517-3856Email: smay-silfee@co.monroe.pa.us

Montgomery Montgomery County Board of ElectionsMontgomery County CourthousePO Box 311, Suite 602Airy and Swede StreetsNorristown, PA 19404-0311Fax: (610) 292-4527Email: voters@montcopa.org

Montour Montour County Board of ElectionsMontour County Courthouse29 Mill StreetDanville, PA 17821-1999Fax: (570) 271-3088Email: hbrandon@montourco.org

Northampton Northampton County Board of Elections670 Wolf AvenueEaston, PA 18042-4343Fax: (610) 559-3736Email: elections@northhamptoncounty.org

Northumberland Northumberland County Board of Elections320 N. Second Street, Suite 1Sunbury, PA 17801-2360Fax: (560) 988-4306

Perry Perry County Board of Elections25 W. Main StreetPO Box 37New Bloomfield, PA 17068-0037Fax: (717) 582-5162Email: bdelancey@perryco.org

Philadelphia (Registration ONLY)

Philadelphia Voter Registration Office520 N. Delaware AvenueRiverview Place, 5th FloorPhiladelphia, PA 19123

Philadelphia (Ballot Request and Absentee Ballots ONLY)

Philadelphia County Board of Elections142 City HallPhiladelphia, PA 19107Fax: (215) 686-3398Email: Deborah.Mcaleer@phila.gov

Pike Pike County Board of Elections506 Broad StreetMilford, PA 18337-1535Fax: (570) 296-6055Email: gorben@pikepa.org

Potter Potter County Board of Elections1 N. Main StreetCoudersport, PA 16915-1630Fax: (814) 274-7395Email: slewis@pottercountypa.net

Schuylkill Schuylkill County Board of Elections420 N. Center StreetPottsville, PA 17901Fax: (570) 628-1466Email: fbrennan@schuylkill.pa.us

Snyder Snyder County Board of Elections9 West Market StreetPO Box 217Middleburg, PA 17842-0217Fax: (570) 837-4282Email: pnace@snydercounty.org

Somerset Somerset County Board of Elections300 N. Center Avenue, Suite 510Somerset, PA 15501-1472Fax: (814) 445-7991Email: voter@co.somerset.pa.us

Sullivan Sullivan County Board of Elections245 Muncy Street, Suite 200PO Box 157Laporte, PA 18626-0157Fax: (570) 946-4421Email: jpanichi@sullivancounty-pa.us

Susquehanna Susquehanna County Board of ElectionsSusquehana County CourthousePO Box 218Montrose, PA 18801-0218Fax: (570) 278-9268Email: vrs@susqco.com

Tioga Tioga County Board of ElectionsPO Box 589118 Main StreetWellsboro, PA 16901-0589Fax: (570) 723-8206Email: gcoxe@tiogacountypa.us

Union Union County Board of Elections155 N. 15th StreetLewisburg, PA 17837-8822Fax: (570) 524-8627Email: gradel@unionco.org

Venango Venango County Board of ElectionsCourthouse AnnexPO Box 8311174 Elk StreetFranklin, PA 16323-0831Fax: (814) 432-4741Email: djones@co.venango.pa.us

Warren Warren County Board of ElectionsWarren County Courthouse204 Fourth AvenueWarren, PA 16365-2399Fax: (814) 728-3479Email: lzuck@warren-county.net

Washington Washington County Board of Elections100 W. Beau Street, Room 206Washington, PA 15301-4432Fax: (724) 250-6422Email: spahrl@co.washington.pa.us

Wayne Wayne County Board of ElectionsWayne County Courthouse Annex925 Court StreetHonesdale, PA 18431-1996Fax: (570) 253-5432Email: boe@co.wayne.pa.us

Westmoreland Westmoreland County Board of Elections2 N. Main Street, Suite 109Greensburg, PA 15601-2405Fax: (724) 830-3152Email: jmontini@co.westmoreland.pa.us

Wyoming Wyoming County Board of ElectionsWyoming County Courthouse1 Courthouse SquareTunkhannock, PA 18657-1216Fax: (570) 836-5797Email: fball@wycopa.org

York York County Board of Elections28 E. Market StreetYork, PA 17401-1579Fax: (717) 771-4387Email: snsuchanic@yorkcountypa.gov

erto R

Puerto Ricowww.ceepur.org

* Puerto Rico has a Caucus system for selecting Presidential Nominees.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application (FPCA) registers you tovote and requests absentee ballots for all regularlyscheduled Federal elections for the calendar year in which itis submitted and the next Federal election.

Puerto Rico only accepts the FPCA as a temporaryregistration and absentee ballot request for elections forFederal office. If you temporarily register using the FPCA,you will only be able to vote absentee, not in person. Toregister permanently, you must register in person.

Block 2: To vote in primary elections, you must enter yourNational and State political party affiliation. If you want tochange your National or State political party affiliation,submit a completed FPCA indicating your new partypreference to the Absentee Voting Administrative Board.Political party affiliation is not required if only requestingabsentee ballots for general elections.

Block 3: Both your paternal and maternal surnames arerequired. Otherwise, provide your full name as it appears onfile at the Puerto Rico State Elections Commission.

Your Puerto Rico Driver's License number is required. Ifyou do not have a Puerto Rico Driver's License number, thelast four digits of your Social Security number OR yourvoter registration number is required.

Block 6: Puerto Rico does not allow you to receive yourblank ballot by email or fax. More transmission optionsmay be available. Check www.fvap.gov for updates.

Block 7: Complete street address of your Puerto Ricovoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: Provide your father's and mother's first names.The witness or certifying officer who signs the Affirmationmust state here - “I certify that [voter] is a [member of theU.S. Army, student at XX University, etc., whichever isapplicable].”

Territory PrimaryN/A

Registration N/A N/A For Federal Offices: TBDFor Full Ballot:

September 17, 2012

Ballot Request N/A N/A For Federal Offices: TBDFor Full Ballot:

September 7, 2012

Ballot Return N/A N/A For Federal Offices: TBDFor Full Ballot: November

6, 2012

Puerto Rico 2012-13 Voting Assistance Guide

Puerto Rico allows you to submit the FPCA by mail, email,or fax if you are already registered. If you are not alreadyregistered and choose to email or fax, you must also submityour FPCA by mail so that it arrives by the ballot returndeadline.

Absentee Voting Administrative Board (JAVA)Puerto Rico State Election Commission

PO Box 192359San Juan, PR 00919-2359

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly to theAbsentee Voting Administrative Board (JAVA) atjava@cee.gobierno.pr.

If you choose to fax your FPCA, fax the form directly to theAbsentee Voting Administrative Board at (787) 777-8728.Fax numbers can be found at www.ceepur.org. You mayalso use the DoD Electronic Transmission Service to faxyour FPCA toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to PuertoRico’ s voter registration verification website at: http://cee.ceepur.org/consulta/default.aspx.

Ballot Request Using Petition for Absentee Ballot

If you are already permanently registered, you may requesta ballot using the Petition for Absentee Ballot which isavailable by mail from the Elections Commission or atwww.ceepur.org.

Voting Your Ballot The Puerto Rico Elections Commission sends absenteeballots at least 45 days before elections.

Voted ballots must be postmarked no later than electionday and be received by the Puerto Rico Elections

Commission by 3 pm on Election Day, or no later than45 days from the date the Puerto Rico State ElectionCommission sends the ballot to the voter.

There is no notary requirement on elections for Federaloffices.

You may track the status of your ballot by contacting theAbsentee Voting Administrative Board at:

PO Box 192359San Juan, PR 00919-2359

http://cee.ceepur.org/consulta/default.aspxFax: (787) 777-8728

Email: java@cee.gobierno.pr

If you do not receive your State absentee ballot by October 2, 2012, use the Federal Write-in Absentee Ballot. If you receive your State absentee ballot, vote and return it. If both ballots are received by the deadline, only the State ballot will be counted.

2012-13 Voting Assistance Guide Puerto Rico

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Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Puerto Rico allows you to use the Federal Write-InAbsentee Ballot (FWAB) for voting in primary, special,run-off, and general elections for Federal office. If you areregistered and have requested your absentee ballot, feel freeto use the FWAB to vote anytime before an election.

Block 1: Puerto Rico does not allow you to use this formfor registration. Do not check the regsitration box.

Block 3: Both your paternal and maternal surnames arerequired. Otherwise, provide your full name as it appears onfile at the State Elections Commission.

Enter your valid Puerto Rico Driver's License number, thelast four digits of your Social Security number, OR yourvoter registration number.

Block 5: It is highly recommended that you provide yourcontact information to allow your local election official tofollow up if more information is required.

Block 7: Complete street address of your Puerto Ricovoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the town where you claimlegal voting residence.

Block 9: Provide your father's and mother's first names.The witness or certifying officer who signs the Affirmation

must state here - “I certify that [voter] is a [member of theU.S. Army, student at XX University, etc., whichever isapplicable].” Provide any information that may assist theAbsentee Voting Administrative Board in accepting thisballot or application.

Vote Your FWAB:

Vote for any Federal office in a primary, special, run-off orgeneral election. To find out the races and candidates forwhich you can vote, go to www.ceepur.org. For each officefor which you vote, write in either a candidate's name or apolitical party designation. Puerto Rico does not electmembers to the U.S. Senate or directly participate in theelection of the President and Vice President of the U.S. Atthe Federal level, only a Resident Commissioner to theHouse of Representatives is elected.

PO Box 192359San Juan, PR 00919-2359

http://cee.ceepur.org/consulta/default.aspxFax: (787) 777-8728

Email: java@cee.gobierno.pr

Puerto Rico 2012-13 Voting Assistance Guide

e Island

Rhode Islandwww.sos.ri.gov

Registering and Requesting Your Absentee BallotRegistration is not required. You must still complete theFederal Post Card Application to request an absentee ballot.The form requests absentee ballots for all local, State, andFederal elections held through the next regularly scheduledgeneral election.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, submit a completed FPCAindicating your new party preference to the local electionofficial on or before the 90th day before the election.Political party affiliation is not required if only requestingabsentee ballots for general elections.

Block 3: Name (Last, First, Middle). Previous name, ifapplicable.

Your current and valid Rhode Island Driver's Licensenumber OR the last four digits of your Social Securitynumber is required for voter registration for first time voterregistration by mail or third party. If you do not possesseither of these identification numbers, the State shall assigna number that will serve to identify you for voterregistration purposes.

Block 6: Rhode Island allows you to receive your absenteeballot by mail, fax, or electronically via download from asecure website. In order to receive your ballot by fax, youmust fax your FPCA to the Secretary of State. Please rankyour preference of how you would like to receive yourabsentee ballot. Provide your fax number in Block 5. If youdo not make a selection, then your local election officialwill mail your ballot to you.

Block 7: Complete street address of your Rhode Islandvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the city or town where youclaim legal voting residence.

Rhode Island allows you to submit the FPCA by mail orfax.

If you choose to fax your FPCA, fax the form directly to theSecretary of State at 401-222-1444. You may also use theDoD Electronic Transmission Service to fax your FPCAtoll-free. To use the Electronic Transmission Service, usethe cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-freefrom the U.S., Canada, Guam, Puerto Rico, and the Virgin

Ballot Request April 3, 2012 August 21, 2012 October 16, 2012

Ballot Return 9 pm, April 24, 2012 9 pm, September 11, 2012 9 pm, November 6, 2012

Rhode Island 2012-13 Voting Assistance Guide

Islands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to RhodeIsland’s voter registration verification website at: http://www.sos.ri.gov/vic/.

Late Registration

You shall be exempt from registration for 2 years after yourreturn to the U.S. if you were: absent from the State in theperformance of “services intimately connected withmilitary operations”; employed by any agency, departmentor division of the U.S. Government and by reason of suchemployment resided outside the continental U.S.; oremployed outside the territorial limits of the U.S.

If the person is a U.S. citizen and has never lived in the U.S.but has a parent who is a qualified Rhode Island elector, thisperson will be eligible to register and vote in Federalelections only.

Voting Your Ballot Rhode Island sends absentee ballots approximately 21 daysbefore elections. However, an official State blank ballot willbe issued 45 days before an election if the official ballot isnot available.

Voted ballots must be received by the State Board ofElections by 9 pm on Election Day.

No witness or notary is required on the certificationenvelope used for the return of voted ballots.

You may return the voted ballot by mail (or by fax only ifyou received your ballot by fax). If returning your ballotby fax, use the FPCA fax instructions under “How andWhere to Submit Your FPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD”. Thislabel is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You canreturn your ballot with this label attached at any MPO/FPO,

American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

If you have not received your ballot, you may go towww.sos.ri.gov/vic to download the official ballot and allnecessary voting materials to vote either by mail or fax.

You may track the status of your ballot at: https://sos.ri.gov/vic/.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Rhode Island allows you to use the Federal Write-InAbsentee Ballot for voting in primary, special, and generalelections for local, State and Federal offices. Feel free to usethe FWAB to vote anytime before an election.

Block 1: Rhode Island does not require voter registration.Do not check the regsitration block.

2012-13 Voting Assistance Guide Rhode Island

e Island

Enter your valid Rhode Island Driver's License number, thelast four digits of your Social Security number, OR yourState voter registration number.

Block 6: Enter your political party affiliation if you wanttovote in primary elections.

Block 7: Complete street address of your Rhode Islandvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the city or town where youclaim legal voting residence.

Vote Your FWAB:

Vote for any local, State or Federal office in a primary,special, or general election. To find out the races andcandidates for which you can vote, go to www.sos.ri.gov/vic/. For each office for which you vote, write in either acandidate's name or a political party designation. Once theballot is complete, fold and place it in the security envelopeand seal. Place only the voted ballot in the securityenvelope and do not write on the security envelope.

Rhode Island allows you to submit the FWAB by mail (orfax if you faxed your FPCA for ballot request).

If you choose to mail your FWAB, insert the sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and mail it directly to:

State Board of Elections 50 Branch Avenue

Providence, RI 02904

If you choose to fax your FWAB, fax the ballot directly tothe State Board at 401-222-3135. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. You mayalso use the DoD Electronic Transmission Service to faxyour FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Barrington Barrington Board of CanvassersTown Hall283 County RoadBarrington, RI 02806-2406Fax: (401) 247-3765Email: ljames@barrington.ri.gov

Bristol Bristol Board of CanvassersTown Hall10 Court StreetBristol, RI 02809-2234Fax: (401) 253-2647Email: lpcirillo@bristolri.us

Burrillville Burrillville Board of CanvassersTown Hall105 Harrisville Main StreetHarrisville, RI 02830-1403Fax: (401) 568-0490Email: lphaneuf@burrillville.org

Central Falls Central Falls Board of CanvassersCity Hall580 Broad StreetCentral Falls, RI 02863-2835Fax: (401) 724-2031Email: boc@centralfallsri.us

Charlestown Charlestown Board of CanvassersTown Hall4540 South County TrailCharlestown, RI 02813-3454Fax: (401) 364-1238Email: clerk@charlestownri.org

Coventry Coventry Board of CanvassersTown Hall1670 Flat River RoadCoventry, RI 02816-8909Fax: (401) 822-9132Email: landerson@town.coventry.ri.us

Cranston Cranston Board of CanvassersCity Hall869 Park AvenueCranston, RI 02910-2786Fax: (401) 780-3125Email: jcaruolo@cranstonri.org

Cumberland Cumberland Board of CanvassersTown Hall45 Broad StreetCumberland, RI 02864-8388Fax: (401) 724-1103Email: sgiovanelli@cumberlandri.org

East Greenwich East Greenwich Board of CanvassersTown Hall125 Main StreetPO Box 111East Greenwich, RI 02818-0111Fax: (401) 886-8625Email: evestia@eastgreenwichri.com

East Providence East Providence Board of CanvassersCity Hall145 Taunton AvenueEast Providence, RI 02914-4530Fax: (401) 435-1909Email: lshattuck-mooren@cityofeastprov.com

Exeter Exeter Board of CanvassersTown Hall675 Ten Rod RoadExeter, RI 02822-2447Fax: (401) 295-1248Email: canvassers@town.exeter.ri.us

Foster Foster Board of CanvassersTown Hall181 Howard Hill RoadFoster, RI 02825-1226Fax: (401) 702-5010Email: tfreeman@townoffoster.com

Glocester Glocester Board of CanvassersTown Hall1145 Putnam PikePO Box BChepachet, RI 02814-0702Fax: (401) 568-5850Email: jeanfecteau@glocesterri.org

Hopkinton Hopkinton Board of CanvassersTown Hall1 Townhouse RoadHopkinton, RI 02833-1142Fax: (401) 377-7788Email: deptownclerk@hopkintonri.org

Jamestown Jamestown Board of CanvassersTown Hall93 Narragansett AvenueJamestown, RI 02835-1149Fax: (401) 423-7230Email: kmontoya@jamestownri.net

Johnston Johnston Board of CanvassersTown Hall1385 Hartford AvenueJohnston, RI 02919-7192Fax: (401) 553-8862Email: larusso@johnston-ri.us

Lincoln Lincoln Board of CanvassersTown Hall, PO Box 100100 Old River RoadLincoln, RI 02865-1332Fax: (401) 333-3648Email: kallen@lincolnri.org

Little Compton Little Compton Board of CanvassersTown Hall40 CommonsPO Box 226Little Compton, RI 02837-0226Fax: (401) 635-2470Email: cwordell@tlcri.com

Middletown Middletown Board of CanvassersTown Hall350 East Main RoadMiddletown, RI 02842-5267Fax: (401) 845-0406Email: wmarshall@middletownri.com

Narragansett Narragansett Board of CanvassersTown Hall25 Fifth AvenueNarragansett, RI 02882-3612Fax: (401) 783-9637Email: airons@narragansett.ri.gov

Newport Newport Board of CanvassersCity Hall43 BroadwayNewport, RI 02840-2746Fax: (401) 848-5750Email: roneill@cityofnewport.com

New Shoreham New Shoreham Board of CanvassersTown Hall16 Old Town Road, PO Box 220Block Island, RI 02807-0220Fax: (401) 466-3219Email: townclerk@new-shoreham.com

North Kingstown North Kingstown Board of CanvassersTown Hall80 Boston Neck RoadNorth Kingstown, RI 02852-5767Fax: (401) 294-2437Email: jalywood@northkingstown.org

North Providence North Providence Board of CanvassersTown Hall2000 Smith StreetNorth Providence, RI 02911-1740Fax: (401) 233-1409Email: lflynn@northprovidenceri.gov

North Smithfield North Smithfield Board of CanvassersMunicipal Annex575 Smithfield RoadNorth Smithfield, RI 02896-7227Fax: (401) 356-4057Email: dtodd@northsmithfieldri.com

Pawtucket Pawtucket Board of CanvassersCity Hall137 Roosevelt AvenuePawtucket, RI 02860-2129Fax: (401) 729-9499Email: kmcgill@pawtucketri.com

Portsmouth Portsmouth Board of CanvassersTown Hall2200 East Main RoadPortsmouth, RI 02871-2168Fax: (401) 683-2107Email: mpencak@portsmouthri.com

Providence Providence Board of CanvassersCity Hall25 Dorrance StreetProvidence, RI 02903-1738Fax: (401) 421-9397Email: kplacencia@providenceri.com

Richmond Richmond Board of CanvassersTown Hall5 Richmond Townhouse RoadWyoming, RI 02898-1247Fax: (401) 539-1089Email: townclerk@richmondri.com

Scituate Scituate Board of CanvassersTown Hall195 Danielson PikeNorth Scituate, RI 02857-1906Fax: (401) 647-7220Email: dalechatfield@aol.com

Smithfield Smithfield Board of CanvassersTown Hall64 Farnum PikeEsmond, RI 02917-3224

South Kingstown South Kingstown Board of CanvassersTown Hall180 High StreetWakefield, RI 02879-3140Fax: (401) 232-7244Email: dady@smithfieldri.com

Tiverton Tiverton Board of CanvassersTown Hall343 Highland RoadTiverton, RI 02878-4401Fax: (401) 625-6705Email: boardofcanvassers@townoftivertonri.com

2012-13 Voting Assistance Guide Rhode Island

e Island

Warren Warren Board of CanvassersTown Hall514 Main StreetWarren, RI 02885-4369Fax: (401) 245-7421Email: ssperoni@townofwarren-ri.gov

Warwick Warwick Board of CanvassersCity Hall3275 Post RoadWarwick, RI 02886-7145Fax: (401) 732-3439Email: boc@warwickri.com

Westerly Westerly Board of CanvassersTown Hall45 Broad StreetWesterly, RI 02891-1888Fax: (401) 348-2571Email: brayman@westerly.org

West Greenwich West Greenwich Board of CanvassersTown Hall280 Victory HighwayWest Greenwich, RI 02817-2155Fax: (401) 392-3805Email: jeolsson@wgtownri.org

West Warwick West Warwick Board of CanvassersTown Hall1170 Main StreetWest Warwick, RI 02893-4893Fax: (401) 822-9266Email: llamothe@westwarwickri.org

Woonsocket Woonsocket Board of CanvassersCity HallPO Box B169 Main StreetWoonsocket, RI 02895-4330Fax: (401) 767-9226Email: estellecorriveau@woodsocketri.org

South Carolinawww.scvotes.org

Block 2: South Carolina does not require you to register tovote by party. However, to vote in primary elections, youmust enter your political party preference to ensure youreceive that party's ballot. If you want to change yourpolitical party preference, submit a completed FPCAindicating your new party preference to the local electionofficial. Political party preference is not required if onlyrequesting absentee ballots for general elections.

Block 4: Sex

Enter the choice that best describes you from the followinglist: B/AA = Black/ African American; H = Hispanic; A=Asian; W = White; N= Native American; O = Other.

Date of Birth

Social Security Number

Block 6: South Carolina allows you to receive yourabsentee ballot by mail, email, or fax. Please rank yourpreference of how you would like to receive your absenteeballot. Provide your email address or fax number in Block5. If you do not make a selection, then your local electionofficial will mail your ballot to you.

Block 7: Complete street address of your South Carolinavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: In addition to mailing a regular ballot, SouthCarolina provides a State Write-In Absentee Ballot to anyvoter unable to vote using the regular absentee votingprocess due to military service or due to living in extremelyremote areas. This ballot allows you to vote for Federaloffices, State offices, and members of the South Carolina

Rep: January 21, 2012

Dem: TBD

State Primary Runoff ElectionJune 26, 2012

Registration Rep: December 21, 2011

Dem: TBD

May 12, 2012 May 12, 2012 October 6, 2012

Ballot Request Rep: 5 pm, January 20, 2012

Dem: TBD

5 pm, June 11, 2012 5 pm, June 25, 2012 5 pm, November 5, 2012

Ballot Return Rep: 7 pm, January 21, 2012

Dem: TBD

7 pm, June 12, 2012 7 pm, June 26, 2012 7 pm, November 6, 2012

South Carolina 2012-13 Voting Assistance Guide

General Assembly. You must request this ballot 90 or lessdays before the election. To request it, write in Block 9: “Iam unable to vote by regular absentee ballot or in persondue to requirements of military service or due to living inisolated or extremely remote areas of the world. I request aspecial write-in absentee ballot.”

South Carolina allows you to submit the FPCA by mail,email, or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found athttp://www.scvotes.org/how_to_register_absentee_voting.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers for electionofficials can be found at http://www.scvotes.org/how_to_register_absentee_voting. You may also use theDoD Electronic Transmission Service to fax your FPCAtoll-free. To use the Electronic Transmission Service, usethe cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-freefrom the U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to SouthCarolina’ s voter registration verification website at: https://webprod .c io . sc .gov /SCSECVote rWeb/voterInformationSearch.do.

Late Registration

Any person eligible to register who has been discharged orseparated from service in the Armed Forces and returned homeafter the registration deadline may register to vote in the nextelection up to 5:00 pm on election day. They must register attheir local election office, and if qualified, they will be issued aregistration notification with their voting precinct and acertification to the precinct managers stating that the person isregistered and entitled to vote.

Voting Your Ballot Local election officials send absentee ballots at least 45 daysbefore elections.

Voted ballots must be received by the local election officeby the close of polls on Election Day.

The oath on the ballot return envelope must be signed.

You may track the status of your ballot at: https://webprod .c io . sc .gov /SCSECVote rWeb/voterInformationSearch.do.

2012-13 Voting Assistance Guide South Carolina

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!South Carolina allows you to use the Federal Write-InAbsentee Ballot (FWAB) for registration and voting inprimary, special, run-off, and general elections for Federal,State, and local offices and non-candidate ballot issues. Feelfree to use the FWAB to vote anytime before an election.

Block 1: South Carolina allows you to use this form forregistration.

Block 4: Sex

Requested but not required. Enter the choice that bestdescribes you from the following list: B/AA = Black/African American; H = Hispanic; A= Asian; W = White;N= Native American; O = Other.

Date of Birth

Social Security Number

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you want to change your political partypreference, submit a completed Federal Post CardApplication indicating your new party preference to thelocal election official.

Block 7: Complete street address of your South Carolinavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any for local, State or Federal office in a general,special, or primary election. To find out the races andcandidates for which you can vote, go to www.scvotes.org.For each office for which you vote, write in either acandidate's name or a political party designation. Once theballot is complete, fold and place it in the security envelopeand seal. Place only the voted ballot in the securityenvelope and do not write on the security envelope.

If using the FWAB as a voted ballot only, it must bereceived by the local election office by the ballot returndeadline. If you receive the State ballot after submitting thevoted FWAB, you may also vote and return the State ballot. Ifboth ballots are received by the deadline, only the State ballotwill be counted.

South Carolina allows you to submit the FWAB by mail,email, or fax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Emaildirectly to your local election office. Email addresses canbe found at:http://www.scvotes.org/how_to_register_absentee_voting.

If you choose to fax your FWAB, fax it directly to yourlocal election official. Fax numbers for election officialscan be found a t h t tp : / /www.scvo tes .o rg /how_to_register_absentee_voting. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. You mayalso use the DoD Electronic Transmission Service to faxyour FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Local Election Official AddressesCounty Mailing Address

Abbeville Abbeville Board of Voter RegistrationPO Box 417Abbeville, SC 29620-0417Fax: (864) 366-5797Email: klondon@abbevillecountysc.com

Aiken Aiken Board of Voter RegistrationPO Box 3127Aiken, SC 29802-3127Fax: (803) 642-2029Email: absentee@aikencountysc.gov

Allendale Allendale Board of Voter Registration426 Mulberry Street, Unit AAllendale, SC 29810-0552Fax: (803) 584-8147Email: vr03dwillis@hotmail.com

Anderson Anderson Board of Voter Registration107 S. Main Street, Room 101PO Box 8002Anderson, SC 29624Fax: (864) 260-4203Email: acvote@andersoncountysc.org

Bamberg Bamberg Board of Voter RegistrationPO Box 947 Bamberg, SC 29003Fax: (803) 245-3027Email: ppj57@bellsouth.net

Barnwell Barnwell Board of Voter RegistrationBarnwell County Agricultural Building 34 Pechman StreetBarnwell, SC 29812Fax: (803) 541-3683Email: ndefrenn@barnwellsc.com

Beaufort Beaufort Board of Elections & RegistrationPO Box 1228Beaufort, SC 29901-1228Fax: (843) 524-0617 or 843 255-9429Email: voter@bcgov.net

Berkeley Berkeley Board of Voter RegistrationPO Box 6122Moncks Corner, SC 29461Fax: (843) 719-4060Email: charrell@berkeleycountysc.gov

Calhoun Calhoun Board of Voter Registration102 Courthouse Drive, Suite 113St. Matthews, SC 29135Fax: (803) 874-1242Email: sjenkins@calhouncounty.sc.gov

Charleston Charleston Board of Voter RegistrationPO Box 71419North Charleston, SC 29415-1419Fax: (843) 974-6419Email: absentee@charlestoncounty.org

Cherokee Cherokee Board of Voter Registration1434 N. Limestone StreetGaffney, SC 29340Fax: (864) 902-1127Email: catie.allison@cherokeecountysc.com

Chester Chester Board of Voter RegistrationPO Box 580Chester, SC 29706-0580Fax: (803) 581-2696Email: emoore@chestercounty.org

Chesterfield Chesterfield Board of Voter Registration416 West BoulevardChesterfield, SC 29709Fax: (843) 623-3196 Email: vrcfield@hotmail.com

Clarendon Clarendon Board of Voter RegistrationPO Box 548Manning, SC 29102Fax: (803) 435-9074Email: vr14sblack@hotmail.com

Colleton Colleton Board of Voter RegistrationPO Box 97Walterboro, SC 29488Fax: (843) 549-2812Email: ecampbell@colletoncounty.org

Darlington Darlington Board of Voter Registration131 Cashua StreetDarlington, SC 29532-3222Fax: (843) 398-4907Email: vr16hcampbell@hotmail.com

Dillon Dillon Board of Voter RegistrationPO Box 973 Dillon, SC 29536-0973Fax: (843) 841-3728Email: sedwardsvr17@aol.com

Dorchester Dorchester Board of Voter Registration201 Johnston StreetSaint George, SC 29477Fax: (843) 563-0186Email: vote@dorchestercounty.net

Edgefield Edgefield Board of Voter RegistrationPO Box 442Edgefield, SC 29824-0442Fax: (803) 637-4134Email: vote@edgefieldcounty.sc.gov

Fairfield Fairfield Board of Voter RegistrationPO Drawer 60Winnsboro, SC 29180-0060Fax: (803) 635-5095Email: voterreg@fairfieldsc.com

Florence Florence Board of Voter Registration219 Third Loop RoadFlorence, SC 29505Fax: (843) 292-1613Email: elections@florenceco.org

Georgetown Georgetown Board of Elections and Registration303 N. Hazard StreetGeorgetown, SC 29440Fax: (843) 545-3342Email: vote@georgetowncountysc.org

Greenville Greenville Board of Voter RegistrationGreenville County Square301 University Ridge, Suite 1900Greenville, SC 29601-3668Fax: (864) 467-7256Email: cbelangia@greenvillecounty.org

Greenwood Greenwood Board of Voter RegistrationPark Place Building, Suite 113600 Monument Street, Box P-117Greenwood, SC 29646-2642Fax: (864) 942-5664Email: conniem@greenwoodsc.gov

Hampton Hampton Board of Voter Registration201 Lee Avenue, Room 101Hampton, SC 29924Fax: (803) 943-7556Email: dbryant@hamptoncountysc.org

Horry Horry Board of Voter Registration1515 4th AvenueConway, SC 29526Fax: (843) 915-6440Email: martins@horrycounty.org

Jasper Jasper Board of Voter RegistrationPO Box 299Ridgeland, SC 29936-0299Fax: (843) 726-7626Email: jbostick@jaspercountysc.gov

Kershaw Kershaw Board of Voter Registration609 Lafayette Ave. Camden, SC 29020Fax: (803) 424-4012Email: voterregistration@kershaw.sc.gov

Lancaster Lancaster Board of Voter RegistrationPO Box 1809Lancaster, SC 29721-1809Fax: (803) 416-9357Email: mahudson@lancastercountysc.net

Laurens Laurens Board of Voter RegistrationPO Box 769Laurens, SC 29360Fax: (864) 983-2529Email: lwest@co.laurens.sc.us

2012-13 Voting Assistance Guide South Carolina

Lee Lee Board of Voter RegistrationPO Box 309Bishopville, SC 29010Fax: (803) 484-4392Email: vr31lhill@hotmail.com

Lexington Lexington Board of Voter Registration605 W. Main Street, Suite 105Lexington, SC 29072Fax: (803) 785-8390Email: dcrepes@lex-co.com

McCormick McCormick Board of Voter RegistrationPO Box 636McCormick, SC 29835Fax: (864) 465-2489Email: sjennings@mccormickcountysc.gov

Marion Marion Board of Voter Registration137 Airport Ct., Suite EMullins, SC 29574Fax: (843) 423-8267Email: tmoody@marionsc.org

Marlboro Marlboro Board of Voter RegistrationPO Box 502 Bennettsville, SC 29512-0502Fax: (843) 454-0633Email: vr35Ldavis@hotmail.com

Newberry Newberry Board of Voter RegistrationPO Box 147Newberry, SC 29108Fax: (803) 321-2122Email: brogers@newberrycounty.net

Oconee Oconee Board of Voter Registration415 S. Pine St.Walhalla, SC 29691Fax: (864) 638-4197Email: jbrooks@oconeesc.com

Orangeburg Orangeburg Board of Voter RegistrationPO Box 9000Orangeburg, SC 29116-9000Fax: (803) 533-6215Email: absentee@orangeburgcounty.org

Pickens Pickens Registration and Election Commission222 McDaniel Avenue, B-9Pickens, SC 29671Fax: (864) 898-5637Email: rodneya@co.pickens.sc.us

Richland Richland Board of Voter RegistrationPO Box 192Columbia, SC 29202Fax: (803) 576-2249Email: absenteeballots@rcgov.us

Saluda Saluda Board of Voter Registration111 Law RangeSaluda, SC 29138Fax: (864) 445-9187Email: f.jaynes@saludacounty.sc.gov

Spartanburg Spartanburg Board of Voter RegistrationPO Box 1287Spartanburg, SC 29304Fax: (864) 596-2958Email: voteabsentee@spartanburgcounty.org

Sumter Sumter Board of Voter Registration141 N. Main Street, Room 114Sumter, SC 29150-4987Fax: (803) 436-2405Email: pjefferson@sumtercountysc.org

Union Union Board of Voter RegistrationSupervisor’s Office320 E. Main StreetUnion, SC 29379Fax: (864) 427-7851Email: dpettit@countyofunion.com

Williamsburg Williamsburg Board of Voter Registration5 Courthouse SquareKingstree, SC 29556Fax: (843) 355-2039Email: edith.redden@williamsburgcounty.sc.com

York York Board of Voter RegistrationE.C. Black Building13 S. Congress StreetYork, SC 29745Fax: (803) 684-7801Email: elections@yorkcountygov.com

South Dakotawww.sdsos.gov/elections

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, mail a completed FPCAindicating your new party preference to the local electionofficial to be received no later than 15 days prior to theelection. Political party affiliation is not required if onlyrequesting absentee ballots for general elections.

For Independent voters only, South Dakota allows arecognized political party to accept voters registered asIndependent into that party's primary election. As a voterwho registered as an Independent, you may have a choiceof ballot types for this primary election, depending on theraces in your precinct. You may choose a non-politicalballot or a Democratic Ballot. Which ballot you vote is yourchoice. Indicate in Block 6 which ballot type you wish tovote.

Your valid South Dakota Driver's License number isrequired for voter registration. If you do not have a SouthDakota Driver’s License, enter the last four digits of yourSocial Security number. If you do not possess either ofthese identification numbers, you must register at theCounty Auditor's office and sign a statement saying you donot have either number.

Block 6: South Dakota allows you to receive your blankballot by mail or email. Your absentee ballot cannot bereceived by fax. Please rank your preference of how youwould like to receive your absentee ballot. If you choose toreceive your blank ballot by email, you must provide youremail address in Block 5. Please ensure that this emailaddress does not block or filter emails forwarded from yourcounty election official. In the event that your ballot cannotbe delivered via email, your local election official will mailyour ballot to the address in Block 8. If no address isprovided, your ballot would then be sent to your voterregistration address in South Dakota.

Block 7: Complete street address of your South Dakotavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

June 5, 2012

June 19, 2012

Registration May 21, 2012 May 21, 2012 June 4, 2012 October 22, 2012

Ballot Request 3 pm, June 5, 2012 3 pm, June 5, 2012 3 pm, June 19, 2012 3 pm, November 6, 2012

Ballot Return June 5, 2012 June 5, 2012 June 19, 2012 November 6, 2012

South Dakota 2012-13 Voting Assistance Guide

Affirmation: Sign and date.

Stateside Uniformed Service members and their familiesmust provide a photocopy of one of the following:

— a South Dakota Drivers License or non-driver IDcard

— a passport or other picture ID issued by the U.S.government

— a tribal photo ID

— a current student photo ID issued by a SouthDakota high school or postsecondary educationinstitution.

Should notarization of the Stateside military voter’ssignature be easier to obtain than a photocopy of the ID, anotarized absentee ballot application may be submitted. Thenotarization on the absentee ballot application can beadministered by any commissioned officer in the militaryservice of the United States.

Overseas Uniformed Service members, their families, andoverseas citizens are not required to have a witness ornotarization, nor are they required to include a photocopy oftheir identification.

South Dakota allows you to submit the FPCA by mail,email, or fax if you are already registered. If you are notregistered, you must submit the form by mail.

If you choose to email your FPCA, you should send thesigned form as a scanned attachment. Email directly to yourlocal election office. Email addresses can be found atwww.sdsos.gov.

If you choose to fax your FPCA, it is recommended thatyou fax the signed form directly to your local electionofficial. Fax numbers can be found at www.sdsos.gov. Youmay also use the DoD Electronic Transmission Service tofax your FPCA to l l - f ree . To use the Elec t ron icTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration, contact your localelection office or refer to South Dakota’ s voter registrationverification website at: https://www.vip.sd.gov/.

In addition to your registration information, this site alsoprovides you with tracking information regarding yourvoting materials — the date your absentee ballot applicationwas received, the date the absentee ballot was sent to youeither by mail or email, and the date your voted absenteeballot was received by your election official.

Voting Your Ballot Local election officials send absentee ballots at least 46days before primary and general elections.

Voted ballots must be received by the local electionoffice by the close of the polls on Election Day.

You may track the status of your ballot at: www.sdsos.gov/deployed.

2012-13 Voting Assistance Guide South Dakota

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!South Dakota allows you to use the Federal Write-InAbsentee Ballot (FWAB) for registration and voting inprimary, secondary, special, and general elections forFederal office. Feel free to use the FWAB to vote anytimebefore an election.

Block 1: South Dakota allows you to use this form forregistration.

Block 7: Complete street address of your South Dakotavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: Provide any information that may assist the localelection official in accepting this application here.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.sdsos.gov. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

Insert the sealed security envelope and the Voter'sDeclaration/Affirmation into the mailing envelope and mailyour FWAB directly to your local election official. Contactinformation for your county auditor is available atwww.sdsos.gov.

You may check the status of the absentee ballot process byreferring to South Dakota's Voter Information Portal atwww.vip.sd.gov. The site tracks the date your absenteeballot application was received, the date the absentee ballotwas sent to you either by mail or email, and the date yourvoted absentee ballot was received by your election official.

Aurora Aurora County AuditorPO Box 397Plankinton, SD 57368-0397Fax: (605) 942-7746Email:susan.urban@state.sd.us

Beadle Beadle County AuditorPO Box 845,Huron, SD 57350-0845Fax: (605) 353-8402Email: beadle@midco.net

Bennett Bennett County AuditorPO Box 460Martin, SD 57551-0460Fax: (605)-685-6311Email: susan.williams@state.sd.us

Bon Homme Bon Homme County AuditorPO Box 605Tyndall, SD 57066-0605Fax: (605) 589-4202Email: tamara.brunken@state.sd.us

Brookings Brookings County Auditor314 6th AvenueBrookings, SD 57006-2086Fax: (605) 696-8211Email: elections@brookingscountysd.gov

Brown Brown County Auditor25 Market Street, Suite 1Aberdeen, SD 57401-4293Fax: (605) 626-4010Email: Maxine.Fischer@browncounty.sd.gov

Brule Brule County Auditor300 S. Courtland, Suite 103Chamberlain, SD 57325-1599Fax: (605) 234-4430Email: brulaud@midstatesd.net

Buffalo Buffalo County AuditorPO Box 146Gann Valley, SD 57341-0146Fax: (605) 293-3240Email: elaine.wulff@state.sd.us

Butte Butte County Auditor839 Fifth AvenueBelle Fourche, SD 57717-1719Fax: (605) 892-4525Email: elaine.jensen@state.sd.us

Campbell Campbell County AuditorPO Box 37Mound City, SD 57646-0037Fax: (605) 955-3308Email: lisa.schaefbauer@state.sd.us

Charles Mix Charles Mix County AuditorPO Box 490Lake Andes, SD 57356-0490Fax: (605) 487-7221Email: cmixaud@hcinet.net

Clark Clark County AuditorPO Box 294Clark, SD 57225-0294Fax: (605) 532-5931Email: nancy.worth@state.sd.us

Clay Clay County Auditor211 West Main, Suite 200Vermillion, SD 57069-2039Fax: (605) 677-7104Email: ruth.bremer@claycountysd.org

Codington Codington County Auditor14 First Avenue, SEWatertown, SD 57201-3611Fax: (605) 882-6288Email: cbrugman@codington.org

Corson Corson County AuditorPO Box 255,McIntosh, SD 57641-0255Fax: (605) 273-4233Email: corsonauditor@sdplains.com

Custer Custer County Auditor420 Mt. Rushmore RoadCuster, SD 57730-1934Fax: (605) 673-8150Email: lnelson@custercountysd.com

Davison Davison County Auditor200 East 4th AvenueMitchell, SD 57301-2692Fax: (605) 995-8618Email: auditor@davisoncounty.org

Day Day County Auditor711 West 1st StreetWebster, SD 57274-1364Fax: (605) 345-9515Email: sandra.raap@state.sd.us

Deuel Deuel County AuditorPO Box 616Clear Lake, SD 57226-0616Fax: (605) 874-1306Email: pam.lynde@state.sd.us

Dewey Dewey County AuditorPO Box 277Timber Lake, SD 57656-0277Fax: (605) 865-3691Email: adele.enright@state.sd.us

Douglas Douglas County AuditorPO Box 159Armour, SD 57313-0159Fax: (605) 724-2204Email: gary.denke@state.sd.us

Edmunds Edmunds County AuditorPO Box 97Ipswich, SD 57451-0097Fax: (605) 426-6164Email: keith.schurr@state.sd.us

Fall River Fall River County Auditor906 North River StreetHot Springs, SD 57747-1398Fax: (605) 745-6835Email: sue.ganje@state.sd.us

Faulk Faulk County AuditorPO Box 309Faulkton, SD 57438-0309Fax: (605) 598-6680Email: daniel.swenson@state.sd.us

Grant Grant County Auditor210 East Fifth AvenueMilbank, SD 57252-2499Fax: (605) 432-9004Email: karen.layher@state.sd.us

Gregory Gregory County AuditorPO Box 437Burke, SD 57523-0413Fax: (605) 775-2596Email: jim.waterbury@state.sd.us

Haakon Haakon County AuditorPO Box 698Philip, SD 57567-0698Fax: (605) 859-2801Email: haakon@gwtc.net

Hamlin Hamlin County AuditorPO Box 237Hayti, SD 57241-0237Fax: (605) 783-3201Email: dixie.opdahl@state.sd.us

Hand Hand County Auditor415 West First AvenueMiller, SD 57362-1346Fax: (605) 853-2769Email: auditor.handcoem@midconetwork.com

Hanson Hanson County AuditorPO Box 500Alexandria, SD 57311-0500Fax: (605) 239-4296Email: lesa.trabing@state.sd.us

Harding Harding County AuditorPO Box 26Buffalo, SD 57720-0026Fax: (605) 375-3318Email: kathy.glines@state.sd.us

Hughes Hughes County Auditor104 East Capitol AvenuePierre, SD 57501-2591Fax: (605) 773-7479Email: shellie.baumgart@co.hughes.sd.us

Hutchinson Hutchinson County Auditor140 Euclid, Room 128Olivet, SD 57052-0128Fax: (605) 387-4209Email: jeanie.simonsen@state.sd.us

Hyde Hyde County AuditorPO Box 379Highmore, SD 57345-0379Fax: (605) 852-3178Email: colleen.harris@state.sd.us

Jackson Jackson County AuditorPO Box 280Kadoka, SD 57543-0280Fax: (605) 837-2447Email: vicki.wilson@state.sd.us

Jerauld Jerauld County AuditorPO Box 422Wessington Springs, SD 57382-0422Fax: (605) 539-9125Email: cindy.peterson@state.sd.us

Jones Jones County AuditorPO Box 307Murdo, SD 57559-0307Fax: (605) 669-7120Email: john.brunskill@state.sd.us

Kingsbury Kingsbury County AuditorPO Box 196Desmet, SD 57231-0196Fax: (605) 854-3833Email: jennifer.albrecht@state.sd.us

Lake Lake County Auditor200 East CenterMadison, SD 57042-2941Fax: (605) 256-7622Email: lakeauditor@lakecountysd.org

Lawrence Lawrence County Auditor90 Sherman StreetDeadwood, SD 57732-0678Fax: (605) 578-1065Email: catkinso@lawrence.sd.us

Lincoln Lincoln County Auditor104 North Main, Suite 110Canton, SD 57013-1703Fax: (605) 764-0134Email: Auditor@lincolncountysd.org

2012-13 Voting Assistance Guide South Dakota

Lyman Lyman County AuditorPO Box 38Kennebec, SD 57544-0038Fax: (605) 869-2203Email: auditor@lymancounty.org

Marshall Marshall County AuditorPO Box 130Britton, SD 57430-0130Fax: (605) 448-2116Email: mcauditor@sbte.net

McCook McCook County AuditorPO Box 190Salem, SD 57058-0190Fax: (605) 425-2534Email: geralyn.sherman@state.sd.us

McPherson McPherson County AuditorPO Box 390Leola, SD 57456-0448Fax: (605) 493-3394Email: mcphersonaud@valleytel.net

Meade Meade County Auditor1300 Sherman StreetSturgis, SD 57785-1452Fax: (605) 347-5925Email: auditor@meadecounty.org

Mellette Mellette County AuditorPO Box C,White River, SD 57579-0403Fax: (605) 259-3194Email: jerry.schwarting@state.sd.us

Miner Miner County Auditor401 N. MainHoward, SD 57349-0086Fax: (605) 772-4203Email: minerauditor@minercountysd.org

Minnehaha Minnehaha County Auditor415 North Dakota AvenueSioux Falls, SD 57104-2465Fax: (605) 367-7409Email: blitz@minnehahacounty.org

Moody Moody County Auditor101 E. Pipestone Avenue, Suite DFlandreau, SD 57028-1750Fax: (605) 997-9996Email: mcaud1@moodycounty.net

Pennington Pennington County Auditor315 St. Joseph StreetRapid City, SD 57701-2879Fax: (605) 394-6840Email: loriw@co.pennington.sd.us

Perkins Perkins County AuditorPO Box 126Bison, SD 57620-0126Fax: (605) 244-7289Email: sylvia.chapman@state.sd.us

Potter Potter County Auditor201 South ExeneGettysburg, SD 57442-1521Fax: (605) 765-2836Email: pcaudit@venturecomm.net

Roberts Roberts County Auditor411 2nd Avenue, E.Sisseton, SD 57262-1495Fax: (605) 698-4277Email: dawn.sattler@state.sd.us

Sanborn Sanborn County AuditorPO Box 7Woonsocket, SD 57385-0007Fax: (605) 796-4509Email: sancoaud@santel.net

Shannon Shannon County Auditor906 North River StreetHot Springs, SD 57747-1398Fax: (605) 745-6835Email: sue.ganje@state.sd.us

Spink Spink County Auditor210 East 7th AvenueRedfield, SD 57469-1266Fax: (605) 472-4582Email: theresa.hodges@state.sd.us

Stanley Stanley County AuditorPO Box 595 Fort Pierre, SD 57532-0595Fax: (605) 223-7791Email: scauditor@midconetwork.com

Sully Sully County AuditorPO Box 265Onida, SD 57564-0265Fax: (605) 258-2884Email: sullyaud@venturecomm.net

Todd (send to Tripp County)

Tripp Tripp County Auditor200 East 3rdWinner, SD 57580-1806Fax: (605) 842-1116Email: kathleen.flakus@state.sd.us

Turner Turner County AuditorPO Box 370Parker, SD 57053-0370Fax: (605) 297-5556Email: turcoaud@iw.net

Union Union County Auditor209 E. Main Street, Suite 200Elk Point, SD 57025-2327Fax: (605) 356-3047Email: ucauditor@iw.net

Walworth Walworth County AuditorPO Box 199Selby, SD 57472-0199Fax: (605) 649-7867Email: auditor.walworthco@midconetwork.com

Yankton Yankton County AuditorPO Box 137Yankton, SD 57078-0137Fax: (605) 260-4494Email: paula@co.yankton.sd.us

Ziebach Ziebach County AuditorPO Box 68Dupree, SD 57623-0068Fax: (605) 365-5204Email: cindy.longbrake@state.sd.us

Tennesseehttp://state.tn.us/sos/election/index.htm

Tennessee only accepts the form as a temporary registrationand absentee ballot request. To register permanently, youmust complete Tennessee’s Federal Voter RegistrationForm available at http://state.tn.us/sos/election/forms/ss-3010.pdf and submit it along with your FPCA.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, submit a completed FPCAindicating your new party preference to the local electionofficial no later than 7 days prior to the election. Politicalparty affiliation is not required if only requesting absenteeballots for general elections.

Block 4: Sex

Requested but not required. Enter the choice that bestdescribes you from the following list: AI = AmericanIndian or Alaskan Native; AP = Asian or Pacific Islandernot Native Hawaiian; B = Black, not of Hispanic Origin; H= Hispanic; M = Multi-racial; NH = Native Hawaiian; W =White, not of Hispanic Origin; O = Other.

Date of Birth

Social Security Number. If you have never been issued aSocial Security number, write “none.”

Block 6: Tennessee allows you to receive the blank ballotby mail or email. Tennessee does not allow you to receivethe blank ballot by fax. Please rank your preference of howyou would like to receive your absentee ballot. Provideyour email address in Block 5. Please ensure that this emailaddress does not block or filter emails forwarded from yourcounty election official. If you do not make a selection, thenyour local election official will mail your ballot to you.

Block 7: Complete street address of your Tennessee votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block8. This address must be within the county where you claimlegal voting residence.

Affirmation: Sign and date. No witness or notary required.If you required assistance completing your FPCA, oneperson must witness and sign.

Tennessee allows you to submit the FPCA by mail, email,or fax.

Registration February 28, 2012 July 26, 2012 October 30, 2012

Ballot Request February 28, 2012 July 26, 2012 October 30, 2012

Ballot Return March 6, 2012 August 2, 2012 November 6, 2012

Tennessee 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found athttp://tnsos.org/elections/election_commissions.php.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found athttp://tnsos.org/elections/election_commissions.php. Youmay also use the DoD Electronic Transmission Service tofax your FPCA to l l - f ree . To use the Elec t ron icTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toTennessee’s voter registration verification website at: http://tnmap.state.tn.us/voterlookup/.

Temporary Registration/Ballot Request by Letter

You may also send a written request for temporaryregistration and/or an absentee ballot to your local electionoffice. This request must include your name, SocialSecurity Number, date of birth, your legal voting residence,and the address to which you would like your ballot to besent. The letter must be signed under penalty of perjury thatthe information is true, correct and that you are eligible tovote in the election. If voting in a primary, you must enteryour party affilliation

A U.S. citizen who was born abroad and who is eligible tovote and who has never lived in the U.S. may registertemporarily and vote in the county where a parent would beeligible to temporarily register and vote.

Voting Your Ballot Local election officials send absentee ballots at least 45days before elections. If the official ballot is not yet

available 45 days before the election, Tennessee will send aspecial write-in absentee ballot.

Voted ballots must be received by the local electionoffice by the close of polls on Election Day.

No witness or notary is required on voted ballots. If yourequired assistance completing your voted ballot, oneperson must witness and sign.

You may track the status of your ballot at: https://tnmap.state.tn.us/voterlookup/.

2012-13 Voting Assistance Guide Tennessee

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Tennessee allows you to use the Federal Write-In AbsenteeBallot (FWAB) for all elections in which you are eligible tovote. If you are registered and have requested your absenteeballot, feel free to use the FWAB to vote anytime before anelection.

Block 1: Tennessee allows you to use the FWAB as atemporary registration and absentee ballot request.

Block 4: Sex

Requested but not required. Enter the choice that bestdescribes you from the following list: AI = AmericanIndian or Alaskan Native; AP = Asian or Pacific Islandernot Native Hawaiian; B = Black, not of Hispanic Origin; H= Hispanic; M = Multi-racial; NH = Native Hawaiian; W =White, not of Hispanic Origin; O = Other.

Date of Birth

Social Security Number. If you have never been issued aSocial Security number, write “none”.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation. If you want to change your political partyaffiliation, submit a completed Federal Post CardApplication indicating your new party affiliation to thelocal election official no later than the registration deadline.

Block 7: Complete street address of your Tennessee votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Affirmation: Sign and date. No witness or notary required.If you required assistance completing your FWAB, oneperson must witness and sign.

Vote Your FWAB:

To find out the races and candidates for which you can vote,go to www.state.tn.us/sos/election. For each office forwhich you vote, write in either a candidate's name or apolitical party designation. Once the ballot is complete, foldand place it in the security envelope and seal. Place only thevoted ballot in the security envelope and do not write on thesecurity envelope.

Local Election Office AddressesEmail addresses and additional information for localelection officials may be found at: http://tnsos.org/elections/election_commissions.php.

Anderson Anderson County Election CommissionAnderson County Courthouse100 North Main, Room 207Clinton, TN 37716-3617Fax: 865 457-5624Email: acec@andersontn.org

Bedford Bedford County Election CommissionOne Public Square, Suite 20Shelbyville, TN 37160-3952Fax: 931 685-0975Email: summer.leverette@bedfordcountytn.org

Benton Benton County Election Commission113 Maple Avenue, Suite 1Camden, TN 38320-2044Fax: 731 584-5956Email: becoelections@gmail.com

Bledsoe Bledsoe County Election Commission3150 Main Street, Suite 700Pikeville, TN 37367-0253Fax: 423 447-2776Email: bledsoe.commission@tn.gov

Blount Blount County Election CommissionBlount County Courthouse383 Court StreetMaryville, TN 37804-5906Fax: 865 273-5927Email: lbreedingl@blounttn.org

Bradley Bradley County Election CommissionCourthouse Annex155 Broad Street, N.W.Cleveland, TN 37311-5000Fax: 423 728-7116Email: fgreen@bradleyelections.com

Campbell Campbell County Election Commission129 Church AlleyJacksboro, TN 37757-0084Fax: 423 562-9758Email: ccelectn@ccdiwireless.net

Cannon Cannon County Election CommissionAdams Office Building301 West Main Street, Room 244Woodbury, TN 37190-1100Fax: 615 563-2415Email: election@dtccom.net

Carroll Carroll County Election Commission625 High Street, Suite 113 Huntington, TN 38344-1703Fax: 731 986-1913Email: election@carroll.tn.org

Carter Carter County Election CommissionMain Carter County Courthouse 801 Elk Avenue, Room 207Elizabethton, TN 37643-4537Fax: 423 547-1534Email: elections@cartercountytn.gov

Cheatham Cheatham County Election Commission188 County Service Drive, Suite 100 Ashland City, TN 37015-1744Fax: 615 792-2014Email: votecheatham@gmail.com

Chester Chester County Election CommissionPO Box 127Henderson, TN 38340-0127Fax: 731 989-5023Email: elections@chesterelection.com

Claiborne Claiborne County Election Commission1802 Main StreetTazewell, TN 37879-0343Fax: 423 626-6770Email: claibornecounty@gmail.com

Clay Clay County Election Commission145 Cordell Hull DriveCelina, TN 38551-0721Fax: 931 243-2543Email: wdanielsclayelection@twlakes.net

Cocke Cocke County Election CommissionCourthouse Annex360 East Main Street, Room 130Newport, TN 37821-3121Fax: 423 625-8416Email:ccec@cockecounty.net

Coffee Coffee County Election Commission1329 McArthur Street, Suite 6Manchester, TN 37355-2456Fax: 931 723-8279Email: votecoffee@coffeecountytn.org

Crockett Crockett County Election Commission228 East Church StreetAlamo, TN 38001-1107Fax: 731 696-4977Email: crockettvote@crockettnet.com

Cumberland Cumberland County Election CommissionMilo Lemert Building2 South Main Street, Suite 105Crossville, TN 38555-4583Fax: 931 456-9409Email: dhensley@cumberlandcountytn.gov

Davidson Davidson County Election CommissionP.O. Box 650Nashville, TN 37202-0650Fax: 615 880-1729Email: vote.questions@nashville.gov

Decatur Decatur County Election Commission125 Election LaneDecaturville, TN 38329-0298Fax: 731 852-2059Email: decatur.commission@tn.gov

DeKalb DeKalb County Election Commission1 PublicSquare, Room 104Smithville, TN 37166-0543Fax: 615 597-7799Email: dekalbelections@dtccom.net

Dickson Dickson County Election CommissionCourt Square, Suite 5Charlotte, TN 37036-0522Fax: 615 789-3333Email: electionoffice@dicksoncountytn.gov

Dyer Dyer County Election Commission103 West MarketDyersburg, TN 38025-1109Fax: 731 286-3581Email: dcelect1@bellsouth.net

Fayette Fayette County Election CommissionPO Box 339Somerville, TN 38068-0339Fax: 901 465-5238Email: fayetteco@bellsouth.net

Fentress Fentress County Election CommissionPO Box 1027Jamestown, TN 38556-1027Fax: 931 879-2579Email: fentress.commission@tn.gov

Franklin Franklin County Election Commission839 Dinah Shore Blvd. Suite 1Winchester, TN 37398-1426Fax: 931 967-5317Email: frcoelec@bellsouth.net

Gibson Gibson County Election CommissionGibson County Courthouse, Suite 101One Court SquareTrenton, TN 38382-1851Fax: 731 855-7606Email: votegibsontn@co.gibson.tn.us

Giles Giles County Election CommissionPO Box 678Pulaski, TN 38478-0678Fax: 931 424-1436Email: gcelection@energize.net

Grainger Grainger County Election CommissionPO Box 28Rutledge, TN 37861-0028Fax: 865 828-6161Email: graingerelection@gmail.com

Greene Greene County Election CommissionGreene County Offices218 North Main Street, Suite 1Greeneville, TN 37745-3816Fax: 423 798-1719Email: ElectionCommission@greenecountytngov.com

Grundy Grundy County Election CommissionPO Box 181Altamont, TN 37301-0181Fax: 931 692-3573Email: grundyco@hotmail.com

Hamblen Hamblen County Election CommissionCourthouse511 West Second North Street, Room 101 Morristown, TN 37814-3964Fax: 423 585-4053Email: jgardner@co.hamblen.tn.us

Hamilton Hamilton County Election Commission700 River Terminal RoadChattanooga, TN 37406-1736Fax: 423 493-5101Email: cmullis@hamiltontn.gov

Hancock Hancock County Election Commission1237 Main Street, 1st FloorSneedville, TN 37869-0423Fax: 423 733-4596Email: hancock.commission@tn.gov

Hardeman Hardeman County Election Commission106 South Porter StreetBolivar, TN 38008-0012Fax: 731 659-2363Email: hcelection@yahoo.com

Hardin Hardin County Election CommissionCourthouse Basement 465 Main StreetSavannah, TN 38372-2062Fax: 731 925-9734Email: hcec@charter.net

2012-13 Voting Assistance Guide Tennessee

Hawkins Hawkins County Election Commission110 East Main Street, Suite 301Rogersville, TN 37857-3360Fax: 423 921-9459Email: vote@hawkinstnelections.com

Haywood Haywood County Election CommissionCourthouse Basement One North Washington Street Brownsville, TN 38012-2561Fax: 731 772-3864Email: haywoodcounty@bellsouth.net

Henderson Henderson County Election Commission12 Natchez Trace DriveLexington, TN 38351Fax: 731 968-0937Email: vote@hendersoncoec.com

Henry Henry County Election CommissionPO Box 967Paris, TN 38242-0967Fax: 731 644-7302Email: henrycoelection@yahoo.com

Hickman Hickman County Election Commission114 North Central Avenue, Suite 201Centerville, TN 37033-1426Fax: 931 729-0375Email: election@hickmanco.com

Houston Houston County Election Commission4725 East Main Street, BasementErin, TN 37061-0346Fax: 931 289-5010Email: houstonelection@yahoo.com

Humphreys Humphreys County Election Commission208 West Wyly StreetWaverly, TN 37185-1547Fax: 931 296-6509Email: jbullion@multipro.com

Jackson Jackson County Election Commission101 East Hull AvenueGainesboro, TN 38562-0013Fax: 931 268-2414Email: jacksoncobw@twlakes.net

Jefferson Jefferson County Election Commission931 Industrial Park RoadDandridge, TN 37725-0177Fax: 865 397-5062Email: cgibson@jeffersoncountytn.gov

Johnson Johnson County Election Commission158 Election AvenueMountain City, TN 37683-0106Fax: 423 727-9168Email: johnson.commission@tn.gov

Knox Knox County Election CommissionKnox County Courthouse300 Main Street, Room 218Knoxville, TN 37902-1850Fax: 865 215-4239Email: election.central@knoxcounty.org

Lake Lake County Election Commission217 South Court StreetTiptonville, TN 38079-1305Fax: 731 253-3481Email: lakecountyof@bellsouth.net

Lauderdale Lauderdale County Election Commission217 North Main StreetRipley, TN 38063-0532Fax: 731 221-0874Email: ec@lawcotn.org

Lawrence Lawrence County Election CommissionLawrence County Courthouse240 West Gaines Street, NBU #10 Lawrenceburg, TN 38464-3635Fax: 931 762-7839Email: ec@lawcotn.org

Lewis Lewis County Election CommissionCourthouse110 North Park Avenue, Room 103Hohenwald, TN 38462-1428Fax: 931 230-8080Email: lewiscounty@lcelection.com

Lincoln Lincoln County Election Commission208 Davidson Street East, Room 106Fayetteville, TN 37334-3581Fax: 931 433-9308Email: electioncommission@fpunet.com

Loudon Loudon County Election Commission100 River, Room 108Loudon, TN 37774-0193Fax: 865 458-4825Email: election@loudoncounty-tn.gov

Macon Macon County Election Commission111 East Locust StreetLafayette, TN 37083-1219Fax: 615 666-7469Email: maconelect@nctc.com

Madison Madison County Election Commission311 North ParkwayJackson, TN 38305-2713Fax: 731 660-1824Email: madisonelection@bellsouth.net

Marion Marion County Election Commission109 Academy Avenue Jasper, TN 37347-3520Fax: 423 942-1082Email: mcelection@bellsouth.net

Marshall Marshall County Election Commission230 College Street, Suite 120Lewisburg, TN 37091-0105Fax: 931 359-0554Email: mcec@bellsouth.net

Maury Maury County Election Commission1207A Tradewinds DriveColumbia, TN 38401-4607Fax: 931 375-6019Email: mauryelection@maurycounty-tn.gov

McMinn McMinn County Election Commission5 South Hill Street, Suite BAthens, TN 37303-5403Fax: 423 744-1646Email: mcelect03@comcast.net

McNairy McNairy County Election Commission170 West Court Avenue, Room B-3Selmer, TN 38375-0764Fax: 731 645-9124Email: joanie@mcnairyelection.com

Meigs Meigs County Election Commission17214 State Highway 58N, 1st FloorDecatur, TN 37322-1266Fax: 423 334-7203Email: meigscoelect@yahoo.com

Monroe Monroe County Election Commission401 Main StreetMadisonville, TN 37354-0397Fax: 423 442-9432Email: monroevotes@compnet.ws

Montgomery Montgomery County Election Commission350 Pageant Lane, Suite 404Clarksville, TN 37041-0422Fax: 931 553-5155Email: vote@montgomerycountytn.org

Moore Moore County Election Commission241 Main Street, Suite 201Lynchburg, TN 37352-8056Fax: 931 759-6394Email: vregmc@yahoo.com

Morgan Morgan County Election Commission413 North Kingston Street, Room 105Wartburg, TN 37887-0266Fax: 423 346-4350Email: election@highland.net

Obion Obion County Election Commission308 Bill Burnett CircleUnion City, TN 38281-0052Fax: 731 885-6280Email: lschlager@obioncountyelection.com

Overton Overton County Election Commission317 East University Street, Room 45Livingston, TN 38570-0384Fax: 931 823-5884Email: overton.commission@tv.gov

Perry Perry County Election Commission124 East Main StreetLinden, TN 37096-0077Fax: 931 589-5819Email: perry.commission@tn.gov

Pickett Pickett County Election Commission105 South Main Street, Room 2Byrdstown, TN 38549-0213Fax: 931 864-6362Email: pickett.commission@tn.gov

Polk Polk County Election Commission6050 Highway 411Benton, TN 37307-0157Fax: 423 338-4549Email: votepolktn@yahoo.com

Putnam Putnam County Election Commission705 County Services DrCookeville, TN 38501Fax: 931 526-8724Email: elections@puntamco.org

Rhea Rhea County Election Commission125 Court Street, Suite 1Dayton, TN 37321-0181Fax: 423 775-7880Email: tsnyder@rheavote.com

Roane Roane County Election Commission200 East Race Street, Suite 8Kingston, TN 37763-0157Fax: 865 376-2017Email: choliway@roanegov.org

Robertson Robertson County Election CommissionRobertson County Office Building513 South Brown Street, Room 137 Springfield, TN 37172-2941Fax: 615 382-3122Email: robertson.commission@tn.gov

Rutherford Rutherford County Election CommissionRutherford County Building1 Public Square South, Room 103 Murfreesboro, TN 37130Fax: 615 898-7938Email: nicolelester@rutherfordcountytn.gov

Scott Scott County Election Commission2485 Baker HighwayHuntsville, TN 37756-0586Fax: 423 663-3127Email: scotteleccom@highland.net

Sequatchie Sequatchie County Election Commission68 Spring StreetDunlap, TN 37327-3752Fax: 423 949-8396Email: seqelection@bledsoe.net

Sevier Sevier County Election Commission1154 Dolly Parton ParkwaySevierville, TN 37862-4690Fax: 865 429-0376Email: sevierelect@yahoo.com

Shelby Shelby County Election CommissionShelby County Office Building Suite 205150 Washington AveMemphis, TN 38103Fax: 901 379-4367Email: bonnie.holyfield@shelbycountytn.gov

Smith Smith County Election Commission122 Turner High Circle, Suite 105Carthage, TN 37030-1555Fax: 615 735-8253Email: vote@smithcountyelection.com

Stewart Stewart County Election Commission110 Nactor DriveDover, TN 37058-0217Fax: 931 232-4017Email: Stewart.Commission@tn.gov

Sullivan Sullivan County Election Commission3258 Highway 126, Suite 103Blountville, TN 37617-4566Fax: 423 323-6443Email: admin@scelect.org

Sumner Sumner County Election CommissionSumner County Administration Building355 North Belvedere Drive, Room 106 Gallatin, TN 37066-5410Fax: 615 230-6147Email: latchley@sumnertn.org

Tipton Tipton County Election Commission113 East Church StreetCovington, TN 38019-0456Fax: 901 476-0233Email: election@tiptonco.com

Trousdale Trousdale County Election Commission214 BroadwayHartsville, TN 37074-1304Fax: 615 374-2142Email: tclpvote@yahoo.com

Unicoi Unicoi County Election Commission206 Nolichucky AvenueErwin, TN 37650-0076Fax: 423 735-7327Email: vote@unicoicountytn.gov

Union Union County Election Commission901 Main Street, Room 114Maynardville, TN 37807-0039Fax: 865 992-7360Email: deborahviles@aol.com

Van Buren Van Buren County Election Commission500 College StreetSpencer, TN 38585-0254Fax: 931 946-2876Email: vanburen.commission@tn.gov

Warren Warren County Election Commission201 Locust Street, Suite 3McMinnville, TN 37110-9926Fax: 931 473-3984Email: warren.commission@tn.gov

Washington Washington County Election Commission100 East Main StreetJonesborough, TN 37659-1228Fax: 423 753-1812Email: vote@wcecoffice.com

Wayne Wayne County Election Commission100 Court Circle, Room 201Waynesboro, TN 38485-0706Fax: 931 722-2388Email: wcelect@netease.net

Weakley Weakley County Election Commission135 South Poplar Street, Suite ADresden, TN 38225-1329Fax: 731 364-3229Email: weakleyelection@frontiernet.net

White White County Election CommissionCourthouse1 Bockman Way, Room 215 Sparta, TN 38583-2034Fax: 931 837-3672Email: whitecoelect@blomand.net

Williamson Williamson County Election CommissionAdministrative Complex1320 West Main Street, Suite 140 Franklin, TN 37064-3731Fax: 615 790-5617Email: annb@williamson-tn.org

Wilson Wilson County Election Commission203 East Main StreetLebanon, TN 37088-0097Fax: 615 443-2669Email: info@wilsonelectionscom

Texashttp://www.sos.state.tx.us/

Registering and Requesting Your Absentee BallotThe Federal Post Card Application permanently registersyou to vote and requests absentee ballots for all Federalelections held through the next two regularly scheduledgeneral elections. If you indicate you are “indefinitelyaway” in Block 1 on the FPCA, your application will serveas a temporary registration only.

If you submit your FPCA by the 20th day before theelection, you will receive a full ballot. FPCAs received afterthis date will be issued a ballot for Federal contests only.

Block 1: Select the category that describes you. Bychecking that you are a U.S. citizen residing outside theU.S. and do not intend to return, you are eligible to receivea Federal ballot only.

Your valid Texas Driver's License number OR personalidentification number issued by the Texas Department ofPublic Safety is required for voter registration. If you do nothave either of these numbers, you must provide the last fourdigits of your Social Security number. If you do not possessany of these identification numbers, you must State that inBlock 9.

Block 6: Texas allows you to receive the ballot by mail oremail. Please rank your preference of how you would liketo receive your absentee ballot. Provide your email addressn Block 5. If you do not make a selection, then your localelection official will mail your ballot to you.

Block 7: Complete street address of your Texas votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 8: Complete address where you want your ballotsent, usually where you are located now.

Block 9: In addition to mailing a regular ballot, Texasprovides a State Write-In Absentee Ballot to any voter

May 29, 2012

July 31, 2012

Registration April 30, 2012 April 30, 2012 July 1, 2012 October 9, 2012

Ballot Request May 22, 2012 May 22, 2012 July 24, 2012 October 30, 2012

Ballot Return From Within U.S.: 7 pm, May 29, 2012From Outside U.S.:

June 4, 2012

From Within U.S.: 7 pm, May 29, 2012From Outside U.S.:

June 4, 2012

From Within U.S.: 7 pm, July 31, 2012From Outside U.S.:

August 6, 2012

From Within U.S.: 7 pm, November 6,

Postmarked by: November 6, 2012,

Texas 2012-13 Voting Assistance Guide

unable to vote in the regular absentee voting process due tomilitary contingencies. You must request this ballot 180 orless days before the election. If you submitted a VoterRegistration/Absentee Ballot Request form more than 180days before the election, you must make another request forthe special State write-in ballot. To request it, write in Block9: “Special State Write-In Ballot.”

Texas allows you to submit the FPCA by mail, email, fax orcommon/contract carrier.

If you choose to mail your FPCA, mail the form directly toyour local election office. Addresses can be found at theend of this section or at www.sos.state.tx.us/elections.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses must be obtainedby contacting your local election office. Contactinformation can be found at www.sos.state.tx.us/elections.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at www.sos.state.tx.us/elections. Youmay also use the DoD Electronic Transmission Service tofax your FPCA to l l - f ree . To use the Elec t ronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your absentee ballot request,contact your local election office. To find out the status ofyour permanent registration, refer to Texas’ voterreg i s t r a t ion ve r i f i ca t ion webs i te a t : h t tp s : / /team.sos.state.tx.us/voterws/viw/faces/Introduction.jsp.

Voting Your Ballot Local election officials send absentee ballots at least 45days before general elections.

Voted ballots must be received by the local electionoffice by the close of polls on Election Day for StatesideUniformed Service members and their families.

Voted ballots must be placed in delivery by 7 pm onElection Day and received by the local election office nolater than 5 days after the election for overseasUniformed Service members, their families, andoverseas citizens.

Texas allows you to return the voted ballot by fax only ifyou are an active-duty Armed Forces member or familymember and you are casting the ballot from an area whereyou are eligible to receive hostile fire pay or imminentdanger pay, or that has been designated a combat zone bythe President . You must use the DoD ElectronicTransmission Service to fax your ballot toll-free. See FPCAfax instructions under “How and Where to Submit YourFPCA.”

All other absentee voters must return the voted ballot bymail, common or contract carrier, or courier.

You may track the status of your ballot at: https://webservices.sos.state.tx.us/FPCA/index.aspx.

2012-13 Voting Assistance Guide Texas

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Texas allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in any general, special, primary,or runoff election for Federal office OR any special statelegislative vacancy election or any local election heldjointly with Federal election. If you have requested yourabsentee ballot, feel free to use the FWAB to vote anytimebefore an election.

Block 1: Texas does not allow you to use this form forregistration. Do not check this box.

Enter your valid Texas Driver's License number, personalidentification number, the last four digits of your SocialSecurity number, OR your State voter registration number.

Block 6: Enter your political party affiliation if you arevoting in a primary election.

Block 7: Complete street address of your Texas votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal office in a general, special, primary, orrunoff election.To find out the races and candidates forwhich you can vote, go to http://www.sos.state.tx.us/. Foreach office for which you vote, write in either a candidate'sname or a political party designation. Once the ballot iscomplete, fold and place it in the security envelope andseal. Place only the voted ballot in the security envelopeand do not write on the security envelope.

Texas allows you to return the FWAB by mail (or fax onlyif you are an active-duty Armed Forces member or familymember and you are casting the ballot from an area whereyou are eligible to receive hostile fire pay or imminentdanger pay, or that has been designated a combat zone bythe President.)

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the ballot directly to your localelection office. You may return the FWAB by mail,common or contract carrier, or courier. Addresses can befound below.

If you qualify to fax your FWAB and choose to fax it, it isrecommended that you fax the ballot directly to your locale lec t ion off ic ia l . Fax numbers can be found a twww.sos.state.tx.us/elections. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. You mayalso use the DoD Electronic Transmission Service to faxyour FWAB toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov.

Anderson Anderson County Early Voting Clerk703 N. Mallard, Suite 116Palestine, TX 75801-2923Fax: 903 723-1223Email: cbrown@co.anderson.tx.us

Andrews Andrews County Early Voting ClerkPO Box 727 Andrews, TX 79714-0727Fax: 432 524-1464Email: kheckler@co.andrews.tx.us

Angelina Angelina County Early Voting ClerkPO Box 1344Lufkin, TX 75902-1344Fax: 936 634-2690Email: midget@angelinacounty.net

Aransas Aransas County Early Voting Clerk301 N. Live Oak StreetRockport, TX 78382-2798Fax: 361 790-0119Email: pfriebele@aransascounty.org

Archer Archer County Early Voting ClerkPO Box 427Archer CIty, TX 76351-0427Fax: 940 574-2876Email: karren.winter@co.archer.tx.us

Armstrong Armstrong County Early Voting ClerkPO Box 309Claude, TX 79019-0309Fax: 806 226-5301Email: clerk@co.armstrong.tx.us

Atascosa Atascosa County Early Voting Clerk914 N. Main, Suite 115Jourdanton, TX 78026-2816Fax: 830 769-1215Email: atascosaea@txun.net

Austin Austin County Early Voting Clerk800 E. Wendt StreetBellville, TX 77418-2840Fax: 979 865-0183Email: jkokemor@austincounty.com

Bailey Bailey County Early Voting Clerk300 South 1st St., Suite 200Muleshoe, TX 79347-3621Fax: 806 272-3538Email: baileycc@fivearea.com

Bandera Bandera County Early Voting ClerkPO Box 1882Bandera, TX 78003-1882Fax: 830 796-8146Email: banderaelections@indian-creek.net

Bastrop Bastrop County Early Voting Clerk804 PecanBastrop, TX 78602-3818Fax: 512 581-4260Email: nora.cano@co.bastrop.tx.us

Baylor Baylor County Early Voting Clerk101 S. WashingtonSeymour, TX 76380-2556Fax: 940 889-4300Email: bcclerk@srcaccess.net

Bee Bee County Early Voting Clerk105 W. Corpus Christi Street, #108Beeville, TX 78102-5627Fax: 361 362-3247Email: mirella.davis@co.bee.tx.us

Bell Bell County Early Voting ClerkPO Box 480Belton, TX 76513-0480Fax: 254 933-5176Email: shelley.coston@co.bell.tx.us

Bexar Bexar County Early Voting Clerk203 W. Nueva, Suite 3.61San Antonio, TX 78207-4505Fax: 210 335-0343Email: jcallanen@bexar.org

Blanco Blanco County Early Voting ClerkPO Box 65Johnson City, TX 78636-0117Fax: 830 868-4158Email: knewman@co.blanco.tx.us

Borden Bordon County Early Voting ClerkPO Box 124Gail, TX 79738-0124Fax: 806 756-4405Email: bordenco@poka.com

Bosque Bosque County Early Voting ClerkPO Box 617Meridian, TX 76665-0617Fax: 254 435-2152Email: county_clerk@bosquecounty.us

Bowie Bowie County Early Voting Clerk710 James Bowie DrNew Boston, TX 75570Fax: 903 628-6811Email: georgestegall@juno.com

Brazoria Brazoria County Early Voting Clerk111 E. Locust, Suite 200Angleton, TX 77515-4654Fax: 979 864-1358Email: janicee@brazoria-county.com

Brazos Brazos County Early Voting Clerk300 E. 26th Street, Suite 120Bryan, TX 77803-5393Fax: 979 361-4125Email: kmcqueen@co.brazos.tx.us

Brewster Brewster County Early Voting ClerkPO Box 119Alpine, TX 79831-0119Fax: 432 837-6217Email: bmartinez@co.brewster.tx.us

Briscoe Briscoe County Early Voting ClerkPO Box 555Silverton, TX 79257-0555Fax: 806 823-2076Email: coclerk@midplains.coop

Brooks Brooks County Early Voting Clerk408 W. Travis Brooks County Courthouse AnnexFalfurrias, TX 78355-3820Fax: 361 325-4019Email: alan.hernandez@brooks-county.com

Brown Brown County Early Voting ClerkPO Box 700Brownwood, TX 76804-9985Fax: 325 643-6317Email: electionsadmin@browncountytx.org

Burleson Burleson County Early Voting Clerk100 W. Buck St. #107Caldwell, TX 77836-1762Fax: 979 567-0789Email: electadmin@burlesoncounty.org

Burnet Burnet County Early Voting Clerk220 S. PierceBurnet, TX 78611-3136Fax: 512 715-5287Email: electadmin@burnetcountytexas.org

Caldwell Caldwell County Early Voting Clerk100 E. Market StreetLockhart, TX 78644-2747Fax: 512 398-1834Email: mvgonz52@yahoo.com

Calhoun Calhoun County Early Voting Clerk211 S. Ann StreetPort Lavaca, TX 77979-4298Fax: 361 553-4443Email: dora.garcia@calhountx.org

Callahan Callahan County Early Voting Clerk100 W. 4th Street, Suite 104Baird, TX 79504-5300Fax: 325 854-5816Email: donna.bell@callahancounty.org

Cameron Cameron County Early Voting ClerkPO Box 3587Brownsville, TX 78523-3587Fax: 956 550-7298Email: rortiz@co.cameron.tx.us

Camp Camp County Early Voting Clerk126 Church StreetPittsburg, TX 75686-1344Fax: 903 856-6112Email: ccountyclerk@yahoo.com

Carson Carson County Early Voting ClerkPO Box 487Panhandle, TX 79068-0487Fax: 806 537-3623Email: celeste.bischel@co.carson.tx.us

Cass Cass County Early Voting ClerkPO Box 449Linden, TX 75563-0449Fax: 903 756-8057Email: jmitchell.countyclerk@casscountytx.org

Castro Castro County Early Voting Clerk100 E. Bedford, Room 101Dimmit, TX 79027-2643Fax: 806 647-5438Email: jbclerk@castrocounty.org

Chambers Chambers County Early Voting ClerkPO Box 728Anahuac, TX 77514-0728Fax: 409 267-8315Email: hhawthorne@co.chambers.tx.us

Cherokee Cherokee County Early Voting ClerkPO Box 420Rusk, TX 75785-0420Fax: 903 683-5931Email: coclerk@cocherokee.org

Childress Childress County Early Voting ClerkCourthouse, Box 4Childress, TX 79201-0004Fax: 940 937-3708Email: clerks@srcaccess.net

Clay Clay County Early Voting ClerkPO Box 548Henrietta, TX 76365-2800Fax: 940 264-4160 E-mal: cclerk@claycountytx.com

Cochran Cochran County Early Voting Clerk100 N. Main, Room 102Morton, TX 79346-2598Fax: 806 266-9027Email: rita.tyson@co.cochran.tx.us

Coke Coke County Early Voting Clerk13 E. 7th St.Robert Lee, TX 76945-5077Fax: 325 453-2650Email: marylgclerk@juno.com

Coleman Coleman County Early Voting Clerk100 W. Liveoak, Suite 105Coleman, TX 76834-3563Fax: 325 625-2889Email: cclerk@web-access.net

Collin Colin County Early Voting Clerk2010 Redbud Blvd., Suite 102McKinney, TX 75069-8258Fax: 972 547-1914Email: election@collincountytx.gov

Collingsworth Collingsworth County Early Voting Clerk800 W. Avenue, Box 10Wellington, TX 79095-3092Fax: 806 447-2409Email: collingsworthclerk@hotmail.com

Colorado Colorado County Early Voting Clerk400 Spring Street, #103Columbus, TX 78934-0068Fax: 979 732-6860Email: jean.perkins@co.colorado.tx.us

Comal Comal County Early Voting Clerk150 N. Seguin Avenue, #101New Braunfels, TX 78130-5122Fax: 830 620-3410Email: ccklkh@co.comal.tx.us

Comanche Comanche County Early Voting Clerk101 W. Central Comanche, TX 76442-3263Fax: 325 356-5764Email: ccclerk@htcomp.net

Concho Concho County Early Voting ClerkPO Box 98Paint Rock, TX 76866-0098Fax: 325 732-2040Email: barbara.hoffman@co.concho.tx.us

Cooke Cooke County Early Voting Clerk216 W. PecanGainesville, TX 76240-4717Fax: 940 668-5486Email: rebecca.lawson@co.cooke.tx.us

Coryell Coryell County Early Voting ClerkPO Box 6Gatesville, TX 76528-0006Fax: 254 865-2519Email: tax_collector@coryellcounty.org

Cottle Cottle County Early Voting ClerkPO Box 717Paducah, TX 79248-0717Fax: 806 492-2625Email: cottledcclerk@gmail.com

Crane Crane County Early Voting ClerkPO Box 578Crane, TX 79731-0578Fax: 432 558-1148Email: judy.crawford@co.crane.tx.us

Crockett Crockett County Early Voting ClerkDrawer COzona, TX 76943-2502Fax: 325 392-3742Email: catslair31@aol.com

Crosby Crosby County Early Voting Clerk201 West Aspen, #201Crosbyton, TX 79322-2500Fax: 806 675-2980Email: ccclerk1@windstream.net

Culberson Culberson County Early Voting ClerkPO Box 158Van Horn, TX 79855-0158Fax: 432 283-9234Email: lindasl99@hotmail.com

Dallam Dallam County Early Voting ClerkPO Box 1023Dalhart, TX 79022-1352Fax: 806 244-3751Email: dclerks@xit.net

Dallas Dallas County Early Voting Clerk2377 N. Stemmons, Suite 820Dallas, TX 75207-2706Fax: 214 819-6303Email: toni.pippins-poole@dallascounty.org

Dawson Dawson County Early Voting ClerkPO Drawer 1268Lamesa, TX 79331-1268Fax: 806 872-2473Email: dawsonclerk@windstream.net

Deaf Smith Deaf Smith County Early Voting Clerk235 E. 3rd, Room 203Hereford, TX 79045-5542Fax: 806 363-7023Email: dscclerk@wtrt.net

Delta Delta County Early Voting Clerk200 W. Dallas AvenueCooper, TX 75432-0455Fax: 903 395-4260Email: deltaclerk@yahoo.com

Denton Denton County Early Voting ClerkPO Box 1720Denton, TX 76202-1720Fax: 940 349-3201Email: elections@dentoncounty.com

DeWitt DeWitt County Early Voting Clerk307 N. Gonzales StreetCuero, TX 77954-2998Fax: 361 275-0866Email: natalie.carson@co.dewitt.tx.us

Dickens Dickens County Early Voting ClerkPO Box 120Dickens, TX 79229-0120Fax: 806 623-5240Email: coclerk@caprock-spur.com

Dimmit Dimmit County Early Voting ClerkCourthouse, 103 N. 5th StreetCarrizo Springs, TX 78834-3161Fax: 830 876-4202Email: mazgarcia75@yahoo.com

Donley Donley County Early Voting ClerkDrawer UClarendon, TX 79226-2020Fax: 806 874-3351Email: doncoclerk@amaonline.com

Duval Duval County Early Voting ClerkPO Box 308San Diego, TX 78384-0248Fax: 361 279-8842Email: ana.bazan@co.duval.tx.us

Eastland Eastland County Early Voting ClerkPO Box 110Eastland, TX 76448-0110Fax: 254 629-8125Email: eccon@eastlandcountytexas.com

Ector Ector County Early Voting ClerkPO Box 11149Odessa, TX 79760-8149Fax: 432 498-4009Email: scheimk@co.ector.tx.us

Edwards Edwards County Early Voting ClerkPO Box 184Rocksprings, TX 78880-0184Fax: 830 683-5376Email: clerks@swtexas.net

El Paso El Paso County Early Voting Clerk500 E. San Antonio, #L115El Paso, TX 79901-2421Fax: 915 546-2220Email: jchacon@epcounty.com

Ellis Ellis County Early Voting Clerk106 S. Monroe StreetWaxahachie, TX 75168-3636Fax: 972 923-5194Email: jane.anderson@co.ellis.tx.us

Erath Erath County Early Voting Clerk100 W. WashingtonStephenville, TX 76401-4280Fax: 254 965-4594Email: countyclerk@co.erath.tx.us

Falls Falls County Early Voting ClerkPO Box 810Marlin, TX 76661-0810Fax: 254 804-0044Email: nicket.taylor@co.falls.tx.us

Fannin Fannin County Early Voting Clerk101 E. Sam Rayburn Drive, #102Bonham, TX 75418-4346Fax: 903 583-9598Email: tbiggar@fannico.net

Fayette Fayette County Early Voting ClerkPO Box 605La Grange, TX 78945-0296Fax: 979 968-6426Email: dina.bell@co.fayette.tx.us

Fisher Fisher County Early Voting ClerkPO Box 368Roby, TX 79543-0368Fax: 325 776-3274Email: fishercountyclerk@yahoo.com

Floyd Floyd County Early Voting Clerk105 S. Main, Room 101Floydada, TX 79235-0476Fax: 806 983-4909Email: ginger.morgan@co.floyd.tx.us

Foard Foard County Early Voting ClerkPO Box 539Crowell, TX 79227-0539Fax: 940 684-1918Email: foardcountyclerk@hotmail.com

Fort Bend Fort Bend County Early Voting Clerk301 Jackson StreetRichmond, TX 77469-3108Fax: 281 341-4418Email: vote@co.fort-bend.tx.us

Franklin Franklin County Early Voting Clerk200 N. Kaufman St. Mount Vernon, TX 75457-0070Fax: 903 537-2962Email: bcrane@co.franklin.tx.us

Freestone Freestone County Early Voting ClerkPO Box 1010Fairfield, TX 75840-1017Fax: 903 389-6956Email: linda.jarvis@co.freestone.tx.us

Frio Frio County Early Voting Clerk500 E. San Antonto Street, #6Pearsall, TX 78061-3100Fax: 830 334-0021Email: angietulliscountyclerk@yahoo.com

Gaines Gaines County Early Voting Clerk101 S. Main, Room 107Seminole, TX 79360-4397Fax: 432 758-1442Email: vicki.phillips@co.gaines.tx.us

Galveston Galveston County Early Voting ClerkPO Box 17253Galveston, TX 77552-7253Fax: 409 765-3160Email: dwight.sullivan@co.galveston.tx.us

Garza Garza County Early Voting ClerkPO Box 366Post, TX 79356-3242Fax: 806 495-4431Email: james.plummer@co.garza.tx.us

Gillespie Gillespie County Early Voting Clerk101 W. Main, #13Fredericksburg, TX 78624-3700Fax: 830 997-9958Email: mlrusche@gillespiecounty.org

Glasscock Glasscock County Early Voting ClerkPO Box 190Garden City, TX 79739-0190Fax: 432 354-2348Email: rebecca.batla@co.glasscock.tx.us

Goliad Goliad County Early Voting ClerkPO Box 50Goliad, TX 77963-0050Fax: 361 645-3858Email: mflores@goliadcountytx.gov

Gonzales Gonzales County Early Voting ClerkPO Box 77Gonzales, TX 78629-0077Fax: 830 672-2636Email: lriedel@co.gonzales.tx.us

Gray Gray County Early Voting ClerkPO Box 2493Pampa, TX 79066-2493Fax: 806 669-4004Email: linda.lewis@graycch.com

Grayson Grayson County Early Voting Clerk100 W. Houston, Suite 17Sherman, TX 75090-5958Fax: 903 870-0829Email: elections@co.grayson.tx.us

Gregg Gregg County Early Voting ClerkPO Box 2827Longview, TX 75606-2827Fax: 903 234-3126Email: kathryn.nealy@co.gregg.tx.us

Grimes Grimes County Early Voting ClerkPO Box 375Anderson, TX 77830-0375Fax: 936 873-2803Email: grimesvoters@yahoo.com

Guadalupe Guadalupe County Early Voting ClerkPO Box 1346Seguin, TX 78156-1346Fax: 830 303-6373Email: sue.basham@co.guadalupe.tx.us

Hale Hale County Early Voting Clerk500 Broadway, #140Plainview, TX 79072Fax: 806 291-9810Email: lkemp@halecounty.org

Hall Hall County Early Voting Clerk512 W. Main, Suite 8Memphis, TX 79245-3343Fax: 806 259-5078Email: cclerk@amaonline.com

Hamilton Hamilton County Early Voting Clerk102 N. Rice Street, Suite 107Hamilton, TX 76531-1859Fax: 254 386-8727Email: countyclerk@hamiltoncountytx.org

Hansford Hansford County Early Voting Clerk15 NW CourtSpearman, TX 79081-0397Fax: 806 659-4168Email: kvera.cdc@co.hansford.tx.us

Hardeman Hardeman County Early Voting ClerkPO Box 30Quanah, TX 79252-0030Fax: 940 663-5161Email: londonellen@ymail.com

Hardin Hardin County Early Voting ClerkPO Box 38Kountz, TX 77625-0038Fax: 409 246-5287Email: glenda.alston@co.hardin.tx.us

Harris Harris County Early Voting ClerkPO Box 1148Houston, TX 77251-1148Fax: 713 755-4983Email: stan.stanart@hctx.net

Harrison Harrison County Early Voting ClerkPO Box 8409Marshall, TX 75671-8409Fax: 903 938-1509Email: pje121249@yahoo.com

Hartley Hartley County Early Voting ClerkPO Box QChanning, TX 79018-0147Fax: 806 235-2316Email: diane.thompson@co.hartley.tx.us

Haskell Haskell County Early Voting ClerkPO Box 725Haskell, TX 79521-0725Fax: 940 864-6164Email: haskellcc@yahoo.com

Hays Hays County Early Voting Clerk401-C Broadway StreetSan Marcos, TX 78666-7751Fax: 512 393-7315Email: elections@co.hays.tx.us

Hemphill Hemphill County Early Voting ClerkPO Box 867Canadian, TX 79014-0867Fax: 806 323-9745Email: lisaj@hemphill-clerk.com

Henderson Henderson County Early Voting ClerkPO Box 2720Athens, TX 75751Fax: 903 670-1061Email: dhernandez@co.henderson.tx.us

Hidalgo Hidalgo County Early Voting ClerkPO Box 659Edinburg, TX 78540-0659Fax: 956 393-2039Email: elections@co.hidalgo.tx.us

Hill Hill County Early Voting ClerkPO Box 725Hillsboro, TX 76645-0725Fax: 254 582-4073Email: pdamschen@co.hill.tx.us

Hockley Hockley County Early Voting Clerk802 Houston, Suite 213Levelland, TX 79336-0013Fax: 806 894-6917Email: igumula@hockleycounty.org

Hood Hood County Early Voting Clerk1410 W. Pearl StreetGranbury, TX 76048-1826Fax: 817 408-2592Email: ljoplin@co.hood.tx.us

Hopkins Hopkins County Early Voting Clerk128 Jefferson, Suite CSulphur Springs, TX 75483-2774Fax: 903 438-4110Email: clerk@hopkinscountytx.org

Houston Houston County Early Voting ClerkPO Box 370Crockett, TX 75835-0370Fax: 936 544-1954Email: bridget.lamb@co.houston.tx.us

Howard Howard County Early Voting ClerkPO Box 1069Big Spring, TX 79721-1069Fax: 432 264-2275Email: sandra.bloom@co.howard.tx.us

Hudspeth Hudspeth County Early Voting ClerkPO Box 58Sierra Blanca, TX 79851-0058Fax: 915 369-0055Email: coadmin@valornet.com

Hunt Hunt County Early Voting Clerk2217A WashingtonGreenville, TX 75401-4430Fax: 903 454-7905Email: mcook@huntcounty.net

Hutchinson Hutchinson County Early Voting ClerkPO Box 1186Stinnett, TX 79083-1186Fax: 806 878-3497Email: jbarnes@hutchinsoncnty.com

Irion Irion County Early Voting ClerkPO Box 736Mertzon, TX 76941-0736Fax: 325 835-7941Email: cori.manning@co.irion.tx.us

Jack Jack County Early Voting Clerk100 Main, Ste. 208Jacksboro, TX 76458-1746Fax: 940 567-6441Email: shellyclayton@jackcounty.org

Jackson Jackson County Early Voting Clerk115 W. Main, Room 101Edna, TX 77957-2799Fax: 361 782-3132Email: b.williams@co.jackson.tx.us

Jasper Jasper County Early Voting ClerkPO Box 2070Jasper, TX 75951-8070Fax: 409 384-7198Email: debbie.newman@co.jasper.tx.us

Jeff Davis Jeff Davis County Early Voting ClerkPO Box 398Fort Davis, TX 79734-0398Fax: 432 426-3760Email: s_blackley@yahoo.com

Jefferson Jefferson County Early Voting ClerkPO Box 1151Beaumont, TX 77704-1151Fax: 409 839-2394Email: guidry@co.jefferson.tx.us

Jim Hogg Jim Hogg County Early Voting ClerkPO Box 878Hebbronville, TX 78361-0878Fax: 361 527-5843Email: zonia.morales@co.jim-hogg.tx.us

Jim Wells Jim Wells County Early Voting ClerkPO Box 2188Alice, TX 78333-2188Fax: 361 664-4276Email: pj8598@msn.com

Johnson Johnson County Early Voting ClerkPO Box 895Cleburne, TX 76033-0895Fax: 817 556-6048Email: pattyb@johnsoncountyx.org

Jones Jones County Early Voting ClerkPO Box 552Anson, TX 79501-0552Fax: 325 823-3979Email: leeann.jennings@co.jones.tx.us

Karnes Karnes County Early Voting Clerk101 N. Panna Maria AvenueKarnes City, TX 78118-2909Fax: 830 780-4576Email: carol.swize@co.karnes.tx.us

Kaufman Kaufman County Early Voting ClerkPO Box 339Kaufman, TX 75142-0339Fax: 972 932-1413Email: dm@kaufmancounty.net

Kendall Kendall County Early Voting Clerk221 Fawn Valley Drive, Suite 100PO Box 2384Boerne, TX 78006Fax: 830 331-8295Email: staci.decker@co.kendall.tx.us

Kenedy Kenedy County Early Voting ClerkPO Box 227Sarita, TX 78385-1519Fax: 361 294-5218Email: rruiz@rivnet.com

Kent Kent County Early Voting ClerkPO Box 9Jayton, TX 79528-0009Fax: 806 237-2632Email: kcdclerk@caprock-spur.com

Kerr Kerr County Early Voting Clerk700 Main Street, Suite 124Kerrville, TX 78028-5326Fax: 830 792-2253Email: nalford@co.kerr.tx.us

Kimble Kimble County Early Voting Clerk501 Main St., CourthouseJunction, TX 76849-4743Fax: 325 446-2986Email: haydee.torres@co.kimble.tx.us

King King County Early Voting ClerkPO Box 135Guthrie, TX 79236-0135Fax: 806 596-4664Email: kcclerk@caprock-spur.com

Kinney Kinney County Early Voting ClerkPO Box 9Brackettville, TX 78832-0937Fax: 830 563-2644Email: kcclerk@hotmail.com

Kleberg Kleberg County Early Voting ClerkPO Box 1327Kingsville, TX 78364-1327Fax: 361 593-1355Email: lalarcon@klebergco.com

Knox Knox County Early Voting ClerkPO Box 196Benjamin, TX 79505-0196Fax: 940 459-2005Email: annetteoffutt@yahoo.com

La Salle La Salle County Early Voting ClerkCourthouse Square #107Cotulla, TX 78014-2263Fax: 830 879-2933Email: margie.esqueda@lasallecountytx.org

Lamar Lamar County Early Voting Clerk231 Lamar AvenueParis, TX 75460-4308Fax: 903 782-1123Email: rtowers@co.lamar.tx.us

Lamb Lamb County Early Voting Clerk100 6th Drive, Room 103Littlefield, TX 79339-3366Fax: 806 385-6485Email: jameelong@nts-online.net

Lampasas Lampasas County Early Voting ClerkPO Box 571Lampasas, TX 76550-0347Fax: 512 564-1424Email: lampasas.elections@co.lampasas.tx.us

Lavaca Lavaca County Early Voting ClerkPO Box 326Hallettsville, TX 77964-0326Fax: 361 798-1610Email: elizabethk@co.lavaca.tx.us

Lee Lee County Early Voting ClerkPO Box 419Giddings, TX 78942-0419Fax: 979 542-2623Email: sharon.blasig@co.lee.tx.us

Leon Leon County Early Voting ClerkPO Box 1239Centerville, TX 75833-1239Fax: 903 536-1773Email: robin.shafer@co.leon.tx.us

Liberty Liberty County Early Voting ClerkPO Box 369Liberty, TX 77575-0369Fax: 936 334-8174Email: coclerk@co.liberty.tx.us

Limestone Limestone County Early Voting ClerkPO Box 350Groesbeck, TX 76642-1702Fax: 254 729-2951Email: peggy.beck@co.limestone.tx.us

Lipscomb Lipscomb County Early Voting ClerkPO Box 129Lipscomb, TX 79056Fax: 806 862-3004Email: taxac@amaonline.com

Live Oak Live Oak County Early Voting ClerkPO Box 280George West, TX 78022-0280Fax: 361 449-3155Email: cclerk@co.live-oak.tx.us

Llano Llano County Early Voting ClerkPO Box 787Llano, TX 78643Fax: 325 247-5624Email: elections@co.llano.tx.us

Loving Loving County Early Voting ClerkPO Box 194Mentone, TX 79754-0194Fax: 432 377-2701Email: cclerk@co.loving.tx.us

Lubbock Lubbock County Early Voting ClerkPO Box 10536Lubbock, TX 79408-3536Fax: 806 775-1380Email: votelubbock@co.lubbock.tx.us

Lynn Lynn County Early Voting ClerkPO Box 937Tahoka, TX 79373-0937Fax: 806 561-4988Email: susan.tipton@co.lynn.tx.us

Madison Madison County Early Voting Clerk101 W. Main, Room 121Madisonville, TX 77864-1901Fax: 936 348-5858Email: earl.parker@madisoncountytx.org

Marion Marion County Early Voting Clerk102 W. Austin St, #206Jefferson, TX 75657-0763Fax: 903 665-8732Email: vickie.smith@co.marion.tx.us

Martin Martin County Early Voting ClerkPO Box 1009Stanton, TX 79782-1009Fax: 432 607-2542Email: mhhcastro@yahoo.com

Mason Mason County Early Voting ClerkPO Box 702Mason, TX 76856-0702Fax: 325 347-6868Email: co.dist.clerk@co.mason.tx.us

Matagorda Matagorda County Early Voting Clerk1700 Seventh Street, #202Bay City, TX 77414-5094Fax: 979 244-7688Email: jhickl@co.matagorda.tx.us

Maverick Maverick County Early Voting Clerk500 Quarry Street, Box 1Eagle Pass, TX 78852-4577Fax: 830 757-4337Email: electionsep@yahoo.com

McCulloch McCulloch County Early Voting Clerk101 N. High StreetBrady, TX 76825-4407Fax: 325 597-1731Email: tinaasmith@yahoo.com

McLennan McLennan County Early Voting ClerkPO Box 2450Waco, TX 76703-2450Fax: 254 757-5041Email: kathy.vanwolfe@co.mclennan.tx.us

McMullen McMullen County Early Voting ClerkPO Box 235Tilden, TX 78072-0235Fax: 361 274-3858Email: mcclerk@granderiver.net

Medina Medina County Early Voting Clerk1202 14th StreetHondo, TX 78861-1201Fax: 830 741-6007Email: brodie.koch@medinacountytexas.org

Menard Menard County Early Voting ClerkPO Box 1038Menard, TX 76859-1038Fax: 325 396-2047Email: menardcountyclerk@verizon.net

Midland Midland County Early Voting ClerkPO Box 3434Midland, TX 79702-3434Fax: 432 688-4912Email: VTR02@co.midland.tx.us

Milam Milam County Early Voting Clerk107 W. MainCameron, TX 76520-3939Fax: 254 697-7055Email: milamcoclk@milamcounty.net

Mills Mills County Early Voting ClerkPO Box 646Goldthwaite, TX 76844-0646Fax: 325 648-3251Email: carolyn.foster@co.mills.tx.us

Mitchell Mitchell County Early Voting Clerk349 Oak Street, Room 103Colorado City, TX 79512-6225Fax: 325 728-5322Email: dscarlock@co.mitchell.tx.us

Montague Montague County Early Voting ClerkPO Box 77Montague, TX 76251-0077Fax: 940 894-6601Email: mcoclerk@windstream.net

Montgomery Montgomery County Early Voting ClerkPO Box 2646Conroe, TX 77305-2646Fax: 936 538-8143Email: election@mctx.org

Moore Moore County Early Voting Clerk715 S. Dumas Avenue, #107Dumas, TX 79029-0396Fax: 806 935-9004Email: bmckanna@moorecountytexas.com

Morris Morris County Early Voting Clerk500 Broadnax StreetDaingerfield, TX 75638-1397Fax: 903 645-4026Email: bmckanna@moore-tx.com

Motley Motley County Early Voting ClerkPO Box 660Matador, TX 79244-0660Fax: 806 347-2220Email: katehurt@caprock-spur.com

Nacogdoches Nacogdoches County Early Voting Clerk203 W. MainNacogdoches, TX 75961-4810Fax: 936 560-7838Email: nacelections@gmail.com

Navarro Navarro County Early Voting ClerkPO Box 1018Corsicana, TX 75151-1018Fax: 903 875-3331Email: dparker@navarrocounty.org

Newton Newton County Early Voting ClerkPO Box 484Newton, TX 75966-0484Fax: 409 379-9049Email: mary.cobb@co.newton.tx.us

Nolan Nolan County Early Voting Clerk100 E. 3rd., Suite 108Sweetwater, TX 79556-0098Fax: 325 235-4635Email: pat.mcgowan@co.nolan.tx.us

Nueces Nueces County Early Voting ClerkPO Box 2627Corpus Christi, TX 78403-2627Fax: 361 888-0329Email: simon.saenz@co.nueces.tx.us

Ochiltree Ochitree County Early Voting Clerk511 S. MainPerryton, TX 79070-3154Fax: 806 435-2081Email: sbrown@ptsi.net

Oldham Oldham County Early Voting ClerkPO Box 360Vega, TX 79092-0360Fax: 806 267-2671Email: ocdc@amaonline.com

Orange Orange County Early Voting Clerk123 S. 6th StreetOrange, TX 77630-6320Fax: 409 670-4176Email: tleverett@co.orange.tx.us

Palo Pinto Palo Pinto County Early Voting ClerkPO Box 219Palo Pinto, TX 76484-0219Fax: 940 659-2289Email: janette.green@co.palo-pinto.tx.us

Panola Panola County Early Voting Clerk110 S. Sycamore StreetCarthage, TX 75633-2527Fax: 903 693-7283Email: cheyenne.burnham@co.panola.tx.us

Parker Parker County Early Voting Clerk1112 Santa Fe DriveWeatherford, TX 76086-5818Fax: 817 598-6183Email: robert.parten@parkercountytx.com

Parmer Parmer County Early Voting ClerkPO Box 356Farwell, TX 79325-0356Fax: 806 481-9154Email: pcclerk@parmercounty.net

Pecos Pecos County Early Voting Clerk200 S. NelsonFort Stockton, TX 79735-7101Fax: 432 336-7557Email: trish.king@co.pecos.tx.us

Polk Polk County Early Voting ClerkPO Drawer 2119Livingston, TX 77351-7119Fax: 936 327-6874Email: schelana.walker@co.polk.tx.us

Potter Potter County Early Voting ClerkPO Box 9618Amarillo, TX 79105-9618Fax: 806 379-2249Email: knoxiemathes@co.potter.tx.us

Presidio Presidio County Early Voting ClerkPO Box 789Marfa, TX 79843-0789Fax: 432 729-4313Email: pcdcclerk@sbcglobal.net

Rains Rains County Early Voting ClerkPO Box 433Emory, TX 75440-0433Fax: 903 474-9390Email: danny.sims@co.rains.tx.us

Randall Randall County Early Voting Clerk2309 Russell Long Blvd, Ste. 101Canyon, TX 79015Fax: 806 468-5509Email: elections@randallcounty.org

Reagan Reagan County Early Voting ClerkPO Box 100Big Lake, TX 76932-0100Fax: 325 884-1503Email: rcclerk@reagancounty.org

Real Real County Early Voting ClerkPO Box 750Leakey, TX 78873-0656Fax: 830 232-6888Email: realcl@hctc.net

Red River Red River County Early Voting Clerk200 N. Walnut StreetClarksville, TX 75426-3041Fax: 903 427-3589Email: redrivercountyclerk194@yahoo.com

Reeves Reeves County Early Voting ClerkPO Box 867Pecos, TX 79772-0867Fax: 432 445-3997Email: dfclerk@yahoo.com

Refugio Refugio County Early Voting ClerkPO Box 452Refugio, TX 78377-0452Fax: 361 526-2102Email: rachael.garcia@co.refugio.tx.us

Roberts Roberts County Early Voting ClerkPO Box 477Miami, TX 79059-0477Fax: 806 868-3381Email: toni.rankin@co.roberts.tx.us

Robertson Robertson County Early Voting ClerkPO Box 819Franklin, TX 77856-0819Fax: 979 828-4584Email: thancock@valornet.com

Rockwall Rockwall County Early Voting Clerk107 East Kaufman StreetRockwall, TX 75087-2529Fax: 972 204-6209Email: pshives@rockwallcountytexas.com

Runnels Runnels County Early Voting ClerkPO Box 189Ballinger, TX 76821-0189Fax: 325 365-3408Email: elesaocker@wtxs.net

Rusk Rusk County Early Voting ClerkPO Box 668Henderson, TX 75652-3147Fax: 903 657-0319Email: kathie.wittner@co.rusk.tx.us

Sabine Sabine County Early Voting ClerkPO Box 580Hemphill, TX 75948-0580Fax: 409 787-3795Email: sabinecc@yahoo.com

San Augustine San Augustine County Early Voting ClerkPO Box 873San Augustine, TX 75972-0873Fax: 936 275-1422 Email: electionsoffice@att.net

San Jacinto San Jacinto County Early Voting Clerk51 E. Pine Avenue, Room A1Coldspring, TX 77331-5631Fax: 936 653-5808Email: sherryl.evans@co.san-jacinto.tx.us

San Patricio San Patricio County Early Voting Clerk410 W. Market StreetSinton, TX 78387-2439Fax: 361 364-6132Email: pam.hill@co.san-patricio.tx.us

San Saba San Saba County Early Voting Clerk500 E. Wallace, CourthouseSan Saba, TX 76877-3608Fax: 325 372-6484Email: clerk@co.san-saba.tx.us

Schleicher Schleicher County Early Voting ClerkPO Box 846Eldorado, TX 76936-0846Fax: 325 853-2328Email: electionadm_bkm@verizon.net

Scurry Scurry County Early Voting Clerk1806 25th Street, #300Snyder, TX 79549-0508Fax: 325 573-7396Email: scurrycoclerk@suddenlinkmail.com

Shackelford Shackelford County Early Voting ClerkPO Box 2109Albany, TX 76430Fax: 325 762-3756Email: cdclerk@sbcglobal.net

Shelby Shelby County Early Voting ClerkPO Box 1987Center, TX 75935-1987Fax: 936 598-3701Email: shelbycoclerk@ndemand.com

Sherman Sherman County Early Voting ClerkPO Box 270Stratford, TX 79084-0270Fax: 806 366-5670Email: gina.jones@co.sherman.tx.us

Smith Smith County Early Voting Clerk200 E. Ferguson St, Ste. 500Tyler, TX 75702-5903Fax: 903 590-4778Email: knelson@smith-county.com

Somervell Somervell County Early Voting ClerkPO Box 1355Glen Rose, TX 76043Fax: 254 897-3233Email: elections@co.somervell.tx.us

Starr Starr County Early Voting Clerk100 FM 3167Rio Grande City, TX 78582-6688Fax: 956 716-8222Email: elections@co.starr.tx.us

Stephens Stephens County Early Voting Clerk200 W. Walker, Courthouse Breckenridge, TX 76424-3551Fax: 254 559-2960Email: tlssull@texasisp.com

Sterling Sterling County Early Voting ClerkPO Box 55Sterling City, TX 76951-0055Fax: 325 378-3111Email: sswyatt@verizon.net

Stonewall Stonewall County Early Voting ClerkPO Drawer PAspermont, TX 79502-0914Fax: 940 989-2032Email: hoy.stoco.clrk@srcaccess.net

Sutton Sutton County Early Voting Clerk300 E. Oak, Suite 3Sonora, TX 76950-3106Fax: 325 387-6028Email: rachel@sonoratx.net

Swisher Swisher County Early Voting ClerkCourthouse, 119 S. MaxwellTulia, TX 79088-2297Fax: 806 995-4121Email: richelle.culifer@swisher-tx.net

Tarrant Tarrant County Early Voting ClerkPO Box 961011Fort Worth, TX 76161-0011Fax: 817 831-6475Email: votebymail@tarrantcounty.com

Taylor Taylor County Early Voting ClerkPO Box 3318Abilene, TX 79604-3318Fax: 325 674-1340Email: allynk@taylorcountytexas.org

Terrell Terrell County Early Voting ClerkPO Box 410Sanderson, TX 79848-0410Fax: 432 345-2653Email: mallencdc222@yahoo.com

Terry Terry County Early Voting Clerk501 W. Main, Rm. 105Brownfield, TX 79316-4327Fax: 806 637-4874Email: kcarter@terrycounty.org

Throckmorton Throckmorton County Early Voting ClerkPO Box 309Throckmorton, TX 76483-0509Fax: 940 849-3032Email: throckmortonclerk@hotmail.com

Titus Titus County Early Voting Clerk110 S. Madison Street, Suite CMt. Pleasant, TX 75455-4443Fax: 903 575-1117Email: tituselections@co.titus.tx.us

Tom Green Tom Green County Early Voting Clerk113 W. Beauregard AvenueSan Angelo, TX 76903-5887Fax: 325 657-9226Email: elections@co.tom-green.tx.us

Travis Travis County Early Voting ClerkPO Box 149325Austin, TX 78714-9325Fax: 512 854-9075Email: election@co.travis.tx.us

Trinity Trinity County Early Voting ClerkPO Box 456Groveton, TX 75845-0456Fax: 936 642-3004Email: diane.mccrory@co.trinity.tx.us

Tyler Tyler County Early Voting Clerk116 S. Charlton StWoodville, TX 75979-5245Fax: 409 283-8049Email: coclerk@myinu.net

Upshur Upshur County Early Voting ClerkPO Box 730Gilmer, TX 75644-0730Fax: 903 843-5492Email: brandy.lee@countyofupshur.com

Upton Upton County Early Voting ClerkPO Box 465Rankin, TX 79778-0465Fax: 432 693-2129Email: lawanda.mcmurray@co.upton.tx.us

Uvalde Uvalde County Early Voting Clerk8 Courthouse SquareUvalde, TX 78801-5239Fax: 830 486-0062Email: maggie-tac@uvaldecounty.com

Val Verde Val Verde County Early Voting ClerkPO Box 1267Del Rio, TX 78841-1267Fax: 830 774-7608Email: elections@valverdecounty.org

Van Zandt Van Zandt County Early Voting Clerk121 E. Dallas, Room 202Canton, TX 75103-1465Fax: 903 567-6722Email: cbledsoe@vanzandtcounty.org

Victoria Victoria County Early Voting Clerk111 N. GlassVictoria, TX 77901-6414Fax: 361 575-1202Email: gmatthews@vctx.org

Walker Walker County Early Voting Clerk1301 Sam Houston Avenue, #114 Huntsville, TX 77340-4500Fax: 936 436-4961Email: dbrimer@co.walker.tx.us

Waller Waller County Early Voting Clerk836 Austin St, Rm. 217Hempstead, TX 77445-4671Fax: 979 826-7645Email: d.hollan@wallercotx.com

Ward Ward County Early Voting Clerk400 S. Allen St., Ste. 101Monahans, TX 79756-4602Fax: 432 943-6054Email: natrell.cain@co.ward.tx.us

Washington Washington County Early Voting Clerk100 E. Main, Suite 102Brenham, TX 77833-3701Fax: 979 277-6213Email: brothermel@wacounty.com

Webb Webb County Early Voting ClerkPO Drawer 29Laredo, TX 78042-0029Fax: 956 523-5006Email: ovillarreal@webbcountytx.gov

Wharton Wharton County Early Voting ClerkPO Box 390Wharton, TX 77488-0390Fax: 979 282-2034Email: judy.owens@co.wharton.tx.us

Wheeler Wheeler County Early Voting ClerkPO Box 465Wheeler, TX 79096-0465Fax: 806 826-3282Email: margaret.dorman@co.wheeler.tx.us

Wichita Wichita County Early Voting Clerk900 7th St, Room 250Wichita Falls, TX 76301Fax: 940 716-8554Email: lori.bohannon@co.wichita.tx.us

Wilbarger Wilbarger County Early Voting Clerk1700 Wilbarger, Room 15Vernon, TX 76384-4748Fax: 940 553-2320Email: jkennon@co.wilbarger.tx.us

Willacy Willacy County Early Voting Clerk190 N. 3rd StreetRaymondville, TX 78580-1940Fax: 956 689-2682Email: jayser_2002@yahoo.com

Williamson Williamson County Early Voting Clerk301 S.E. Inner Loop, Suite 104Georgetown, TX 78626-5701Fax: 512 943-1634Email: fpca@wilco.org

Wilson Wilson County Early Voting ClerkPO Box 27Floresville, TX 78114-0027Fax: 830 393-7334Email: eva.martinez@co.wilson.tx.us

Winkler Winkler County Early Voting ClerkPO Box 1007Kermit, TX 79745-1007Email: sreed@co.winkler.tx.us

Wise Wise County Early Voting ClerkPO Box 1597Decatur, TX 76234-6148Fax: 940 626-4283Email: elections@co.wise.tx.us

Wood Wood County Early Voting ClerkPO Box 970Quitman, TX 75783-0970 Fax: 903 763-2401Email: dcriddle@co.wood.tx.us

Yoakum Yoakum County Early Voting ClerkPO Box 309Plains, TX 79355-0309Fax: 806 456-2258Email: drushing@yoakumcounty.org

Young Young County Early Voting Clerk516 Fourth Street, Room 104Graham, TX 76450-3063Fax: 940 521-0305Email: d.taylor@youngcounty.org

Zapata Zapata County Early Voting ClerkPO Box 789Zapata, TX 78076-0789Fax: 956 765-9933Email: mjbonoan@sbcglobalnet

Zavala Zavala County Early Voting Clerk200 E. Uvalde St., Ste. 7Crystal City, TX 78839-3547Fax: 830 374-5955Email: l.valerio@sbcglobal.net

Utahwww.vote.utah.gov

Registering and Requesting Your Absentee BallotRegistration is required. You must still complete the FederalPost Card Application to request an absentee ballot. Whenyou return the voted ballot, you will be registered. The formrequests absentee ballots for all Federal elections heldthrough the next regularly scheduled general election.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, submit a completed FPCAindicating your new party preference to the local electionofficial no later than the Friday prior to the election.Political party affiliation is not required if only requestingabsentee ballots for general elections.

Your valid Utah Driver's License number OR the last fourdigits of your Social Security number is required for voterregistration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Utah allows you to receive your absentee ballot byemail, fax, or mail. Please rank your preference of how youwould like to receive your absentee ballot. Provide youremail address or fax number in Block 5. If you do not makea selection, then your local election official will mail yourballot to you. More transmission options may be available.Check www.fvap.gov for updates.

Block 7: Complete street address of your Utah votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 9: In addition to mailing a regular ballot, Utahprovides a State Special Write-In Absentee Ballot available90 days before an election to any voter unable to vote in theregular absentee voting process due to military service. Youmust request this ballot no later than the Friday before theelection. This ballot allows you to vote for Federal officesonly. To request it, write in Block 9: “I am unable to vote byregular absentee ballot or in person because of militaryservice. I request a special write-in absentee ballot.”

If you do not wish to receive ballots for all Federal electionsthrough the next regularly scheduled general election, you

Registration June 22, 2012 June 22, 2012 November 2, 2012

Ballot Return Postmarked by: June 21, 2012Received by:

12 pm, July 9, 2012

Postmarked by: June 21, 2012Received by:

12 pm, July 9, 2012

Utah 2012-13 Voting Assistance Guide

may request a ballot for each election for Federal officeheld in the next election year OR a ballot for only the nextscheduled election for Federal office by noting your choicehere.

Utah allows you to submit your FPCA by mail, email orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found atwww.elections.utah.gov.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers and emailaddresses can be found at www.elections.utah.gov. Youmay also use the DoD Electronic Transmission Service tofax your FPCA to l l - f ree . To use the Elec t ron icTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to Utah’svoter registration verification website at: vote.utah.gov.

Voting Your Ballot Local election officials send absentee ballots no later than45 days before elections.

To be valid, a military-overseas ballot shall be received bythe appropriate election official not later than the close ofpolls; or submitted for mailing, electronic transmission, or

other authroized means of delivery not later than 12:01am,at the place where the vote completes the ballot, on the dateof election and is received by the end of business on the daybeofre the latest deadline for completing the canvas.

You may return the voted ballot by mail (or by email orfax) if you agree to waive the right to a secret ballot andaffirm in writing on the email/fax cover sheet. Write in “Iunderstand that by electronically transmitting my votedballot I am voluntarily waiving my right to a secretballot”. Use FPCA email or fax instructions under “Howand Where to Submit Your FPCA.”

You may track the status of your ballot at: vote.utah.gov.

2012-13 Voting Assistance Guide Utah

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Utah allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in primary,special, run-off, and general elections for Federal, State, andlocal offices and non-candidate ballot issues. Feel free touse the FWAB to vote anytime before an election.

Block 1: Utah allows you to use this form for registration.

Block 2: Set the category that describes you.

Enter your valid Utah Driver's License number, the last fourdigits of your Social Security number, OR your State voterregistration number.

Block 7: Complete street address of your Utah votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal or State office in a general election. Tofind out the races and candidates for which you can vote, goto www.vote.utah.gov. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

Utah allows you to submit your FWAB by mail, email orfax.

If you choose to email your FWAB, you should send it as asigned, scanned attachment. Include ballot, voteraffirmation, and cover sheet with secrecy waiver. Affirm inwriting on the email/fax cover sheet, “I understand that byelectronically transmitt ing my voted ballot I amvoluntarily waiving my right to a secret ballot”.

If you choose to fax submit your FWAB, fax it directly toyour local election official. Fax numbers and emailaddresses can be found at www.vote.utah.gov. Includeballot, voter affirmation, and cover sheet with secrecywaiver. Affirm in writing on the email/fax cover sheet, “Iunderstand that by electronically transmitting my votedballot I am voluntarily waiving my right to a secretballot”. You may also use the DoD Electronic TransmissionService to fax your FWAB toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

Local Election Office Addresses County Mailing Address

Beaver Beaver County ClerkPO Box 392Beaver, UT 84713-0392Fax: (435) 438-6462Email:pbarton@beaver.state.ut.us

Box Elder Box Elder County Clerk01 S. Main StreetBrigham City, UT 84302-2599Fax: (435) 734-3382Email: ladams@boxeldercounty.org

Cache Cache County Clerk179 N. Main Street, Ste. 102Logan, UT 84321-4567Fax: (435) 755-1980Email: jill.zollinger@cachecounty.org

Carbon Carbon County Clerk120 E. MainPrice, UT 84501-3057Fax: (435) 636-3210Email: robert.pero@carbon.utah.gov

Utah 2012-13 Voting Assistance Guide

Daggett Dagett County ClerkPO Box 219 Manila, UT 84046-0219Fax: (435) 784-3335Email: vmckee@daggett.state.ut.us

Davis Davis County ClerkPO Box 618 Farmington, UT 84025-0618Fax: (801) 451-3421Email: rawlings@co.davis.ut.us

Duchesne Duchesne County ClerkPO Box 270 Duchesne, UT 84021-0270Fax: (435) 738-5522Email: dfreston@co.duchesne.ut.us

Emery Emery County ClerkPO Box 907Castle Dale, UT 84513-0907Fax: (435) 381-5183Email: brenda@co.emery.ut.us

Garfield Garfield County ClerkPO Box 77 Panguitch, UT 84759-0077Fax: (435) 676-8239Email: gcclerk@mountainwest.net

Grand Grand County Clerk125 E. CenterMoab, UT 84532-2492Fax: (435) 259-2959Email: dcarroll@grand.state.ut.us

Iron Iron County ClerkPO Box 429Parowan, UT 84761-0429Fax: (435) 477-8847Email: david@ironcounty.net

Juab Juab County Clerk160 N. MainNephi, UT 84648-1412Fax: (435) 623-5936Email: pati@co.juab.ut.us

Kane Kane County Clerk76 N. Main Kanab, UT 84741-0050Fax: (435) 644-4939Email: clerk@kanab.net

Millard Millard County Clerk765 S. Highway 99, Ste. 6Fillmore, UT 84631-5002Fax: (435) 743-6923Email: normab@email.ut.courts.gov

Morgan Morgan County ClerkPO Box 886Morgan, UT 84050-0886Fax: (801) 829-6176Email: slafitte@morgan-county.net

Piute Piute County ClerkPO Box 99 Junction, UT 84740-0099Fax: (435) 577-2433Email: valeenb@hotmail.com

Rich Rich County ClerkPO Box 218 Randolph, UT 84064-0218Fax: (435) 793-2410Email: rcclerk@allwest.net

Salt Lake Salt Lake County Clerk2001 S. State Street, #S1100Salt Lake City, UT 84190-1051Fax: (801) 468-3473Email: sswensen@slco.org

San Juan San Juan County ClerkPO Box 338Monticello, UT 84535-0338Fax: (435) 587-2425Email: njohnson@sanjuancounty.org

Sanpete Sanpete County Clerk160 N. MainPO Box 100Manti, UT 84642-1268Fax: (435) 835-2144Email: sneill@sanpetecounty-ut.gov

Sevier Sevier County ClerkPO Box 607 Richfield, UT 84701-0517Fax: (435) 893-0496Email: scwall@sevier.state.ut.us

Summit Summit County ClerkPO Box 128 Coalville, UT 84017-0128Fax: (435) 336-3030Email: kentjones@co.summit.ut.us

Tooele Tooele County Clerk47 S. Main Tooele, UT 84074-2194Fax: (435) 882-7317Email: mgillette@co.tooele.ut.us

Uintah Uintah County Clerk147 E. Main Vernal, UT 84078-2643Fax: (435) 781-6701Email: mwilkins@co.uintah.ut.us

Utah Utah County Clerk100 E. Center, Room 3100Provo, UT 84606-3106Fax: (801) 851-8122Email: bryant.ucadm@state.ut.us

Wasatch Wasatch County Clerk25 N. Main Heber City, UT 84032-1827Fax: (435) 657-3328Email: btitcomb@co.wasatch.ut.us

Washington Washington County Clerk197 E. Tabernacle Saint George, UT 84770-3473Fax: (435) 634-5753Email: kim.hafen@washco.utah.gov

Wayne Wayne County ClerkPO Box 189Loa, UT 84747-0189Fax: (435) 836-2479Email: ryan@wco.state.ut.us

Weber Weber County Clerk2380 Washington Boulevard, Ste. 320Ogden, UT 84401-1456Fax: (801) 399-8326Email: amcewan@co.weber.ut.us

Vermonthttp://vermont-elections.org/soshome.htm

Block 2: To vote in primary elections, enter your politicalparty affiliation. If you want to change your political partyaffiliation, submit a completed FPCA indicating your newparty preference to the local election official. Political partyaffiliation is not required if only requesting absentee ballotsfor general elections.

Your valid Vermont Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Vermont allows you to receive your absenteeballot by mail, email, or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do not

make a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Vermont votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the town or city where youclaim legal voting residence.

Block 9: If you have never registered before in Vermont,you must take a self-administered oath or it may beadministered by anyone over the age of 18. The Vermontvoter's oath is: “I solemnly swear (or affirm) that wheneverI give my vote or suffrage, touching any matter thatconcerns the State of Vermont, I will do it so as in myconscience I shall judge will most conduce to the best goodof the same, as established by the Constitution, without fearor favor of any person.” You, or the person whoadministered the oath to you, must write ONE of thefollowing and sign (as applicable):

— “On the __ day of __, 20__, I swore or affirmedthe Vermont voter's oath” OR

— “I administered the oath to the voter”

Vermont allows you to submit the FPCA by mail, email, orfax.

Registration February 29, 2012 August 22, 2012 October 31, 2012

Ballot Request March 5, 2012 August 27, 2012 November 5, 2012

Ballot Return March 6, 2012 August 28, 2012 November 6, 2012

Vermont 2012-13 Voting Assistance Guide

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found athttp://vermont-elections.org/soshome.htm. You must alsosubmit the FPCA by mail.

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the formdirectly to your local election official. Fax numbers can befound at http://vermont-elections.org/soshome.htm. Youmay also use the DoD Electronic Transmission Service tofax your FPCA to l l - f ree . To use the Elec t ron icTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contactinformation can be found at http://vermont-elections.org/soshome.htm.

A member of your family or any other authorized personmay request a ballot from the local election official on yourbehalf by 5 pm on the day before the election.

Ballot Request by Phone

You may request a ballot by calling your local electionofficial. Phone numbers can be found at http://vermont-elections.org/soshome.htm.

Voting Your Ballot Local election officials send absentee ballots approximately45 days before Federal and State elections and 20 daysbefore local elections.

Voted ballots must be received by the local electionoffice no later than the close of polls on Election Day.

No witness or notary is required on voted ballots. However,your signature must be on the inside envelope certificate.

You may track the status of your ballot by using the linkand password provided when your ballot is sent to you.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Vermont allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in primary, special, run-off, andgeneral elections for Federal, State, and local offices andnon-candidate ballot issues. If you are registered and haverequested your absentee ballot, feel free to use the FWAB tovote anytime before an election.

2012-13 Voting Assistance Guide Vermont

Block 1: Vermont does not allow you to use this form forregistration. Do not check the registration box.

Enter your valid Vermont Driver's License number, the lastfour digits of your Social Security number, OR your Statevoter registration number.

Block 6: Enter your political party affiliation or write“none” if you wish to vote in primary elections.

Block 7: Complete street address of your Vermont votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the town or city where youclaim legal voting residence.

Vote Your FWAB:

Vote for any local, State or Federal office in a general,primary or special election. To find out the races andcandidates for which you can vote, go to http://vermont-elections.org/soshome.htm. For each office for which youvote, write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place itin the security envelope and seal. Place only the votedballot in the security envelope and do not write on thesecurity envelope.

Addison Addison Town Clerk7099 VT RTE 22AAddison, VT 05491-8919Fax: (802) 759-2233Email: addisontown@gmavt.net

Albany Albany Town ClerkPO Box 284Albany, VT 05820Email: albany@gaw.com

Alburgh Alburgh Town Clerk1 North Main StreetAlburg, VT 05440-4404Fax: (802) 796-3939Email: village@fairpoint.net

Andover Andover Town Clerk953 Weston-Andover RoadAndover, VT 05143-9192Fax: (802) 875-6647Email: clerk@vermontel.net

Arlington Arlington Town ClerkPO Box 304Arlington, VT 05250Fax: (802) 375-2332Email: arltc@comcast.net

Athens Athens Town Clerk56 Brookline RoadAthens, VT 05143-8428Fax: (802) 869-3370Email: townofathens@hotmail.com

Bakersfield Bakersfield Town ClerkPO Box 203Bakersfield, VT 05441Fax: (802) 827-3106Email: townclerk_bakersfield@comcast.net

Baltimore Baltimore Town Clerk1902 Baltimore RoadBaltimore, VT 05143-4446Fax: (802) 263-5274Email: baltimorevt@tds.net

Barnard Barnard Town ClerkPO Box 274Barnard, VT 05031Email: barnardto@gmail.com

Barnet Barnet Town ClerkPO Box 15Barnet, VT 05821Fax: (802) 633-4315Email: townclerk@barnetvt.org

Barre City Barre City ClerkPO Box 418Barre City, VT 05641Fax: (802) 476-0264Email: cdawes@barrecity.org

Barre Town Barre Town ClerkPO Box 124Websterville, VT 05678Fax: (802) 479-9332Email: dkelty@barretown.org

Barton Barton Town Clerk34 Main StreetBarton, VT 05822Fax: (802) 525-8856Email: bartontown@comcast.net

Belvidere Belvidere Town Clerk3996 VT RTE 109Belvidere, VT 05442-9547Fax: (802) 644-6621Email: beltc@pshift.com

Bennington Bennington Town Clerk205 South StreetBennington, VT 05201-2297Fax: (802) 442-1068Email: cbarbeau@bennington.com

Benson Benson Town ClerkPO Box 163Benson, VT 05731Fax: (802) 537-2612Email: jlbenson@shoreham.net

Berkshire Berkshire Town Clerk4454 Watertower RoadEnosburg Falls, VT 05450Fax: (802) 933-5913Email: berkshire_clerk@surfglobal.net

Berlin Berlin Town Clerk108 Shed RoadBerlin, VT 05602-9049Fax: (802) 229-9530Email: townclerk@berlinvt.org

Bethel Bethel Town ClerkPO Box 404Bethel, VT 05032Fax: (802) 234-6840Email: betheltownclerk@comcast.net

Bloomfield Bloomfield Town ClerkPO Box 336North Stratford, NH 03590Fax: (802) 962-5191Email: bloomfieldtown@wildblue.net

Bolton Bolton Town Clerk3045 T. Roosevelt HighwayWaterbury, VT 05676-9203Fax: (802) 434-6404Email: deborah@townofboltonvt.com

Bradford Bradford Town ClerkPO Box 339Bradford, VT 05033Fax: (802) 222-3520Email: clerk@bradford-vt.us

Braintree Braintree Town Clerk932 Vt. Rt. 12ABraintree, VT 05060-9741Fax: (802) 728-9787Email: braintreetownclerk@comcast.net

Brandon Brandon Town Clerk49 Center StreetBrandon, VT 05733-1105Fax: (802) 247-5481Email: wadick@sover.net

Brattleboro Brattleboro Town Clerk230 Main Street, Suite 108Battleboro, VT 05301-2876Fax: (802) 257-2312Email: acappy@brattleboro.org

Bridgewater Bridgewater Town Clerk7335 US Route 4Bridgewater, VT 05034Fax: (802) 672-5395Email: twnbridge@comcast.net

Bridport Bridport Town ClerkPO Box 27Bridport, VT 05734Phone: 802 758-2483Email: bridporttown@gmavt.net

Brighton Brighton Town ClerkPO Box 337 Island Pond, VT 05846Fax: (802) 723-4405Email: Brightonclerk@comcast.net

Bristol Bristol Town ClerkPO Box 249Bristol, VT 05443Fax: (802) 453-5188Email: bristoltown@gmavt.net

Brookfield Brookfield Town ClerkPO Box 463Brookfield, VT 05036Fax: (802) 276-3926Email: btownhall@aol.com

Brookline Brookline Town ClerkPO Box 403Newfane, VT 05345Fax: (802) 365-4092Email: brook763@comcast.net

Brownington Brownington Town ClerkPO Box 66Orleans, VT 05860Fax: (802) 754-8401Email: browningtontc@comcast.net

Brunswick Brunswick Town Clerk994 VT RTE 102Brunswick, VT 05905-9575Fax: (802) 962-5522Email: bruns321@sover.net

Burke Burke Town Clerk212 School StreetWest Burke, VT 05871-9009Fax: (802) 467-8623Email: burke@burkevermont.org

Burlington Burlington City Clerk149 Church StreetBurlington, VT 05401-8450Fax: (802) 865-7014Email: ldberg@ci.burlington.vt.us

Cabot Cabot Town ClerkPO Box 36Cabot, VT 05647Fax: (802) 563-2623Email: tcocabot@fairpoint.net

Calais Calais Town Clerk3120 Pekin Brook RoadCalais, VT 05650-4414Phone: 802 456-8720Email: calais.townclerk@gmail.com

Cambridge Cambridge Town ClerkPO Box 143Jeffersonville, VT 05464Fax: (802) 644-8348Email: jane.cto@myfairpoint.net

Canaan Canaan Town ClerkPO Box 159Canaan, VT 05903Fax: (802) 266-8254Email: nlabrecque@canaanschools.org

Castleton Castleton Town ClerkPO Box 727Castleton, VT 05735Fax: (802) 468-5482Email: casclerk@shoreham.net

Cavendish Cavendish Town ClerkPO Box 126Cavendish, VT 05142Fax: (802) 226-7290Email: j.pixley@comcast.net

Charleston Charleston Town Clerk5063 Vt. Rte. 105West Charleston, VT 05872-9742Fax: (802) 895-2814Email: townofcharlestonvt@comcast.net

Charlotte Charlotte Town ClerkPO Box 119Charlotte, VT 05445Fax: (802) 425-4241Email: mary@townofcharlotte.com

Chelsea Chelsea Town ClerkPO Box 266Chelsea, VT 05038Fax: (802) 685-4460Email: town.clerk@chelseavt.us

Chester Chester Town ClerkPO Box 370Chester, VT 05143Fax: (802) 875-2237Email: tcchester@vermontel.net

Chittenden Chittenden Town ClerkPO Box 89Chittenden, VT 05737Fax: (802) 483-2504Email: chittendenvt@comcast.net

Clarendon Clarendon Town ClerkPO Box 30Clarendon, VT 05759Fax: (802) 775-4274Email: clarendonclerk@comcast.net

Colchester Colchester Town ClerkPO Box 55Colchester, VT 05446Fax: (802) 264-5503Email: krichard@colchestervt.gov

Concord Concord Town ClerkPO Box 317Concord, VT 05824Fax: (802) 695-2552Email: townclerk@conclerk.com

Corinth Corinth Town ClerkPO Box 461Corinth, VT 05039Fax: (802) 439-5850Email: corino@tops-tele.com

Cornwall Cornwall Town Clerk2629 Route 30Cornwall, VT 05753-9299Fax: (802) 462-2606Email: cornwallvt@shoreham.net

Coventry Coventry Town ClerkPO Box 104Conventry, VT 05855Fax: (802) 754-6274Email: covtc@hotmail.com

Craftsbury Craftsbury Town ClerkPO Box 55Craftsbury, VT 05826Fax: (802) 586-2323Email: craftsbury@gmail.com

Danby Danby Town ClerkPO Box 231Danby, VT 05739Fax: (802) 293-5311Email: danbytownclerk@vermontel.net

Danville Danville Town ClerkPO Box 183Danville, VT 05828Fax: (802) 684-9606Email: danvtc36@yahoo.com

Derby Derby Town ClerkPO Box 25Derby, VT 05829Fax: (802) 766-2027Email: derbytc@derbyvt.org

Dorset Dorset Town ClerkPO Box 24East Dorset, VT 05253Fax: (802) 362-5156Email: dorsetclerk@gmail.com

Dover Dover Town ClerkPO Box 428West Dover, VT 05356Fax: (802) 464-8721Email: dvrclerk@sover.net

Dummerston Dummerston Town Clerk1523 Middle RoadEast Dummerston, VT 05346-9554Fax: (802) 257-4671Email: townclerk@dummerston.org

Duxbury Duxbury Town Clerk5421 VT Route 100Duxbury, VT 05676-9572Fax: (802) 244-5442Email: duxbury1@myfairpoint.net

East Haven East Haven Town ClerkPO Box 10East Haven, VT 05837Email: tclerk1790@kingcon.com

East Montpelier East Montpelier Town ClerkPO Box 157East Montpelier, VT 05651Fax: (802) 223-4467Email: eastmonttct@comcast.net

Eden Eden Town Clerk71 Old Schoolhouse RoadEden Mills, VT 05653-9753Fax: (802) 635-1724Email: cveareden@myfairpoint.net

Elmore Elmore Town ClerkPO Box 123Lake Elmore, VT 05657Fax: (802) 888-2637Email: mccorkill@aol.com

Enosburgh Enosburgh Town ClerkPO Box 465Enosburg Falls, VT 05450Fax: (802) 933-4832Email: enostown@myfairpoint.net

Essex Essex Town Clerk81 Main StreetEssex Junction, VT 05452-3211Fax: (802) 878-1353Email: cmoomey@essex.org

Fair Haven Fair Haven Town Clerk3 North Park PlaceFair Haven, VT 05743-1069Fax: (802) 265-3176Email: sdclerk@comcast.net

Fairfax Fairfax Town ClerkPO Box 27Fairfax, VT 05454Fax: (802) 849-6276Email: fairfaxtownclerk@live.com

Fairfield Fairfield Town ClerkPO Box 5Fairfield, VT 05455Fax: (802) 827-3653Email: amanda@fairfieldvermont.us

Fairlee Fairlee Town ClerkPO Box 95Fairlee, VT 05045Fax: (802) 333-9214Email: townclerk@fairleevt.org

Fayston Fayston Town Clerk866 N. Fayston RoadNorth Fayston, VT 05660-9211Fax: (802) 496-9850Email: faystontc@madriver.com

Ferrisburgh Ferrisburgh Town ClerkPO Box 6Ferrisburgh, VT 05456Fax: (802) 877-6757Email: ferrisburghclerk@comcast.net

Fletcher Fletcher Town Clerk215 Cambridge RoadCambridge, VT 05444-9622Fax: (802) 849-2500Email: townfletcher@surfglobal.net

Franklin Franklin Town ClerkPO Box 82Franklin, VT 05457Fax: (802) 285-2181Email: townoff@franklinvt.net

Georgia Georgia Town Clerk47 Town Common Road NSt. Albans, VT 05478-6089Fax: (802) 524-3543Email: georgia_clerk@comcast.net

Glover Glover Town Clerk51 Bean Hill RoadGlover, VT 05839-9669Fax: (802) 525-4115Email: glovertc@comcast.net

Goshen Goshen Town Clerk50 Carlisle Hill RoadGoshen, VT 05733-8482Fax: (802) 247-6740Email: townclerk@goshenvt.org

Grafton Grafton Town ClerkPO Box 180Grafton, VT 05146Fax: (802) 843-6100Email: gtclerk@vermontel.net

Granby Granby Town ClerkPO Box 56Granby, VT 05840Fax: (802) 328-2200Email: granby@wildblue.net

Grand Isle Grand Isle Town ClerkPO Box 10Grand Isle, VT 05458Fax: (802) 372-8815Email: clerk@town.grand-isle.vt.us

Granville Granville Town ClerkPO Box 66Granville, VT 05747Fax: (802) 767-3968Email: granvilletown@gmavt.net

Greensboro Greensboro Town ClerkPO Box 119Greensboro, VT 05841Fax: (802) 533-2191Email: greensborovt@yahoo.com

Groton Groton Town Clerk1476 Scott HighwayGroton, VT 05046-5603Fax: (802) 584-3276Email: grotonclerk@fairpoint.net

Guildhall Guildhall Town ClerkPO Box 10Guildhall, VT 05905Fax: (802) 676-3518Email: townclerk@guildhallvt.org

Guilford Guilford Town Clerk236 School RoadGuilford, VT 05301-8319Fax: (802) 257-5764Email: guilfordtc@yahoo.com

Halifax Halifax Town ClerkPO Box 127West Halifax, VT 05358Fax: (802) 368-7390Email: townclerk@halifaxvermont.com

Hancock Hancock Town ClerkPO Box 100Hancock, VT 05748Fax: (802) 767-3660Email: hancocktwnclerk@yahoo.com

Hardwick Hardwick Town ClerkPO Box 523Hardwick, VT 05843Fax: (802) 472-3793Email: hardwicktc@vtlink.net

Hartford Hartford Town Clerk171 Bridge StreetWhite River Junction, VT 05001-7034Fax: (802) 295-6382Email: mhill@hartford-vt.org

Hartland Hartland Town ClerkPO Box 349Hartland, VT 05048Fax: (802) 436-2464Email: hartlandvtclerk@vermontel.net

Highgate Highgate Town ClerkPO Box 189Highgate Center, VT 05459Fax: (802) 868-3064Email: hgtownclerk@gmail.com

Hinesburg Hinesburg Town Clerk10632 Route 116Hinesburg, VT 05461Fax: (802) 482-5404Email: hinesburgclerk@gmavt.net

Holland Holland Town Clerk120 School RoadDerby Line, VT 05830-8961Fax: (802) 895-4440Email: holland1805@hotmail.com

Hubbardton Hubbardton Town Clerk1831 Monument Hill RoadCastleton, VT 05735-9654Fax: (802) 273-3729Email: clrkhubb@shoreham.net

Huntington Huntington Town Clerk4930 Main RoadHuntington, VT 05462-9803Fax: (802) 434-4731Email: huntingtonclerk@gmavt.net

Hyde Park Hyde Park Town ClerkPO Box 98Hyde Park, VT 05655Fax: (802) 888-6878Email: kim@hydeparkvt.com

Ira Ira Town ClerkPO Box 870West Rutland, VT 05777Fax: 802-235-1045Email: iraclerk@vermontel.net

Irasburg Irasburg Town ClerkPO Box 51Irasburg, VT 05845Fax: (802) 754-2242Email: irasburgtc@comcast.net

Isle La Motte Isle La Motte Town ClerkPO Box 250Isle La Motte, VT 05463Fax: (802) 928-3002Email: islemott@fairpoint.net

Jamaica Jamaica Town ClerkPO Box 173Jamaica, VT 05343Fax: (802) 874-4681Email: jamaicatownclerk@svcable.net

Jay Jay Town Clerk1036 VT RTE 242Jay, VT 05859-9694Fax: (802) 988-2996Email: townofjay@comcast.net

Jericho Jericho Town ClerkPO Box 67Jericho, VT 05465Fax: (802) 899-5549Email: jerichovermont@yahoo.com

Johnson Johnson Town ClerkPO Box 383Johnson, VT 05656Fax: (802) 635-2393Email: raudibert@townofjohnson.com

Killington Killington Town ClerkPO Box 429Killington, VT 05751Fax: (802) 422-3030Email: lucrecia@town.killington.vt.us

Kirby Kirby Town Clerk346 Town Hall RoadLyndonville, VT 05851-9511Fax: (802) 626-9386Email: kirbytc@kingcon.com

Landgrove Landgrove Town ClerkBox 508Londonderry, VT 05148Fax: (802) 824-4677Email: townoflandgrove@gmail.com

Leicester Leicester Town Clerk44 Schoolhouse RoadLeicester, VT 05733-9147Fax: (802) 247-6501Email: leicestervt@comcast.net

Lemington Lemington Town Clerk2549 River Road VT 102Lemington, VT 05903-9610Fax: (802) 277-4091Email: lemitown@localnet.com

Lincoln Lincoln Town Clerk62 Quaker StreetLincoln, VT 05443-9253Fax: (802) 453-2975Email: clerk@lincolnvermont.org

Londonderry Londonderry Town ClerkPO Box 118South Londonderry, VT 05155Fax: (802) 824-4259Email: londontown@vermontel.net

Lowell Lowell Town Clerk2170 VT Rt. 100Lowell, VT 05847-9790Fax: (802) 744-2357Email: nbonneau@lowelltown.org

Ludlow Ludlow Town ClerkPO Box 307Ludlow, VT 05149Fax: (802) 228-8399Email: treasure@ludlow.vt.us

Lunenburg Lunenburg Town ClerkPO Box 54Lunenburg, VT 05906Fax: (802) 892-5100Email: lunenburg01@live.com

Lyndon Lyndon Town ClerkPO Box 167Lyndonville, VT 05851Fax: (802) 626-1265Email: ltc@kingcon.com

Maidstone Maidstone Town ClerkPO Box 118Guildhall, VT 05905Fax: (802) 676-3210Email: townclerk@hughes.net

Manchester Manchester Town ClerkPO Box 830Manchester Center, VT 05255Fax: (802) 362-1315Email: l.spence@manchester-vt.gov

Marlboro Marlboro Town ClerkPO Box EMarlboro, VT 05344Fax: (802) 257-2447Email: marlboroclerk@myfairpoint.net

Marshfield Marshfield Town Clerk122 School Street, Room 1Marshfield, VT 05658-8032Fax: (802) 426-3045Email: clerk@town.marshfield.vt.us

Mendon Mendon Town Clerk2282 US Route 4Mendon, VT 05701-9649Fax: (802) 773-9682Email: mendonclerk@comcast.net

Middlebury Middlebury Town Clerk94 Main StreetMiddlebury, VT 05753-1334Fax: (802) 388-4261Email: awebster@townofmiddlebury.org

Middlesex Middlesex Town Clerk5 Church StreetMiddlesex, VT 05602-8790Fax: (802) 223-1298Email: middlesxtwnclrk@comcast.net

Middletown Springs Middletown SpringsTown ClerkPO Box 1232Middletown Springs, VT 05757Fax: (802) 235-2066Email: Middletown@vermontel.net

Milton Milton Town ClerkPO Box 18Milton, VT 05468Fax: (802) 893-1005Email: jcushing@town.milton.vt.us

Monkton Monkton Town ClerkPO Box 12Monkton, VT 05469-6016Fax: (802) 453-5612Email: monktontc@comcast.net

Montgomery Montgomery Town ClerkPO Box 356Montgomery Center, VT 05471Fax: (802) 326-4939Email: montgomerytc@fairpoint.net

Montpelier Montpelier City Clerk39 Main StreetMontpelier, VT 05602-2003Fax: (802) 223-9523Email: choyt@montpelier-vt.org

Moretown Moretown Town ClerkPO Box 666Moretown, VT 05660Fax: (802) 496-2385Email: moretownclerk@gmavt.net

Morgan Morgan Town ClerkPO Box 45Morgan, VT 05853Fax: (802) 895-4204Email: tmorganvt@comcast.net

Morristown Morristown Town ClerkPO Box 748Morrisville, VT 05661Fax: (802) 888-6375Email: mawilson@morristownvt.org

Mount Holly Mount Holly Town ClerkPO Box 248Mount Holly, VT 05758Fax: (802) 259-2391Email: mthollytc@yahoo.com

Mount Tabor Mount Tabor Town ClerkPO Box 245Mount Tabor, VT 05739Fax: (802) 293-5287Email: mttabor@vermontel.net

New Haven New Haven Town Clerk78 North StreetNew Haven, VT 05472-2003Fax: (802) 453-3516Email: newhaven@gmavt.net

Newark Newark Town Clerk1336 Newark StreetNewark, VT 05871-9733Email: tclerknewark@kingcon.com

Newbury Newbury Town ClerkPO Box 126Newbury, VT 05051Fax: (802) 866-5301Email: clerk@newburyvt.org

Newfane Newfane Town ClerkPO Box 36Newfane, VT 05345Fax: (802) 365-7692Email: tclerkknewfane@svcable.net

Newport City Newport City Clerk222 Main StreetNewport, VT 05855Fax: (802) 334-5632Email: newportcityclerkjim@comcast.net

Newport Town Newport Town ClerkPO Box 85Newport Center, VT 05857-5000Fax: (802) 334-6442Email: nctownclerk@comcast.net

North Hero North Hero Town ClerkPO Box 38North Hero, VT 05474Fax: (802) 372-3806Email: townclerk@northherovt.com

Northfield Northfield Town Clerk51 South Main StreetNorthfield, VT 05663-6703Fax: (802) 485-8426Email: kimpombar@northfield.vt.us

Norton Norton Town Clerk12 VT Route 114 ENorton, VT 05907Fax: (802) 822-9965Email: townofnorton@myfairpoint.net

Norwich Norwich Town ClerkPO Box 376Norwich, VT 05055Fax: (802) 649-0123Email: clerk@norwich.vt.us

Orange Orange Town ClerkPO Box 233East Barre, VT 05649Fax: (802) 479-2673Email: rbiss-orange@orangevt.org

Orwell Orwell Town ClerkPO Box 32Orwell, VT 05760Fax: (802) 948-2309Email: tckorwel@sover.net

Panton Panton Town Clerk3176 Jersey St.Panton, VT 05491Fax: (802) 475-2785Email: panton@gmavt.net

Pawlet Pawlet Town ClerkPO Box 128Pawlet, VT 05761Fax: (802) 325-6109Email: pawletclerk@vermontel.com

Peacham Peacham Town ClerkPO Box 244Peacham, VT 05862Fax: (802) 592-3218Email: townclerk@peacham.net

Peru Peru Town ClerkPO Box 127Peru, VT 05152Fax: (802) 824-5596Email: perutown@myfairpoint.net

Pittsfield Pittsfield Town ClerkPO Box 556Pittsfield, VT 05762Fax: (802) 746-8170Email: townofpittsfield@myfairpoint.net

Pittsford Pittsford Town ClerkPO Box 10Pittsford, VT 05763Fax: (802) 483-6612Email: mckinlay1@myfairpoint.net

Plainfield Plainfield Town ClerkPO Box 217Plainfield, VT 05667Fax: (802) 454-8467Email: plainfieldtc@gmail.com

Plymouth Plymouth Town Clerk68 Town Office RoadPlymouth, VT 05056-9441Fax: (802) 672-5466Email: clerk@plymouthvt.org

Pomfret Pomfret Town Clerk5218 Pomfret Rd.Pomfret, VT 05053Email: clerk@pomfretvt.us

Poultney Poultney Town Clerk9 Main Street, Suite 2Poultney, VT 05764-1128Fax: (802) 287-5110Email: poultneytownclerk@comcast.net

Pownal Pownal Town ClerkPO Box 411Pownal, VT 05261Fax: (802) 823-0116Email: kjb359@comcast.net

Proctor Proctor Town Clerk45 Main StreetProctor, VT 05765-1178Fax: (802) 459-2356Email: proctor_tc@comcast.net

Putney Putney Town ClerkPO Box 233Putney, VT 05346Fax: (802) 387-4708Email: putneytc@putneyvt.org

Randolph Randolph Town ClerkDrawer BRandolph, VT 05060-0017Fax: (802) 728-5818Email: clerk@municipaloffice.randolph.vt.us

Reading Reading Town ClerkPO Box 72Reading, VT 05062Fax: (802) 484-7250Email: readingvermont@comcast.net

Readsboro Readsboro Town ClerkPO Box 187Readsboro, VT 05350Fax: (802) 423-5423Email: readsto@gmail.com

Richford Richford Town ClerkPO Box 236Richford, VT 05476Fax: (802) 848-7752Email: townclerk@richfordvt.com

Richmond Richmond Town ClerkPO Box 285Richmond, VT 05477Fax: (802) 434-5570Email: townclerk@richmondvt.com

Ripton Ripton Town ClerkPO Box 10Ripton, VT 05766Fax: (802) 388-0012Email: townoffice@riptonvt.org

Rochester Rochester Town ClerkPO Box 238Rochester, VT 05767Fax: (802) 767-6028Email: rochestertown@comcast.net

Rockingham Rockingham Town ClerkPO Box 339Bellows Falls, VT 05101Fax: (802) 463-1228Email: daldrich@rockbf.org

Roxbury Roxbury Town ClerkPO Box 53Roxbury, VT 05669Fax: (802) 485-9160Email: townrox@tds.net

Royalton Royalton Town ClerkPO Box 680South Royalton, VT 05068Fax: (802) 763-7207Email: royalclerk@bluemoo.net

Rupert Rupert Town ClerkPO Box 140West Rupert, VT 05776Fax: (802) 394-2524Email: rupert187@myfairpoint.net

Rutland City Rutland City ClerkPO Box 969Rutland, VT 05701Fax: (802) 773-1846Email: henryh@rutlandcity.com

Rutland Town Rutland Town ClerkPO Box 225Center Rutland, VT 05736Fax: (802) 773-7295Email: mkh@rutlandtown.com

Ryegate Ryegate Town ClerkPO Box 332Ryegate, VT 05042Fax: (802) 584-3880Email: ryegateclerk@yahoo.com

St. Albans City St. Albans City ClerkPO Box 867St. Albans, VT 05478Fax: (802) 524-1505Email: s.krupp@stalbansvt.com

St. Albans Town St. Albans Town ClerkPO Box 37St. Albans Bay, VT 05481Fax: (802) 524-9609Email: stalbtwn@comcast.net

St. George St. George Town Clerk1 Barber RoadSt. George, VT 05495-8063Fax: (802) 482-5548Email: stgeorgevtclerk@comcast.net

St. Johnsbury St. Johnsbury Town Clerk1187 Main Street, Suite 2St. Johnsbury, VT 05819-2369Fax: (802) 748-1267Email: sgrenier@town.st-johnsbury.vt.us

Salisbury Salisbury Town ClerkPO Box 66Salisbury, VT 05769Fax: (802) 352-9832Email: town.clerk@comcast.net

Sandgate Sandgate Town Clerk3266 Sandgate RoadSandgate, VT 05250-9537Fax: (802) 375-8350Email: townclerk@sangatevermont.com

Searsburg Searsburg Town ClerkPO Box 157Wilmington, VT 05363Fax: (802) 464-4710Email: josiekil@yahoo.com

Shaftsbury Shaftsbury Town ClerkPO Box 409Shaftsbury, VT 05262Fax: (802) 442-0955Email: shaftsburyclerk@comcast.net

Sharon Sharon Town ClerkPO Box 250Sharon, VT 05065Fax: (802) 763-7392Email:clerk@sharonvt.net

Sheffield Sheffield Town ClerkPO Box 165Sheffield, VT 05866Fax: (802) 626-8862Email: maplequeen@surfglobal.net

Shelburne Shelburne Town ClerkPO Box 88Shelburne, VT 05482Fax: (802) 985-9550Email: chaag@shelburnevt.org

Sheldon Sheldon Town ClerkPO Box 66Sheldon, VT 05483Fax: (802) 933-4951Email: tc@sheldonvt.com

Shoreham Shoreham Town Clerk297 Main StreetShoreham, VT 05770-9759Fax: (802) 897-2545Email: shorehamtown@shoreham.net

Shrewsbury Shrewsbury Town Clerk9823 Cold River RoadShrewsbury, VT 05738-9319Fax: (802) 492-3511Email: shrewsburyclerk@vermontel.net

South Burlington South Burlington City Clerk575 Dorset StreetSouth Burlington, VT 05403-6271Email: dkinville@sburl.com

South Hero South Hero Town ClerkPO Box 175South Hero, VT 05486Fax: (802) 372-3809Email: southherotc@aol.com

Springfield Springfield Town Clerk96 Main StreetSpringfield, VT 05156-3510Fax: (802) 885-1617Email: tosclerk@vermontel.net

Stamford Stamford Town Clerk986 Main RoadStamford, VT 05352-9740Fax: (802) 694-1636Email: stamfdvt@sover.net

Stannard Stannard Town ClerkPO Box 94Greensboro Bend, VT 05842Fax: (802) 533-2577Email: townofstannard@vtlink.net

Starksboro Starksboro Town ClerkPO Box 91Starksboro, VT 05487Fax: (802) 453-7293Email: starksboro@madriver.com

Stockbridge Stockbridge Town ClerkPO Box 39Stockbridge, VT 05772Fax: (802) 746-8400Email: townofstockbridge@myfairpoint.net

Stowe Stowe Town ClerkPO Box 248Stowe, VT 05672Fax: (802) 253-6143Email: akaiser@townofstowevermont.org

Strafford Strafford Town ClerkPO Box 27Strafford, VT 05072Fax: (802) 896-6630Email: townofstrafford@wavecomm.com

Stratton Stratton Town Clerk9 West Jamaica RoadStratton, VT 05360-9714Fax: (802) 896-6630Email: townclerk@townofstrattonvt.com

Sudbury Sudbury Town Clerk36 Blacksmith LaneSundbury, VT 05733-9564Fax: (802) 623-7296Email: bati@vtisp.com

Sunderland Sunderland Town ClerkPO Box 295East Arlington, VT 05252Fax: (802) 375-6106Email: sunderlandvt@comcast.net

Sutton Sutton Town Clerk167 Underpass Rd. Sutton, VT 05867Fax: (802) 467-1052Email: duffyogden@yahoo.com

Swanton Swanton Town ClerkPO Box 711Swanton, VT 05488Fax: (802) 868-4957Email: townclerk@swantonvermont.org

Thetford Thetford Town ClerkPO Box 126Thetford Center, VT 05075Fax: (802) 785-2031Email: townclerk@thetfordvermont.us

Tinmouth Tinmouth Town Clerk515 North End RoadTinmouth, VT 05773-1169Fax: (802) 446-2498Email: tinmouthtown@vermontel.net

Topsham Topsham Town ClerkPO Box 69Topsham, VT 05076Fax: (802) 439-5505Email: topsham@tops-tele.com

Townshend Townshend Town ClerkPO Box 223Townshend, VT 05353Fax: (802) 365-7309Email: tnclk@svcable.net

Troy Troy Town Clerk142 Main StreetNorth Troy, VT 05859Fax: (802) 988-4692Email: townoftroy@comcast.net

Tunbridge Tunbridge Town ClerkPO Box 6Tunbridge, VT 05077Fax: (802) 889-3744Email: townclerk@turnbridge.biz

Underhill Underhill Town ClerkPO Box 32Underhill Center, VT 05490Fax: (802) 889-2137Email: underhillclerk@comcast.net

Vergennes Vergennes Town ClerkPO Box 35Vergennes, VT 05491Fax: (802) 877-1160Email: clerk@vergennes.org

Vernon Vernon Town Clerk567 Governor Hunt RoadVernon, VT 05354-9484Fax: (802) 254-3561Email: s.harris@vernon-vt.org

Vershire Vershire Town Clerk6894 VT Route 113Vershire, VT 05079-9604Fax: (802) 685-2224Email: clerk-treasurer@vershirevt.org

Victory Victory Town ClerkPO Box 609North Concord, VT 05858Email: townofvictory@wildblue.net

Waitsfield Waitsfield Town Clerk9 Bridge StreetWaitsfield, VT 05673-6035Fax: (802) 496-9284Email: waitsfld@madriver.com

Walden Walden Town Clerk12 VT RTE 215West Danville, VT 05873-9859Fax: (802) 563-0587Email: waldentc@pivot.net

Wallingford Wallingford Town Clerk75 School St.Wallingford, VT 05773Fax: (802) 446-3174Email: townclerk@wallingfordvt.com

Waltham Waltham Town ClerkPO Box 175Vergennes, VT 05491Fax: (802) 877-3641Email: waltham@gmwireless.net

Wardsboro Wardsboro Town ClerkPO Box 48Wardsboro, VT 05355Fax: (802) 896-1000Email: wardsborotownoffice@myfairpoint.net

Warren Warren Town ClerkPO Box 337Warren, VT 05674Fax: (802) 496-2418Email: clerk@warrenvt.org

Washington Washington Town Clerk2895 VT RTE 110Washington, VT 05675-4404Fax: (802) 883-2218Email: washingtontownclerk@gmail.com

Waterbury Waterbury Town Clerk51 South Main StreetWaterbury, VT 05676-1577Fax: (802) 244-1014Email: clawrence@waterburyvt.com

Waterford Waterford Town ClerkPO Box 56Lower Waterford, VT 05848Fax: (802) 748-8196Email: townofwaterford@gmail.com

Waterville Waterville Town ClerkPO Box 31Waterville, VT 05492Fax: (802) 644-8865Email: townofwaterville@myfairpoint.net

Weathersfield Weathersfield Town ClerkPO Box 550Ascutney, VT 05030Fax: (802) 674-2117Email: tclerk@weathersfield.org

Wells Wells Town ClerkPO Box 585Wells, VT 05774Fax: (802) 645-0464Email: wellstownclerk@comcast.net

West Fairlee West Fairlee Town Clerk870 VT Route 113West Fairlee, VT 05083Fax: (802) 333-9611Email: westfairleetc@hotmail.com

West Haven West Haven Town Clerk2919 Main RoadWest Haven, VT 05743-9815Fax: (802) 265-3828Email: whavenoffice2919@aol.com

West Rutland West Rutland Town Clerk35 Marble StreetWest Rutland, VT 05777-9387Fax: (802) 438-5133Email: jpratt@wrutland.org

West Windsor West Windsor Town ClerkPO Box 6Brownsville, VT 05037Fax: (802) 484-3518Email: west.windsor.townclerk@valley.net

Westfield Westfield Town Clerk38 School StreetWestfield, VT 05874-9605Fax: (802) 744-6224Email: townofwestfield@comcast.com

Westford Westford Town Clerk1713 Vt. Route 128Westford, VT 05494-9620Fax: (802) 879-6503Email: townclerk@westfordvt.us

Westminster Westminster Town ClerkPO Box 147Westminster, VT 05158Fax: (802) 722-9816Email: westmntc@comcast.net

Westmore Westmore Town Clerk54 Hinton Hill RoadOrleans, VT 05860-9397Fax: (802) 525-1131Email: clerk@westmoreonline.org

Weston Weston Town Clerk PO Box 98Weston, VT 05161Fax: (802) 824-4121Email: clerk@westonvt.org

Weybridge Weybridge Town Clerk1727 Quaker Village RoadWeybridge, VT 05753-9647Fax: (802) 545-2624Email: info@weybridge.govoffice.com

Wheelock Wheelock Town ClerkPO Box 1328Lyndonville, VT 05851Fax: (802) 626-9094Email: wheelocktc@yahoo.com

Whiting Whiting Town Clerk29 South Main StreetWhiting, VT 05778-4019Fax: (802) 623-7813Email: townofwhiting@shoreham.net

Whitingham Whitingham Town ClerkPO Box 529Jacksonville, VT 05342-9789Fax: (802) 368-7519Email: whittinghamtownclerk@yahoo.com

Williamstown Williamstown Town ClerkPO Box 646Williamstown, VT 05679Fax: (802) 433-2160Email: clerk@williamstownvt.org

Williston Williston Town Clerk7900 Williston RoadWilliston, VT 05495Fax: (802) 764-1140Email: dbeckett@willistontown.com

Wilmington Wilmington Town ClerkPO Box 217Wilmington, VT 05363Fax: (802) 464-1238Email: wilmclrk@sover.net

Windham Windham Town Clerk5976 Windham Hill RoadWindham, VT 05359Fax: (802) 874-4144Email: clerk@windham-vt.us

Windsor Windsor Town Clerk29 Union StreetWindsor, VT 05089Fax: (802) 674-1017Email: smicka@windsor-vt.gov

Winhall Winhall Town ClerkPO Box 389Bondville, VT 05340Fax: (802) 297-2582Email: winclerk@comcast.net

Winooski Winooski Town Clerk27 West Allen StreetWinooski, VT 05404-2199Fax: (802) 655-6414Email:cjbarrett@onioncity.com

Wolcott Wolcott Town ClerkPO Box 100Wolcott, VT 05680Fax: (802) 888-2669Email: wolcott@pshift.com

Woodbury Woodbury Town ClerkPO Box 10Woodbury, VT 05681Fax: (802) 456-8834Email: towoodbury@comcast.net

Woodford Woodford Town Clerk1391 VT RTE 9Woodford, VT 05201-9410Fax: (802) 442-4816Email: woodfordvt@comcast.net

Woodstock Woodstock Town Clerk31 The GreenWoodstock, VT 05091-1260Fax: (802) 457-2329Email: jay@townofwoodstock.org

Worcester Worcester Town ClerkPO Box 161Worcester, VT 05682-1030Fax: (802) 229-5216Email: worcestertclerk@comcast.net

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Virgin Islandswww.vivote.gov

* Virgin Islands has a Caucus system for selecting Presidential Nominees.

The last four digits of your Social Security number arerequired. If you do not have a Social Security number, yourvalid Virgin Islands Driver's License number is required forvoter registration. If you do not posses either of theseidentifications, the Virgin Islands will assign a number thatwill serve to identify you for voter registration purposes.

Block 6: The Virgin Islands allows you to receive yourballot by mail or fax. Please rank your preference of howyou would like to receive your absentee ballot. Provideyour fax number in Block 5. If you do not make a selection,then your local election official will mail your ballot to you.

Block 7: Complete street address of your Virgin Islandsvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

The Virgin Islands allows you to submit the FPCA by mailor fax.

If you choose to mail your FPCA, mail the form directly toyour local election office:

Supervisor of ElectionsP.O. Box 6038, Charlotte Amalie

Territory PrimarySeptember 11, 2012

Registration N/A August 11, 2012 October 3, 2012

Ballot Return N/A Postmarked by: September 11, 2012

Received by: September 21, 2012

Virgin Islands 2012-13 Voting Assistance Guide

St. Thomas, Virgin Islands 00804-6038

Supervisor of ElectionsP.O. Box 1499, Kingshill

St. Croix, Virgin Islands 00851-1499Fax: (340)776-2391

Email (For Questions Only, No FPCAs): electionsys@unitedstates.vi

If you choose to fax your FPCA, you must also submit theFPCA by mail. It is recommended that you fax the formdirectly to (340) 776-2391. Fax numbers can be found atwww.vivote.gov. You may also use the DoD ElectronicTransmission Service to fax your FPCA toll-free. To use theElectronic Transmission Service, use the cover sheetavailable in Chapter 1 or at www.fvap.gov, and fax to: (703)693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contactinformation can be found at www.vivote.gov.

Ballot Request By Proxy

If you are currently registered, anyone may apply for anabsentee ballot on your behalf if that person cansatisfactorily provide the required information about you.

Late Registration

Members of the Armed Forces or merchant marine whohave been discharged within 60 days of an election mayregister and vote in that election by presenting the localelection official with their discharge papers.

Voting Your Ballot Local election officials send absentee ballots no later than30 days before the election.

Voted ballots must be postmarked by Election Day andreceived by the local election office no later than 10 daysafter the election.

You may return the voted ballot by mail or fax. Use FPCAfax instructions under “How and Where to Submit YourFPCA.”

You may track the status of your ballot by using any of thefollowing methods: TDD Toll Free: St. Croix: (877) 773-1021, St. Thomas/St. John: (877) 774-3107, OR at:www.vivote.gov for Email Contact Form.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . .

2012-13 Voting Assistance Guide Virgin Islands

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Use the Federal Write-In Absentee Ballot!The Virgin Islands allows you to use the Federal Write-InAbsentee Ballot (FWAB) for voting in general elections forFederal office. If you are registered and have requestedyour absentee ballot, feel free to use the FWAB to voteanytime before an election.

Block 1: Virgin Islands does not allow you to use this formfor registration. Do not check the registration block.

Enter your valid Virgin Islands Driver's License number,the last four digits of your Social Security number, OR yourterritory voter registration number.

Block 7: Complete street address of your Virgin Islandsvoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, gotowww.vivote.gov. For each office for which you vote,write in either a candidate's name or a political partydesignation. The Virgin Islands does not elect members tothe U.S. Senate or directly participate in the election of thePresident and Vice President of the U.S. At the Federallevel, only a Delegate to the House of Representatives iselected.

The Virgin Islands allows you to submit the FWAB by mailor fax.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into themailing envelope and mail the ballot directly to your localelection office:

Supervisor of ElectionsP.O. Box 6038, Charlotte Amalie

St. Thomas, Virgin Islands 00804-6038

Supervisor of ElectionsP.O. Box 1499, Kingshill

St. Croix, Virgin Islands 00851-1499

If you choose to fax your FWAB, you must also submit theFWAB by mail. It is recommended that you fax the ballotdirectly to (340) 774-3107 Fax numbers can be found atwww.vivote.gov. Include ballot, voter affirmation, andcover sheet with secrecy waiver. You may also use the DoDElectronic Transmission Service to fax your FWAB toll-free. To use the Electronic Transmission Service, use thecover sheet available in Chapter 1 or at www.fvap.gov, andfax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

Virgin Islands 2012-13 Voting Assistance Guide

Virginiawww.sbe.virginia.gov

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for the later of the next Novembergeneral election or next Federal general election.

Block 2: To vote in primary elections, you must enter yourpolitical party affiliation. If you want to change yourpolitical party affiliation, submit a completed FPCAindicating your new party preference to the local electionofficial no later than the registration deadline for theprimary election.

Your Social Security number is required. If you do nothave a Social Security number, write “none.” Virginia willassign a number that will serve to identify you for votingpurposes only.

Block 6: Virginia allows Uniformed Service members andtheir families, as well as overseas citizens, to receive theirballot by mail, email, or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provide

your email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you. More transmission options may beavailable. Check www.fvap.gov for updates.

Block 7: Complete street address of your Virginia votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the city or county where youclaim legal voting residence.

Block 9: You must provide your complete Virginiaresidence address where you last registered and voted ifapplicable. If you have never voted, please write “I havenever voted.” Enter the last day of residency at yourVirginia voting residence address only if you have given upthat address permanently or have no intent to return.

Uniformed Service members and their families mustprovide the service identification number of the member.

Uniformed Service members, Merchant Marine members,and their spouses and dependents must provide the branchof service, and grade or rank of the military member.

Overseas citizens should provide the name and address oftheir employer (if applicable). Virginia registrants whomoved overseas for employment on or after July 1, 1999,may be eligible to vote in State and local elections.

In addition to mailing a regular ballot, Virginia provides anEarly Absentee Ballot before general elections forgovernor, lieutenant governor or attorney general to anyoverseas Uniformed Service member, family member, or

Registration Absent Uniformed Services/Families: February 28, 2012

Overseas Citizens: February 13, 2012

Absent Uniformed Services/Families:

June 5, 2012Overseas Citizens:

May 21, 2012

Absent Uniformed Services/Families: October 30, 2012

Overseas Citizens: October 15, 2012

Ballot Request February 28, 2012 June 5, 2012 October 30, 2012

Ballot Return 7 pm, March 6, 2012 7 pm, June 12, 2012 7 pm, November 6, 2012

Virginia 2012-13 Voting Assistance Guide

overseas citizen who will not be able to vote and return theregular absentee ballot by the ballot return deadline. Torequest it, you must return your FPCA no later than 90 daysbefore the election and you must write in Block 9 either: “Iam unable to vote in any other manner due to overseasmilitary service. I request an Early Voting Absentee Ballot.”OR “I am unable to vote in any other manner due to livingin an isolated or extremely remote overseas area. I requestan Early Voting Absentee Ballot.”

Affirmation: Sign and date. No witness required exceptwhen you are unable to sign the application due to aphysical disability or inability to read or write.

Virginia allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found atwww.sbe.virginia.gov.

If you choose to fax your FPCA, fax the form directly toyour local election official. Fax numbers can be found atwww.sbe.virginia.gov. You may also use the DoDElectronic Transmission Service to fax your FPCA toll-free.To use the Electronic Transmission Service, use the coversheet available in Chapter 1 or at www.fvap.gov, and fax to:(703) 693-5527, DSN 223-5527, or toll-free from the U.S.,Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov. If legible,Virginia does not require mailing the signed FPCA that isfaxed or emailed as a scanned attachment.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toVirginia’s voter registration verification website at:www.sbe.virginia.gov.

Late Registration

Active duty military, Merchant Marine, their spouses anddependents residing with them who are deployed orassigned to a duty station that requires them to be awayfrom the locality claimed for Virginia voting residence onElection Day may register by mail by submitting a FPCA(or a FWAB) up until the deadline for applying for anabsentee ballot one week before the election.

These applicants may also register in person up to andincluding Election Day if their active duty requires themnormally to be absent from their Virginia voting residencelocality, they have returned to reside in their Virginia votingresidence locality within 28 days before the election, orthey were discharged within 60 days before the election.

Overseas citizens can also register late in person based onbeing normally absent or having returned within the 28days before the election.

Voting Your Ballot Local election officials send absentee ballots no later than45 days before most elections.

The oath on the voted ballot’s return envelope must bewitnessed by an adult 18 or older.

Voted ballots may be returned by mail or commercialdelivery service, but may not be delivered by a personalcourier service or another individual. Virginia does notallow voted ballots to be returned by fax or email.

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD.” Thislabel is available at APO/FPO locations and can only beused for the general Federal election. It provides expeditedmail service up to seven days prior to the election. You canreturn your ballot with this label attached at any MPO/FPO,American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

You may track the status of your ballot at:www.sbe.virginia.gov.

2012-13 Voting Assistance Guide Virginia

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Virginia allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registration and voting in any election inwhich you are eligible to vote. You may use the FWAB to votea back-up ballot before an election. Submit a new FPCA if youwant to register and request ballots for future elections. TheState Board of Elections may in some situations issue a FWABdirectly to a voter to help avoid delays. Please contact the StateBoard of Elections if you are unable to obtain a ballot fromyour locality in time.

Block 1: Virginia allows you to use this form forregistration.

Your Social Security number is required. If you do nothave a Social Security number, write “none”. Virginia willassign a number that will serve to identify you for votingpurposes only.

Block 6: If you are using this form to register and wish tovote in primary elections, you must enter your politicalparty affiliation.

Block 7: Complete street address of your Virginia votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Block 8: Enter your current military or overseas mailingaddress.

Block 9: You must provide your complete Virginiaresidence address where you last registered and voted ifapplicable. If you have never voted, please write “I havenever voted.” Enter the last day of residency at yourVirginia voting residence address only if you have given upthat address permanently or have no intent to return. Ifpreviously registered in Virginia, your voter registrationnumber may be located using your Social Security number.

Uniformed Service members and their families mustprovide the service identification number of the member.

Uniformed Service members, Merchant Marine members,and their spouses and dependents must provide the branchof service, and grade or rank of the military member.

Overseas citizens should provide the name and address oftheir employer (if applicable). Virginia registrants whomoved overseas for employment on or after July 1, 1999,may be eligible to vote in State and local elections.

Affirmation: Sign and date in the presence of one witness.The oath on the voted ballot’s return envelope must bewitnessed by an adult 18 or older.

Vote Your FWAB:

Vote in any election in which you are eligible. Citizensresiding overseas indefinitely may only be eligible to votefor Federal offices. Please contact the Virginia State Boardof Elections or your local General Registrar's office inVirginia if you have any question about the elections inwhich you are eligible to vote in Virginia. Virginiaprohibits under felony penalty illegally voting in anyelection in which you know you are not eligible to vote.

For each office in which you vote, write in either acandidate's name or political party designation. For each

issue on which you vote, identify the issue and write either"yes" or "no". To find out the offices and issues in yourlocality, go to www.sbe.virginia.gov.

Once the ballot is complete, fold and place it in the securityenvelope and seal. Place only the voted ballot in thesecurity envelope and do not write on the securityenvelope.

If using the FWAB simultaneously for registration, absenteeballot application and voted ballot, it must be received bythe local election office by the applicable deadline.

If using the FWAB simultaneously for absentee ballotapplication and voted ballot, it must be received by the localelection office by the ballot return deadline.

If using the FWAB as a voted ballot only, it must bereceived by the local election office by the ballot returndeadline.

If you receive the State ballot after submitting the votedFWAB, you should vote and return the State ballot. If bothballots are received by the deadline, only the State ballotwill be counted.

Insert the sealed security envelope and the Voter'sDeclaration/Affirmation into the mailing envelope and mailyour FWAB directly to your local election official. Virginiadoes not allow voted FWABs to be returned by fax oremail.

Accomack Accomack General RegistrarPO Box 97Accomack, VA 23301-0097Fax: 757 824-0525Email: govote@co.accomack.va.us

Albemarle Albemarle General Registrar401 McIntire Rd. Room 131Charlottesville, VA 22902Fax: 434 972-4143Email: cschermerhorn@albemarle.org

Alleghany Alleghany General Registrar110 Rosedale Avenue, Suite DCovington, VA 24426-1294Fax: 540 965-1692Email: govote5@ntelos.net

Amelia Amelia General RegistrarPO Box 481Amelia, VA 23002-0481Fax: 804 561-3490Email: govote007@tds.net

Amherst Amherst General RegistrarPO Box 550Amherst, VA 24521-0550Fax: 434 946-9345Email: gnbeasley@countyofamherst.com

Appomattox Appomattox General RegistrarPO Box 8Appomattox, VA 24522-0235Fax: 434 352-4409Email: govote011@appomattoxcountyva.gov

Arlington Arlington General Registrar2100 Clarendon Blvd, Suite 320Arlington, VA 22201-5400Fax: 703-228-3695Email: voters@arlingtonva.us

Augusta Augusta General RegistrarPO Box 590Verona, VA 24482-0590Fax: 540 245-5037Email: blilly@co.augusta.va.us

Bath Bath General RegistrarPO Box 157Warm Springs, VA 24484-0157Fax: 540 839-7277Email: bathvoter@tds.net

Bedford Bedford General RegistrarCounty Admin Bldg, Suite 204122 E. Main StreetBedford, VA 24523-2000Fax: 540 586-8358Email: jandud318@verizon.net

Bland Bland General RegistrarPO Box 535Bland, VA 24315-0535Fax: 276 688-3552Email: govote021@embarqmail.com

Botetourt Botetourt General RegistrarPO Box 62Fincastle, VA 24090-0062Fax: 540 473-8657Email: pbooze@botetourt.org

Brunswick Brunswick General RegistrarGovernment Building, Room 103100 Tobacco StreetLawrenceville, VA 23868-1823Fax: 434 848-9276Email: govote025@brunswickco.com

Buchanan Buchanan General RegistrarPO Box 975Grundy, VA 24614-0975Fax: 276 935-4320Email: vicki.clevinger@sbe.virginia.gov

Buckingham Buckingham General RegistrarPO Box 222Buckingham, VA 23921-0222Fax: 434 969-2060Email: govote027@vmmicro.net

Campbell Campbell General RegistrarPO Box 103Rustburg, VA 24588-0103Fax: 434 332-9689Email: ktdanos@co.campbell.va.us

Caroline Caroline General RegistrarPO Box 304Bowling Green, VA 22427-0304Fax: 804 633-0362Email: dhmoen@co.caroline.va.us

Carroll Carroll General Registrar605-3 Pine Street, Room B110Hillsville, VA 24343-1404Fax: 276 730-3040Email: kcloud@carrollcountyva.org

Charles City Charles City General RegistrarPO Box 146Charles City, VA 23030-0146Fax: 804 829-6823Email: cbarneycastle@co.charles-city.va.us

Charlotte Charlotte General RegistrarPO Box 118Charlotte Courthouse, VA 23923-0118Fax: 434 542-4168Email: nanlambert@kinex.net

Chesterfield Chesterfield General RegistrarPO Box 1690Chesterfield, VA 23832-1690Fax: 804 751-0822Email: registrar@chesterfield.gov

Clarke Clarke General Registrar101 Chalmers Ct.Berryville, VA 22611-0555Fax: 540 955-5169Email: vote@clarkecounty.gov

Craig Craig General RegistrarPO Box 8New Castle, VA 24127-0008Fax: 540 864-5551Email: govote045.craigco@tds.net

Culpeper Culpeper General Registrar151 N. Main Street, Suite 301Culpeper, VA 22701-3017Fax: 540 825-8454Email: registrar@culpepercounty.gov

Cumberland Cumberland General RegistrarPO Box 1251487 Anderson HwyCumberland, VA 23040Fax: 804 492-3571Email: mwatson@cumberlandcounty.virginia.gov

Dickenson Dickenson General RegistrarPO Box 1306Clintwood, VA 24228-1306Fax: 276 926-8287Email: reba.childress@dmv.virginia.gov

Dinwiddie Dinwiddie General Registrar14016 Boydton Plank RoadDinwiddie, VA 23841-0365Fax: 804 469-4544Email: lbrandon@dinwiddieva.us

Essex Essex General RegistrarPO Box 1561Tappahannock, VA 22560-1561Fax: 804 443-4498Email: govote057@oasisonline.com

Fairfax Fairfax General Registrar12000 Govt Center Parkway, #323Fairfax, VA 22035-0081Fax: 703 324-2205Email: voting@fairfaxcounty.gov

Fauquier Fauquier General Registrar32 Waterloo Street, #207Warrenton, VA 20186-3238Fax: 540 422-8291Email: alex.ables@fauquiercounty.gov

Floyd Floyd General Registrar100 E. Main Street, Room 302Floyd, VA 24091-3781Fax: 540 745-9390Email: registrar@floydcova.org

Fluvanna Fluvanna General RegistrarPO Box 44Palmyra, VA 22963-0044Fax: 434 589-6383Email: govote065@state.va.us

Franklin Franklin General Registrar1255 Franklin Street, Suite 106Rocky Mount, VA 24151-1289Fax: 540 483-6619Email: kaychitwood@franklincountyva.org

Frederick Frederick General Registrar107 N. Kent Street, Suite 102Winchester, VA 22601-5000Fax: 540 665-8976Email: fcvotes@co.frederick.va.us

Giles Giles General Registrar201 N. Main Street, Suite 1Pearisburg, VA 24134-1625Fax: 540 921-3176Email: govote071@verizon.net

Gloucester Gloucester General RegistrarPO Box 208Gloucester, VA 23061-0208Fax: 804 693-3831Email: bamorgan@gloucesterva.info

Goochland Goochland General RegistrarPO Box 1013Goochland, VA 23063-1013Fax: 804 556-6323Email: fragland@co.goochland.va.us

Grayson Grayson General RegistrarPO Box 449Independence, VA 24348-0449Fax: 276 773-2842Email: govote077@earthlink.net

Greene Greene General RegistrarPO Box 341Stanardsville, VA 22973-0341Fax: 434 985-2369Email: sshifflett@gcva.us

Greensville Greensville General RegistrarPO Box 1092Emporia, VA 23847-1092Fax: 434 348-4257Email: dkea@greensvillecountyva.gov

Halifax Halifax General RegistrarPO Box 400Halifax, VA 24558-0400Fax: 434 476-1045Email: jmeeler@co.halifax.va.us

Hanover Hanover General RegistrarPO Box 419Hanover, VA 23069-0419Fax: 804 365-6078Email: HanoverVoting@co.hanover.va.us

Henrico Henrico General RegistrarPO Box 90775Henrico, VA 23273-0775Fax: 804 501-5081Email: coa@co.henrico.va.us

Henry Henry General RegistrarPO Box 7Collinsville, VA 24078-0007Fax: 276 638-8278Email: estone@co.henry.va.us

Highland Highland General RegistrarPO Box 386Monterey, VA 24465-0386Fax: 540 468-2012Email: govote091@htcnet.org

Isle of Wight Isle of Wight General RegistrarPO Box 77Isle of Wight, VA 23397-0077Fax: 757 357-5699Email: lbettert@isleofwightus.net

James City James City General RegistrarPO Box 3567Williamsburg, VA 23187-3567Fax: 757 253-6875Email: vote@james-city.va.us

King and Queen King and Queen General RegistrarPO Box 56King and Queen C.H., VA 23085-0056Fax: 804 785-5792Email: jpeter@kingandqueenco.net

King George King George General RegistrarPO Box 1359King George, VA 22485-1359Fax: 540 775-4852Email: lgump@co.kinggeorge.state.va.us

King William King William General RegistrarPO Box 173King William, VA 23086-0173Fax: 804 769-4920Email: gregistrar@kingwilliamcounty.us

Lancaster Lancaster General RegistrarPO Box 159Lancaster, VA 22503-0159Fax: 804 462-5228Email: sjett@lancova.com

Lee Lee General Registrar33640 Main St. Suite 104Jonesville, VA 24263-0363Fax: 276 346-0119Email: govote105@co.lee.state.va.us

Loudoun Loudoun General Registrar750 Miller Drive SE, Suite CLeesburg, VA 20176Fax: 703 777-0622Email: vote@loudoun.gov

Louisa Louisa General RegistrarPO Box 220Louisa, VA 23093-0220Fax: 540 967-3492Email: cwatkins@louisa.org

Lunenburg Lunenburg General Registrar160 Courthouse SquareLunenburg, VA 23952-9999Fax: 434 696-3952Email: cparsons@lunenburgva.net

Madison Madison General RegistrarPO Box 267Madison, VA 22727-0267Fax: 540 948-7825Email: govote113@verizon.net

Mathews Mathews General RegistrarPO Box 328Mathews, VA 23109-0328Fax: 804 725-5786Email: rhutson@co.mathews.va.us

Mecklenburg Mecklenburg General RegistrarPO Box 436Boydton, VA 23917-0436Fax: 434 738-6104Email: mecklenburgelections@gmail.com

Middlesex Middlesex General RegistrarPO Box 358Saluda, VA 23149-0358Fax: 804 758-3950Email: govote119@co.middlesex.va.us

Montgomery Montgomery General Registrar755 Roanoke Street, Suite 1FChristiansburg, VA 24073-3175Fax: 540 381-6811Email: govote121@montgomerycountyva.gov

Nelson Nelson General RegistrarPO Box 292Lovingston, VA 22949-0292Fax: 434 263-8601Email: jbritt@nelsoncounty.org

New Kent New Kent General RegistrarPO Box 128New Kent, VA 23124-0128Fax: 804 966-8536Email: govote127@state.va.us

Northampton Northampton General RegistrarPO Box 510Eastville, VA 23347-0510Fax: 757 678-0453Email: vote@co.northampton.va.us

Northumberland Northumberland General RegistrarPO Box 84Heathsville, VA 22473-0084Fax: 804-580-2075Email: Kgoddard@co.northumberland.va.us

Nottoway Nottoway General RegistrarPO Box 24Nottoway, VA 23955-0024Fax: 434 645-1636Email: govote135@gcronline.com

Orange Orange General Registrar146 Madison Road, Suite 204Orange, VA 22960-1449Fax: 540 672-4872Email: vote@orangecountyva.gov

Page Page General Registrar551 Mechanic St.Luray, VA 22835-1289Fax: 540 743-1988Email: cgaunt@pagecounty.virginia.gov

Patrick Patrick General RegistrarPO Box 635Stuart, VA 24171-0635Fax: 276 694-5488Email: dvipper@co.patrick.va.us

Pittsylvania Pittsylvania General Registrar110 Old Chatham Elementary School LaneChatham, VA 24531-1136Fax: 434 432-7973Email: jennylee.sanders@pittgov.org

Powhatan Powhatan General Registrar3834 Old Buckingham Road, Suite G Powhatan, VA 23139-7051Fax: 804 598-7835Email: ipoe@powhatanva.gov

Prince Edward Prince Edward General RegistrarBox JFarmville, VA 23901-0269Fax: 434 392-3889Email: registrar@co.prince-edward.va.us

Prince George Prince George General RegistrarPO Box 34Prince George, VA 23875-0034Fax: 804 733-2793Email: ktyler@princegeorgeva.org

Prince William Prince William General Registrar9250 Lee Avenue, Suite 1Manassas, VA 20110-5554Fax: 703 792-6461Email: pwcvote@pwcgov.org

Pulaski Pulaski General Registrar52 W. Main Street, Room 300Pulaski, VA 24301-5045Fax: 540 994-5883Email: kwebb@pulaskicounty.org

Rappahannock Rappahannock General RegistrarPO Box 236Washington, VA 22747-0236Fax: 540 675-5381Email: govote157@state.va.us

Richmond Richmond General RegistrarPO Box 1000Warsaw, VA 22572-1000Fax: 804 333-3408Email: govote159@co.richmond.va.us

Roanoke Roanoke General RegistrarPO Box 20884Roanoke, VA 24018-0089Fax: 540 772-2115Email: jstokes@roanokecountyva.gov

Rockbridge Rockbridge General Registrar150 S. Main StreetLexington, VA 24450-2528Fax: 540 463-1078Email: m.earhart@co.rockbridge.va.us

Rockingham Rockingham General Registrar20 E. Gay StreetHarrisonburg, VA 22802Fax: 540 564-3057Email: rockvote@rockinghamcountyva.gov

Russell Russell General RegistrarCourthouse Annex96 Russell StreetPO Box 383Lebanon, VA 24266-0383Fax: 276 889-8022Email: govote167@bvu.net

Scott Scott General RegistrarPO Box 1892Gate City, VA 24251-4892Fax: 276 386-3741Email: michael.edwards@dmv.virginia.gov

Shenandoah Shenandoah General Registrar600 N. Main Street, Suite 106Woodstock, VA 22664-1855Fax: 540 459-6196Email: lmcdonald@shenandoahcountyva.us

Smyth Smyth General Registrar121 Bagley Circle, Suite 108Marion, VA 24354-0067Fax: 276 783-9055Email: registrar@smythcounty.org

Southampton Southampton General RegistrarPO Box 666Courtland, VA 23837-0666Fax: 757 653-9401Email: ldavis@socogovote.com

Spotsylvania Spotsylvania General RegistrarPO Box 133Spotsylvania, VA 22553-0133Fax: 540 582-2604Email: voter@spotsylvania.va.us

Stafford Stafford General RegistrarPO Box 301Stafford, VA 22555-0301Fax: 540 658-4003Email: registrar@co.stafford.va.us

Surry Surry General RegistrarPO Box 264Surry, VA 23883-0264Fax: 757 294-5285Email: lepps@surrycountyva.gov

Sussex Sussex General RegistrarPO Box 1302Sussex, VA 23884-0302Fax: 434 246-4315Email: govote183@state.va.us

Tazewell Tazewell General RegistrarPO Box 201Tazewell, VA 24651-0201Fax: 276 988-2530Email: govote@tazewellcounty.org

Warren Warren General Registrar220 N. Commerce Avenue, #700Front Royal, VA 22630-3372Fax: 540 635-5456Email: vote@warrencountyva.net

Washington Washington General Registrar25552 Lee Highway, Suite 1Abingdon, VA 24211-7466Fax: 276 676-6200Email: MARY.COMPTON@dmv.virginia.gov

Westmoreland Westmoreland General RegistrarPO Box 354Montross, VA 22520-0354Fax: 804 493-0158Email: govote193@verizon.net

Wise Wise General RegistrarPO Box 309Wise, VA 24293-0309Fax: 276 328-7111Email: registrar@wisecounty.org

Wythe Wythe General Registrar245 S. Fourth Street, Suite 101Wytheville, VA 24382-2598Fax: 276 223-6039Email: govote@wytheco.org

York York General RegistrarCounty Administration Building224 Ballard StreetPO Box 451Yorktown, VA 23690-0451Fax: 757 890-3449Email: registrar@yorkcounty.gov

County Mailing Address Independent Cities Mailing Address

Alexandria Alexandria General Registrar132 N. Royal Street, Suite 100Alexandria, VA 22314-3283Fax: 703 838-6449Email: tom.parkins@alexandriava.gov

Bedford Bedford General Registrar215 E. Main StreetBedford, VA 24523-2012Fax: 540 587-6143Email: rherrick@bedfordva.gov

Bristol Bristol General Registrar300 Lee Street, Suite 101Bristol, VA 24201Fax: 276 645-7331Email: vote@bristolva.org

Buena Vista Buena Vista General Registrar2039 Sycamore AvenueBuena Vista, VA 24416-3133Fax: 540 261-8618Email: agarrett@bvcity.org

Charlottesville Charlottesville General RegistrarCity Hall AnnexPO Box 911Charlottesville, VA 22902-0911Fax: 434 970-3249Email: iachetta@charlottesville.org

Chesapeake Chesapeake General RegistrarPO Box 15225Chesapeake, VA 23328-0225Fax: 757 547-5402Email: wspradlin@cityofchesapeake.net

Clifton Forge**Colonial Heights Colonial Heights General Registrar

PO Box 3401Colonial Heights, VA 23834-9001Fax: 804 520-9209Email: redfords@colonial-heights.com

Covington Covington General Registrar515 E. Pine StreetCovington, VA 24426-1534Fax: 540 965-6362Email: govote580@ntelos.net

Danville Danville General Registrar515 Main StreetDanville, VA 24541-1317Fax: 434 797-8987Email: pettypm@ci.danville.va.us

Emporia Emporia General RegistrarPO Box 1092Emporia, VA 23847-1092Fax: 434 634-0003Email: ldunlow@ci.emporia.va.us

Fairfax Fairfax General RegistrarSisson House10455 Armstrong StreetFairfax, VA 22030-3640Fax: 703 591-8364Email: kevin.linehan@fairfaxva.gov

Falls Church Falls Church General Registrar300 Park Avenue, Room 101EFalls Church, VA 22046-3332Fax: 703 248-5204Email: vote@fallschurchva.gov

Franklin Franklin General RegistrarPO Box 42Franklin, VA 23851-0042Fax: 757 562-8779Email: jmaynard@franklinva.com

Fredericksburg Fredericksburg General RegistrarPO Box 7447Fredericksburg, VA 22404-7447Fax: 540 373-8381Email: jpitchford@fredericksburgva.gov

Galax Galax General RegistrarPO Box 1045Galax, VA 24333-1045Fax: 276 236-2889Email: sreavis@galaxva.com

Hampton Hampton General Registrar1919 Commerce Drive, Suite 280Hampton, VA 23666Fax: 757 727-6084Email: tkyle@hampton.gov

Harrisonburg Harrisonburg General RegistrarPO Box 20031Harrisonburg, VA 22801-7531Fax: 540 432-7784Email: deborahl@ci.harrisonburg.va.us

Hopewell Hopewell General Registrar309 N. 2nd AvenueHopewell, VA 23860-2704Fax: 804 452-5828Email: pclark@hopewellva.gov

Lexington Lexington General RegistrarPO Box 922Lexington, VA 24450-0922Fax: 540 463-5310Email: votelex@ci.lexington.va.us

Lynchburg Lynchburg General RegistrarPO Box 10036Lynchburg, VA 24506-0036Fax: 434 947-2798Email: registrar@lynchburgva.gov

Manassas Manassas General Registrar9025 Center StreetPO Box 560Manassas, VA 20110-5403Fax: 703 257-0080Email:voterregistration@ci.manassas.va.us

Manassas Park Manassas Park General RegistrarCity Hall1 Park Center CourtManassas Park, VA 20111-2395Fax: 703 335-9042Email: registrars@manassasparkva.gov

Martinsville Martinsville General RegistrarPO Box 1323Martinsville, VA 24114-1323Fax: 276 403-5258Email: ecowan@ci.martinsville.va.us

Newport News Newport News General Registrar2400 Washington Avenue, 6th FloorNewport News, VA 23607-4305Fax: 757 926-3653Email: vlewis@nngov.com

Norfolk Norfolk General Registrar810 Union Street, Room 808Norfolk, VA 23510Fax: 757 664-4685Email: vote@norfolk.gov

Norton Norton General RegistrarPO Box 225Norton, VA 24273-0225Fax: 276 679-0754Email: govote720@yahoo.com

Petersburg Petersburg General RegistrarPO Box 1031Petersburg, VA 23804-1031Fax: 804 733-8080Email: petersburgelections@comcast.net

Poquoson Poquoson General Registrar500 City Hall Avenue, Room 139Poquoson, VA 23662-1996Fax: 757 868-3104Email: tammi.pinckney@poquoson-va.gov

Portsmouth Portsmouth General Registrar801 Crawford Sr. 1st floorPortsmouth, VA 23704-3822Fax: 757 393-5415Email: registrar@portsmouthva.gov

Radford Radford General Registrar619 2nd StreetRadford, VA 24141Fax: 540 633-0152Email: radfordelections@jetbroadband.com

Independent Cities Mailing Address

Richmond Richmond General RegistrarPO Box 61037Richmond, VA 23261-1037Fax: 804 646-7848Email: voterregistration@richmondgov.com

Roanoke Roanoke General Registrar215 Church Ave. Room 109Roanoke, VA 24011Fax: 540 853-1025Email: lavern.grigsby@roanokeva.gov

Salem Salem General RegistrarPO Box 203Salem, VA 24153-0203Fax: 540 375-4052Email: doliver@salemva.gov

Staunton Staunton General RegistrarPO Box 58Staunton, VA 24401Fax: 540 332-3834Email: homesaj@ci.staunton.va.us

Suffolk Suffolk General RegistrarPO Box 1966Suffolk, VA 23439-1966Fax: 757 514-7759Email: ssaunders@suffolkva.us

Virginia Beach Virginia Beach General RegistrarPO Box 6247Virginia Beach, VA 23456-0247Fax: 757 385-5632Email: voter@vbgov.com

Waynesboro Waynesboro General Registrar250 S. Wayne Avenue, Suite 205Waynesboro, VA 22980-0748Fax: 540 942-6501Email: wootenlp@ci.waynesboro.va.us

Williamsburg Williamsburg General RegistrarPO Box 3538Williamsburg, VA 23187-3538Fax: 757 220-6158Email: wsowder@williamsburgva.gov

Winchester Winchester General Registrar107-A N. East LaneWinchester, VA 22601-5072Fax: 540 545-7925Email: vote@ci.winchester.va.us

**Note: The City of Clifton Forge has reverted to town status and become part of Allegheny County. Voters with residency in Clifton Forge should send their applications to the Allegheny County Registrar.

Independent Cities Mailing Address

Washingtonwww.vote.wa.gov

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for every subsequent Federalelection held until the voter is no longer registered to votein the State.

Alternately, if you have a valid Washington State Driver'sLicense or State identification card, you may complete yourvoter registration online or download a paper application atwww.vote.wa.gov.

Your valid Washington Driver's License or State ID Cardnumber OR the last four digits of your Social Security numberis required for voter registration. If you do not possess any ofthese identification numbers, the State shall assign a numberthat will serve to identify you for voter registration purposes.

Block 6: Washington allows you to receive your absenteeballot by mail, email, or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Washington votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Block 9: In addition to mailing a regular ballot, Washingtonprovides a State Special Write-In Absentee Ballot up to 90days before the election to any voter unable to vote using theregular absentee voting process. This ballot allows you to votein local, State and Federal elections. To request it, write inBlock 9: “I am unable to vote and return a regular absenteeballot by normal mail delivery within the time provided forregular absentee ballots. I request a special write-in absenteeballot.”

Affirmation Sign and date. No witness or notary required.

Washington allows you to submit the FPCA by mail, email, orfax.

If you choose to email your FPCA, you should send the formas a signed, scanned attachment. Email directly to your localelection office. Email addresses can be found atwww.vote.wa.gov and click “Contact Your County.”

If you choose to fax your FPCA, fax the form directly to yourlocal election official. Fax numbers can be found at

Registration N/A August 7, 2012 November 6, 2012

Washington 2012-13 Voting Assistance Guide

www.vote.wa.gov and click “Contact Your County.” You mayalso use the DoD Electronic Transmission Service to fax yourFPCA toll-free. To use the Electronic Transmission Service,use the cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer toWashington’s voter registration verification website at:www.vote.wa.gov www.vote.wa.gov and click “Contact YourCounty.”.

Ballot Request by Phone, Fax, or Email

You may request a ballot or change your mailing address bycalling, faxing, or emailing your local election official. Phonenumbers, fax numbers, or email addresses can be found atwww.vote.wa.gov.

A U.S. citizen who was born abroad and who is eligible to voteand who has never lived in the U.S. may register and vote inthe county where a parent would be eligible to register andvote. Use the most recent residential address in Washington ofa family member.

Voting Your Ballot Local election officials send absentee ballots approximately 45days before elections.

Voted ballots must be received by the local election office14 days after primaries and special elections and 20 daysafter general elections. The oath accompanying your votedballot must be signed and dated no later than Election Day.

Washington allows you to return the voted ballot by mail,fax or email. Use the FPCA fax instructions under “Howand Where to Submit Your FPCA.”

Overseas uniformed service members and their familymembers with access to the Military Postal Service, mayuse the “Prepaid Expedited Mail- Label 11-DOD”. Thislabel is available at APO/FPO locations and can only beused for the general election. It provides expedited mailservice up to seven days prior to the election. You can

return your ballot with this label attached at any MPO/FPO,American embassy or consulate. A portion of the label isretained by you for tracking your ballot through the U.S.Postal Service.

You may track the status of your ballot at www.vote.wa.govand click the MyVote icon.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Washington allows you to use the Federal Write-In AbsenteeBallot (FWAB) for registering and voting in primary andgeneral elections for Federal, State, and local offices and non-candidate ballot issues. Feel free to use the FWAB to voteanytime before an election.

Block 1: Washington allows you to use this form forregistration.

2012-13 Voting Assistance Guide Washington

Enter your valid Washington Driver's License number, the lastfour digits of your Social Security, OR your State voterregistration number. If you do not possess either of theseidentification numbers, the State shall assign a number that willserve to identify you for voter registration purposes.

Block 7: Complete street address of your Washington votingresidence. A post office box is not sufficient. If your addressincludes a rural route, describe its location in Block 9. Thisaddress must be within the county where you claim legalvoting residence.

Vote Your FWAB:

To find out the races and candidates for which you can vote, goto www.vote.wa.gov and click the MyVote icon. For eachoffice for which you vote, write in a candidate's name. Oncethe ballot is complete, fold and place it in the security envelopeand seal. Place only the voted ballot in the security envelopeand do not write on the security envelope.

Washington allows you to submit the FWAB by mail, email, orfax.

If you choose to mail your FWAB, mail the form directly toyour local election office. Addresses can be found at the end ofthis section.

If you choose to email your FWAB, you should send the formas a signed, scanned attachment. Email directly to your localelection office. Email addresses can be found atwww.vote.wa.gov and click “Contact Your County.”

If you choose to fax your FWAB, fax the form directly to yourlocal election official. Fax numbers can be found atwww.vote.wa.gov and click “Contact Your County.”. You mayalso use the DoD Electronic Transmission Service to fax yourFWAB toll-free. To use the Electronic Transmission Service,use the cover sheet available in Chapter 1 or at www.fvap.gov,and fax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to1-800-368-8683. International toll-free numbers can be foundon the inside back cover or at www.fvap.gov.

The FWAB must be received by the local election office by theballot return deadline. If you receive the State ballot aftersubmitting the voted FWAB, you may also vote and return theState ballot. If both ballots are received by the deadline, onlythe State ballot will be counted.

Adams Adams County Auditor210 W. Broadway Ave, Ste 200RItzville, WA 99169-1897Fax: 509-659-3254Email:heidih@co.adams.wa.us

Asotin Asotin County AuditorPO Box 129Asotin, WA 99402-0129Fax: 509-243-2087Email: dmckay@co.asotin.wa.us

Benton Benton County AuditorPO Box 470Prosser, WA 99350-0470Fax: 509-786-5528Email: elections@co.benton.wa.us

Chelan Chelan County AuditorPO Box 400Wenatchee, WA 98807-0400Fax: 509-667-6818Email: elections.ballots@co.chelan.wa.us

Clallam Clallam County Auditor223 E. 4th Street, Suite 1Port Angeles, WA 98362-3026Fax: 360-417-2517Email: auditor@co.clallam.wa.us

Clark Clark County AuditorPO Box 8815Vancouver, WA 98666-8815Fax: 360-397-2394Email: elections@clark.wa.gov

Columbia Columbia County Auditor341 E. Main Street, Suite 2Dayton, WA 99328-1361Fax: 509-382-4830Email: sharon_richter@co.columbia.wa.us

Cowlitz Cowlitz County Auditor207 - 4th Avenue N, Room 107Kelso, WA 98626-4130Fax: 360-442-7879Email: elections@co.cowlitz.wa.us

Douglas Douglas County AuditorPO Box 456Waterville, WA 98858-0456Fax: 509-745-8812Email: elections@co.douglas.wa.us

Ferry Ferry County Auditor350 E. Delaware Avenue, # 2Republic, WA 99166-9747Fax: 509-775-5208Email: elections@co.ferry.wa.us

Franklin Franklin County AuditorPO Box 1451Pasco, WA 99301-1451Fax: 509-543-2995Email: elections@co.franklin.wa.us

Garfield Garfield County AuditorPO Box 278Pomeroy, WA 99347-0278Fax: 509-843-3941Email: auditor@co.garfield.wa.us

Washington 2012-13 Voting Assistance Guide

Grant Grant County AuditorPO Box 37Ephrata, WA 98823-0037Fax: 509-754-6562Email: elections@co.grant.wa.us

Grays Harbor Grays Harbor County Auditor100 Broadway Avenue., W., Ste 2Montesano, WA 98563-3614Fax: 360-249-3330Email: ghcelections@co.grays-harbor.wa.us

Island Island County AuditorPO Box 1410Coupeville, WA 98239-1410Fax: 360-240-5553Email: elections@co.island.wa.us

Jefferson Jefferson County AuditorPO Box 563Port Townsend, WA 98368-0563Fax: 360-385-9228Email: karenc@co.jefferson.wa.us

King King County Elections Division919 SW Grady WayRenton, WA 98057-2906Fax: 206-296-0108Email: elections@kingcounty.gov

Kitsap Kitsap County Auditor614 Division StreetPort Orchard, WA 98366-4678Fax: 360-337-5769Email: auditor@co.kitsap.wa.us

Kittitas Kittitas County Auditor205 W. 5th Ave, # 105Ellensburg, WA 98926-2891Fax: 509-962-7687Email: elections@co.kittitas.wa.us

Klickitat Klickitat County Auditor205 S. Columbus, Stop 2Goldendale, WA 98620-9280Fax: 509-773-4244Email: voting@co.klickitat.wa.us

Lewis Lewis County AuditorPO Box 29Chehalis, WA 98532-0029Fax: 360-740-1421Email: hlborts@co.lewis.wa.us

Lincoln Lincoln County AuditorPO Box 28Davenport, WA 99122-0028Fax: 509-725-0820Email: sjohnston@co.lincoln.wa.us

Mason Mason County AuditorPO Box 400Shelton, WA 98584-0400Fax: 360-427-1753Email: amberc@co.mason.wa.us

Okanogan Okanogan County AuditorPO Box 1010Okanogan, WA 98840-1010Fax: 509-422-7163Email: elections@co.okanogan.wa.us

Pacific Pacific County AuditorPO Box 97South Bend, WA 98586-0097Fax: 360-875-9333Email: pgardner@co.pacific.wa.us

Pend Oreille Pend Oreille County AuditorPO Box 5015Newport, WA 99156-5015Fax: 509-447-2475Email: elections@pendoreille.org

Pierce Pierce County Auditor2501 S. 35th Street, Suite CTacoma, WA 98409-7484Fax: 253-798-2761Email: pcelections@co.pierce.wa.us

San Juan San Juan County AuditorPO Box 638Friday Harbor, WA 98250-0638Fax: 360-378-8856Email: elections@sanjuanco.com

Skagit Skagit County AuditorPO Box 1306Mt. Vernon, WA 98273-1306Fax: 360-336-9429Email: scelections@co.skagit.wa.us

Skamania Skamania County AuditorPO Box 790Stevenson, WA 98648-0790Fax: 509-427-3740Email: elections@co.skamania.wa.us

Snohomish Snohomish County Auditor3000 Rockefeller Ave., #505Everett, WA 98201-4060Fax: 425-259-2777Email: elections@snoco.org

Spokane Spokane County Auditor1033 W. GardnerSpokane, WA 99260-0020Fax: 509-477-6607Email: elections@spokanecounty.org

Stevens Stevens County Auditor215 S Oak St, Rm 106Colville, WA 99114-2836Fax: 509-684-7568Email: elections@co.stevens.wa.us

Thurston Thurston County Auditor2000 Lakeridge Drive, SWOlympia, WA 98502-6090Fax: 360-786-5223Email: elections@co.thurston.wa.us

Wahkiakum Wahkiakum County AuditorPO Box 543Cathlamet, WA 98612-0543Fax: 360-795-0824Email: tischerd@co.wahkiakum.wa.us

Walla Walla Walla Walla County AuditorElections DepartmentPO Box 2176Walla Walla, WA 99362-0176Fax: 509-524-2552Email: elections@co.walla-walla.wa.us

Whatcom Whatcom County Auditor311 Grand Avenue, Suite 103Bellingham, WA 98225-4038Fax: 360-738-4556Email: elections@co.whatcom.wa.us

Whitman Whitman County AuditorPO Box 191Colfax, WA 99111-0191Fax: 509-397-5281Email: elections@co.whitman.wa.us

Yakima Yakima County Auditor128 N. Second Street, #117Yakima, WA 98901-2639Fax: 509-574-1341Email: ivote@co.yakima.wa.us

West V

West Virginiawww.wvsos.com

Registering and Requesting Your Absentee BallotThe Federal Post Card Application submitted prior toNovember 4, 2008 and prior to October 28, 2009 registersyou to vote and requests absentee ballots for all subsequentFederal elections held through the next two regularlyscheduled general elections. After October 28, 2009 theFederal Post Card Application registers you to vote andrequests absentee ballots for all regularly scheduled Federalelections for the calendar year in which it is submitted.

Block 2: To automatically vote in primary elections, youmust enter your political party affiliation. If you areregistered non-partisan or undeclared, you must indicatewhich party ballot you want to receive. If you want tochange your political party affiliation, submit a completedFPCA indicating your new party preference to the localelection official no later than 21 days prior to the election.Political party affiliation is not required if only requestingabsentee ballots for general elections.

Your valid West Virginia Driver's License or Non-Driver IDCard number or the last four digits of your Social Securitynumber is required for voter registration. If you do notpossess either of these identification numbers, the Stateshall assign a number that will serve to identify you forvoter registration purposes.

Block 6: West Virginia allows you to receive your absenteeballot by mail, email or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour fax number or email address in Block 5. If you do notmake a selection, then your local election official willdecide how to transmit your ballot to you.

Block 7: Complete street address of your West Virginiavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

West Virginia allows you to submit the FPCA by mail,email, or fax. However, if you are using the FPCA toregister to vote you must mail the original to the CountyClerk.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found at

West Virginia 2012-13 Voting Assistance Guide

http://www.sos.wv.gov/public-services/contacts/Pages/ClerkCountyComm.aspx.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://www.sos.wv.gov/public-services/contacts/Pages/ClerkCountyComm.aspx. You mayalso use the DoD Electronic Transmission Service to faxyour FPCA toll-free. To use the Electronic TransmissionService, use the cover sheet available in Chapter 1 or atwww.fvap.gov, and fax to: (703) 693-5527, DSN 223-5527,or toll-free from the U.S., Canada, Guam, Puerto Rico, andthe Virgin Islands to 1-800-368-8683. International toll-freenumbers can be found on the inside back cover or atwww.fvap.gov

To find out the status of your registration/absentee ballotrequest, contact your local election office or refer to WestVirginia’s voter registration verification website at: http://apps.sos.wv.gov/elections/voter/am-i-registered.aspx.

A U.S. citizen who was born abroad and who is eligible tovote and who has never lived in the U.S. may register andvote in the county where either parent would be eligible tovote.

Voted ballots with an official postmark must be receivedby the local election no later than 5 business days(excluding Sunday) after general, special and primaryelections. Mailed ballots with no postmark must bereceived by the local election official by the day afterElection Day. Ballots returned by email or fax must bereceived by the close of polls on Election Day.

You may return the voted ballot by mail, email or fax. UseFPCA instructions under “How and Where to Submit YourFPCA.”

To track the status of your ballot use the instructions andlink provided with the ballot that is sent to you.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!West Virginia allows you to use the Federal Write-InAbsentee Bal lot (FWAB) for vot ing in pr imary,general,and special elections for local, State and Federaloffices as well as non-candidate ballot issues. If you areregistered and have requested your absentee ballot, feel freeto use the FWAB to vote anytime before an election.

2012-13 Voting Assistance Guide West Virginia

West V

Block 1: West Virginia does not allow you to use this formto register. Do not check the registration box.

Block 6: Enter your political party affiliation or writeundeclared or non-partisan if you are voting in a primaryelection. Non-partisan voters may vote in a party primaryelection, subject to party rules.

Block 7: Complete street address of your West Virginiavoting residence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any local, State or Federal office in a primary,general or special election.To find out the races andcandidates for which you can vote, go to www.wvsos.com.For each office for which you vote, write in either acandidate's name or a political party designation. Once theballot is complete, fold and place it in the security envelopeand seal. Place only the voted ballot in the securityenvelope and do not write on the security envelope.

West Virginia allows you to submit the FWAB by mail,email or fax. See instructions for returning a voted ballot.

If you choose to mail your FWAB, insert the sealed securityenvelope and the Voter's Declaration/Affirmation into the

mailing envelope and mail the ballot directly to your localelection office. Addresses can be found on the followingpage.

If you choose to email your FWAB you should send theform as a signed, scanned attachment. Email directly toyour local election office. Email addresses can be found athttp://www.sos.wv.gov/public-services/contacts/Pages/ClerkCountyComm.aspx.

If you choose to fax your FWAB, it is recommended thatyou fax the ballot directly to your local election official.Fax numbers and email addresses can be found atwww.wvsos.com. Include ballot, voter affirmation, andcover sheet with secrecy waiver. You may also use the DoDElectronic Transmission Service to fax your FWAB toll-free. To use the Electronic Transmission Service, use thecover sheet available in Chapter 1 or at www.fvap.gov, andfax to: (703) 693-5527, DSN 223-5527, or toll-free fromthe U.S., Canada, Guam, Puerto Rico, and the VirginIslands to 1-800-368-8683. International toll-free numberscan be found on the inside back cover or at www.fvap.gov.

Barbour Barbour Clerk of the County Commission8 North Main StreetPhilippi, WV 26416-1140Fax: 304-457-2790Email: barbourcounty@wvsos.com

Berkeley Berkeley Clerk of the County Commission100 West King StreetMartinsburg, WV 25401-3210Fax: 304-267-1794Email: berkeleyco@wvsos.com

Boone Boone Clerk of the County Commission200 State StreetMadison, WV 25130-1189Fax: 304-369-7329Email: boonecounty@wvsos.com

Braxton Braxton Clerk of the County Commission300 Main StreetSutton, WV 26601-1313Fax: 304-765-2093Email: braxtoncounty@wvsos.com

Brooke Brooke Clerk of the County Commission632 Main StreetWellsburg, WV 26070-0474Fax: 304-737-4023Email: brookecounty@wvsos.com

Cabell Cabell Clerk of the County Commission750 5th Avenue, Suite 300Huntington, WV 25701-0545Fax: 304-526-8632Email: cabellcounty@wvsos.com

Calhoun Calhoun Clerk of the County CommissionPO Box 230Grantsville, WV 26147-0266Fax: 304-354-6725Email: calhouncounty@wvsos.com

Clay Clay Clerk of the County CommissionPO Box 196Clay, WV 25403-0129Fax: 304-587-7329Email: claycounty@wvsos.com

Doddridge Doddridge Clerk of the County Commission118 East Court Street, Room 102West Union, WV 26546-1297Fax: 304-873-1840Email: doddridgecounty@wvsos.com

Fayette Fayette Clerk of the County CommissionPO Box 569Fayetteville, WV 25840-1517Fax: 304-574-4335Email: fayettecounty@wvsos.com

Gilmer Gilmer Clerk of the County Commission10 Howard StreetGlenville, WV 26351-1246Fax: 304-462-8855Email: gilmercounty@wvsos.com

Grant Grant Clerk of the County Commission5 Highland AvenuePetersburg, WV 26847-1795Phone: 304-257-4550Fax: 304-647-6694Email: grantcounty@wvsos.com

Greenbrier Greenbrier Clerk of the County Commission200 North Court StreetLewisburg, WV 24901-0751Fax: 304-647-6694Email: greenbriercounty@wvsos.com

Hampshire Hampshire Clerk of the County Commission66 North High StreetRomney, WV 26757-1696Fax: 304-822-4039Email: hampshirecounty@wvsos.com

Hancock Hancock Clerk of the County CommissionPO Box 367New Cumberland, WV 26047-0428Fax: 304-564-5941Email: hancockcounty@wvsos.com

Hardy Hardy Clerk of the County Commission204 Washington StreetMoorefield, WV 26836-1155Fax: 304-530-0251Email: hardycounty@wvsos.com

Harrison Harrison Clerk of the County Commission301 West Main StreetClarksburg, WV 26301-2967Fax: 304-624-8575Email: harrisoncounty@wvsos.com

Jackson Jackson Clerk of the County CommissionPO Box 800Ripley, WV 25271-0427Fax: 304-372-1107Email: jacksoncounty@wvsos.com

Jefferson Jefferson Clerk of the County CommissionPO Box 208Charles Town, WV 25414-1072Fax: 304-728-1957Email: jeffersoncounty@wvsos.com

Kanawha Kanawha Clerk of the County Commission407 Virginia Street, EastCharleston, WV 25301-2500Fax: 304-357-0585Email: kanawhacounty@wvsos.com

Lewis Lewis Clerk of the County CommissionPO Box 466Weston, WV 26452-0069Fax: 304-269-8202Email: lewiscounty@wvsos.com

Lincoln Lincoln Clerk of the County CommissionPO Box 497Hamlin, WV 25523-1419Fax: 304-824-2444Email: lincolncounty@wvsos.com

Logan Logan Clerk of the County Commission300 Stratton StreetLogan, WV 25601-3939Fax: 304-792-8621Email: logancounty@wvsos.com

Marion Marion Clerk of the County CommissionPO Box 1267Fairmont, WV 26554-1269Fax: 304-367-5448Email: marioncounty@wvsos.com

Marshall Marshall Clerk of the County CommissionPO Box 459Moundsville, WV 26041-2129Fax: 304-845-5891Email: marshallcounty@wvsos.com

Mason Mason Clerk of the County Commission200 6th StreetPoint Pleasant, WV 25550-1131Fax: 304-675-2521Email: masoncounty@wvsos.com

McDowell McDowell Clerk of the County Commission90 Wyoming Street, Suite 109Welch, WV 24801-0400Fax: 304-436-8576Email: mcdowellcounty@wvsos.com

Mercer Mercer Clerk of the County Commission1501 West Main StreetPrinceton, WV 24740-2626Fax: 304-487-9842Email: mercercounty@wvsos.com

Mineral Mineral Clerk of the County Commission150 Armstrong StreetKeyser, WV 26726-3597Fax: 304-788-4109Email: mineralcounty@wvsos.com

Mingo Mingo Clerk of the County CommissionPO Box 1197Williamson, WV 25661-0435Fax: 304-235-0328Email: mingocounty@wvsos.com

Monongalia Monongalia Clerk of the County Commission243 High StreetMorgantown, WV 26505-5427Fax: 304-291-7233Email: monongaliacounty.@wvsos.com

Monroe Monroe Clerk of the County CommissionPO Box 350Union, WV 24983-0350Fax: 304-772-4191Email: monroecounty@wvsos.com

Morgan Morgan Clerk of the County Commission83 Fairfax StreetBerkeley Springs, WV 25411-1501Fax: 304-258-8545Email: morgancounty@.wvsos.com

Nicholas Nicholas Clerk of the County Commission700 Main Street, Suite 2Summersville, WV 26651-1489Fax: 304-872-9600Email: nicholascounty@wvsos.com

Ohio Ohio Clerk of the County Commission1500 Chapline StreetWheeling, WV 26003-3592Fax: 304-234-3829Email: ohiocounty@wvsos.com

Pendleton Pendleton Clerk of the County CommissionPO Box 1167Franklin, WV 26807-0089Fax: 304-358-2473Email: pendletoncounty@wvsos.com

Pleasants Pleasants Clerk of the County Commission301 Court LaneSt. Marys, WV 26170-1317Fax: 304-684-7569Email: pleasantscounty@wvsos.com

Pocahontas Pocahontas Clerk of the County Commission900-C 10th AvenueMarlinton, WV 24954-1394Fax: 304-799-6947Email: pocahontascounty@wvsos.com

Preston Preston Clerk of the County Commission101 West Main Street, Room 201Kingwood, WV 26537-1127Fax: 304-329-0198Email: prestoncounty@wvsos.com

2012-13 Voting Assistance Guide West Virginia

West V

Putnam Putnam Clerk of the County Commission3389 Winfield RoadWinfield, WV 25213-0358Fax: 304-586-0280Email: putnamcounty@wvsos.com

Raleigh Raleigh Clerk of the County Commission215 Main StreetBeckley, WV 25802-4688Fax: 304-255-9352Email: raleighcounty@wvsos.com

Randolph Randolph Clerk of the County CommissionPO Box 368Elkins, WV 26241-4099Fax: 304-636-0544Email: randolphcounty@wvsos.com

Ritchie Ritchie Clerk of the County Commission115 East Main StreetHarrisville, WV 26362-1271Fax: 304-643-2906Email: ritchiecounty@wvsos.com

Roane Roane Clerk of the County CommissionPO Box 69Spencer, WV 25276-0122Fax: 304-927-2489Email: roanecounty@wvsos.com

Summers Summers Clerk of the County Commission120 Ballengee StreetHinton, WV 25951-1058Fax: 304-466-7146Email: summerscounty@wvsos.com

Taylor Taylor Clerk of the County Commission214 West Main StreetGrafton, WV 26354-1387Fax: 304-265-5450Email: taylorcounty@wvsos.com

Tucker Tucker Clerk of the County Commission215 First StreetParsons, WV 26287-1235Fax: 304-478-2446Email: tuckercounty@wvsos.com

Tyler Tyler Clerk of the County CommissionPO Box 66Middlebourne, WV 26149-0008Fax: 304-758-2126Email: tylercounty@wvsos.com

Upshur Upshur Clerk of the County Commission38 West Main StreetBuckhannon, WV 26201-2259Fax: 304-472-1029Email: upshurcounty@wvsos.com

Wayne Wayne Clerk of the County CommissionPO Box 248Wayne, WV 25570-0038Fax: 304-272-5318Email: waynecounty@wvsos.com

Webster Webster Clerk of the County Commission2 Court SquareWebster Springs, WV 26288-1095Fax: 304-847-5780Email: webstercounty@wvsos.com

Wetzel Wetzel Clerk of the County CommissionPO Box 156New Martinsville, WV 26155-0263Fax: 304-455-5256Email: wetzelcounty@wvsos.com

Wirt Wirt Clerk of the County CommissionPO Box 53Elizabeth, WV 26143-0465Fax: 304-275-3418Email: wirtcounty@wvsos.com

Wood Wood Clerk of the County Commission#1 Court SquareParkersburg, WV 26101-5353Fax: 304-424-1982Email: woodcounty@wvsos.com

Wyoming Wyoming Clerk of the County CommissionPO Drawer 309Pineville, WV 24874-9802Fax: 304-732-7262Email: wyomingcounty@wvsos.com

Wisconsinhttp://gab.wi.gov

These are not mailing deadlines. Mail your voting materials early enough to account for mail delivery times. Check the Recommended Mailing Dates below for details.

Information is current as of March 2012.Check www.fvap.gov for updates.

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers uniformedservice voters to vote and requests absentee ballots for allelections held through the next three regularly scheduledgeneral elections.

The Federal Post Card Application registers overseascitizen voters to vote and for those permanently overseasrequests absentee ballots for all elections held through thenext two regularly scheduled general elections. For thosetemporarily overseas, the FPCA requests a ballot for oneelection.

Registration is not required for Uniformed Servicemembers, overseas civilians officially attached to the

military, Merchant Marines, overseas civilian employees ofthe U.S. government, Peace Corps volunteers, and familymembers of the above. You must still complete and submitthe form for absentee ballot request.

Block 1: Select the category that describes you. If youcurrently reside outside the U.S. and intend to return andare not currently registered to vote in Wisconsin, you mustenclose proof of Wisconsin residency (such as a copy of acurrent Wisconsin Driver’s License, Wisconsin I.D. card,bank statement, or utility bill) with this application.Documents must contain your full name and completevoting address.

DEADLINES FOR UNIFORMED

SERVICES AND THEIR FAMILIES

Presidential PrimaryApril 3, 2012

Ballot Return 4 PM, April 6, 2012 Postmarked by:August 14, 2012

Received by: August 21, 2012

Postmarked by:November 6, 2012

DEADLINES FOR OVERSEAS

CITIZENS

Presidential PrimaryApril 3, 2012

Registration March 3, 2012 July 25, 2012 October 17, 2012

Ballot Return 4 PM, April 6, 2012 August 14, 2012 November 6, 2012

Wisconsin 2012-13 Voting Assistance Guide

Block 3: Name (Last, First, Middle). Make sure the nameyou entered in here matches the name that appears on youridentification document for Block 4.

Enter your Wisconsin Driver's License number. If you havenot been issued a Wisconsin Driver’s License, enter yourWisconsin I.D. card number OR the last four digits of yourSocial Security number.

Block 6: Wisconsin allows you to receive your absenteeballot by mail, email, or fax. Please rank your preference ofhow you would like to receive your absentee ballot. Provideyour email address or fax number in Block 5. If you do notmake a selection, then your local election official will mailyour ballot to you.

Block 7: Complete street address of your Wisconsin votingresidence. A post office box is not sufficient. This addressmust be within the municipality where you claim legalvoting residence.

Wisconsin allows you to submit the FPCA by mail, email,or fax.

If you choose to email your FPCA, you should send theform as a signed, scanned attachment. Email addresses canbe found at http://gab.wi.gov/clerks/directory.

If you choose to fax your FPCA, it is recommended thatyou fax the form directly to your local election official. Faxnumbers can be found at http://gab.wi.gov/clerks/directory.You may also use the DoD Electronic Transmission Serviceto fax your FPCA toll-free. To use the ElectronicTransmission Service, use the cover sheet available inChapter 1 or at www.fvap.gov, and fax to: (703) 693-5527,DSN 223-5527, or toll-free from the U.S., Canada, Guam,

Puerto Rico, and the Virgin Islands to 1-800-368-8683.International toll-free numbers can be found on the insideback cover or at www.fvap.gov.

To find out the status of your registration, contact your localelection office or refer to Wisconsin’s voter registrationverification website at: https://vpa.wi.gov/.

You may request an absentee ballot for any State, local, orFederal election in a calendar year by sending a writtenrequest, including the information required on the FPCA.

A U.S. citizen who was born abroad and who is eligible tovote and who has never lived in the U.S. may register andvote in the municipality where a parent would be eligible tovote (for Federal offices only).

Voting Your BallotLocal election officials send write-in absentee ballots 90days before elections. (Uniformed Service members andtheir families receive write-in ballots for all elections.Overseas citizens who permantently reside overseas receivewrite-in ballots for Federal elections only. Overseas citizenstemporarily residing overseas will not receive a write-inballot.) Official printed absentee ballots are also sent 30days before fall primary and general elections and 21 daysbefore all other elections.

Voted ballots must be received by Election Day. Votedballots for Uniformed Service members and theirfamilies must be postmarked by Election Day andreceived by the local election office no later than 7 daysafter September primaries and 10 days after Novembergeneral elections.

The certificate on the voted ballot’s return envelope must bewitnessed by one adult U.S. citizen, and signed by you andthe witness.

2012-13 Voting Assistance Guide Wisconsin

You may track the status of your ballot at: https://vpa.wi.gov/.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Wisconsin allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in general elections for Federaloffice only if you previously registerd and requested aballot for this election. Otherwise you must submit anFPCA with the FWAB for it to be counted. Uniformedservice members may also use the FWAB to vote for Stateand local offices, and non-candidate ballot issues. Feel freeto use the FWAB to vote anytime before an election.

Block 1: Wisconsin does not allow you to use this form forregistration. Do not check the registration block. (Note:Wisconsin does not require voter registration for UniformedService members and their families.)

Block 2: Select the category that describes you. U.S.Citizens residing outside the U.S. temporarily are noteligible to use this form.

Block 3: Name (Last, First, Middle). Make sure the nameyou entered in here matches the name that appears on youridentification document for Block 4.

Block 4 : Date of Birth

Enter your Wisconsin Driver's License number. If you havenot been issued a Wisconsin Driver’s License, enter yourWisconsin I.D. card number OR the last four digits of yourSocial Security number. If you have not been issued any ofthese identification numbers, the State shall assign anumber that will serve to identify you for voter registrationpurposes.

Block 7: Complete street address of your Wisconsin votingresidence. A post office box is not sufficient. This addressmust be within the municipality where you claim legalvoting residence.

Affirmation: Sign and date in the presence of one adultU.S. citizen witness. The witness must sign and date theform.

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go tohttps://vpa.wi.gov/. For each office for which you vote,write in either a candidate's name or a political partydesignation. Once the ballot is complete, fold and place it inthe security envelope and seal. Place only the voted ballotin the security envelope and do not write on the securityenvelope.

Local Election Office AddressesWisconsin has many municipal jurisdictions. A list of themajor municipalities is below. A complete list of all localelection offices, along with addresses and telephonenumbers, may be found at: http://gab.wi.gov/clerks/directory.

City or Village Mailing Address

City of Appleton Municipal Clerk100 North Appleton StreetAppleton, WI 54911-4799Fax: (920) 832-5823Email:cindi.hesse@appleton.org

City of Beloit Municipal Clerk100 State StreetBeloit, WI 53511-6234Fax: (608) 364-6649Email: housemano@ci.beloit.wi.us

City of Brookfield Municipal Clerk2000 North Calhoun RoadBrookfield, WI 53005-5095Fax: (262) 796-6671Email: schmidt@ci.brookfield.wi.us

City of Cudahy Municipal ClerkPO Box 100510Cudahy, WI 53110-6108Fax: (414) 769-2257Email: gossr@ci.cudahy.wi.us

City of Eau Claire Municipal ClerkPO Box 5148Eau Claire, WI 54702-5148Fax: (715) 839-6177Email: donna.austad@ci.eau-claire.wi.us

City of Fond du Lac Municipal ClerkPO Box 150Fon du Lac, WI 54936-0150Fax: (920) 322-3431Email: sstrands@ci.fond-du-lac.wi.us

City of Franklin Municipal Clerk9229 West Loomis RoadFranklin, WI 53132-9728Fax: (414) 425-6428Email: swesolowski@franklinwi.gov

City of Green Bay Municipal ClerkPO Box 1565Green Bay, WI 54305-1565Fax: (920) 448-3016Email:laurina@ci.green-bay.wi.us

Village of Greendale Municipal ClerkPO Box 257Greendale, WI 53129-0257Fax: (414) 423-2106Email: jsiefert@greendale.org

City of Greenfield Municipal Clerk7325 West Forest Home AvenueGreenfield, WI 53220-3396Fax: (414) 543-0591Email: jenniferg@greenfieldwi.us

City of Janesville Municipal ClerkPO Box 5005Janesville, WI 53545-5005Fax: (608) 755-3196Email: wulfj@ci.janesville.wi.us

City of Kaukauna Municipal ClerkPO Box 890Kaukauna, WI 54130-0890Fax: (920) 766-6339Email: dudasj@kaukauna-wi.org

CIty of Kenosha Municipal Clerk625 52nd Street, Room 105Kenosha, WI 53140-3480Fax: (262) 653-4023Email: mhiggins@kenosha.org

City of La Crosse Municipal Clerk400 La Crosse StreetLa Crosse, WI 54601-3396Fax: (608) 789-7552Email: lehrket@cityoflacrosse.org

City of Madison Municipal Clerk210 Martin Luther King Jr, Rm103Madison, WI 53703-3342Fax: (608) 266-4666Email: mwitzel-behl@cityofmadison.com

City of Manitowoc Municipal Clerk900 Quay StreetManitowoc, WI 54220-4543Fax: (920) 686-6959Email: jhudon@manitowoc.org

City of Marshfield Municipal ClerkPO Box 727Marshfield, WI 54449-0727Fax: (715) 384-7831Email: debbie.hall@ci.marshfield.wi.us

Village of Menomonee Falls Municipal ClerkW156 N8480 Pilgrim RoadMenomonee Falls, WI 53051-3140Fax: (262) 532-4219Email: jhintze@meniminee-falls.org

City of Milwaukee City Board of Election Commissioners200 East Wells Street, Room 501Milwaukee, WI 53202-3565Fax: (414) 286-8445Email: sedman@milwaukee.gov

City of Neenah Municipal ClerkPO Box 426Neenah, WI 54957-0426Fax: (920) 886-6109Email: psturn@ci.neenah.wi.us

City of New Berlin Municipal ClerkPO Box 510921New Berlin, WI 53151-0921Fax: (262) 786-6121Email: mgauger@newberlin.org

City of Oak Creek Municipal Clerk8640 South Howell AvenueOak Creek, WI 53154-2948Fax: (414) 768-9587Email: pbauer@oakcreekwi.org

City of Oshkosh Municipal ClerkPO Box 1130Oshkosh, WI 54903-1130Fax: (920) 236-5039Email: pubrig@ci.oshkosh.wi.us

City of Racine Municipal Clerk730 Washington Avenue, #102Racine, WI 53403-1184Fax: (262) 636-9298Email: janice.johnson-martin@cityofracine.org

City of Sheboygan Municipal Clerk828 Center AvenueSheboygan, WI 53081-4496Fax: (920) 459-2917Email: srichards@ci.sheboygan.wi.us

City of South Milwaukee Municipal ClerkPO Box 367South Milwaukee, WI 53172-0367Fax: (414) 762-3272Email: shelenske@ci.south-milwaukee.wi.us

2012-13 Voting Assistance Guide Wisconsin

City of Stevens Point Municipal Clerk1515 Strongs AvenueStevens Point, WI 54481-3594Fax: (715) 346-1498Email: jmoe@stevenspoint.com

City of Superior Municipal Clerk1316 North 14th Street, Suite 200Superior, WI 54880-1776Fax: (715) 395-7264Email: kalant@ci.superior.wi.us

City of Watertown Municipal ClerkPO Box 477Watertown, WI 53094-0477Fax: (920) 262-4016Email: mikeh@cityofwatertown.org

City of Waukesha Municipal Clerk201 Delafield StreetWaukesha, WI 53188-3692Fax: (262) 524-3888Email: gkozlik@ci.waukesha.wi.us

City of Wausau Municipal Clerk407 Grant StreetWausau, WI 54403-4783Fax: (715) 261-6626Email: toni.ragala@mail.ci.wausau.wi.us

City of Wauwatosa Municipal Clerk7725 West North AvenueWauwatosa, WI 53213-1720Fax: (414) 479-8989Email: mschultz@wauwatosa.net

City of West Allis Municipal Clerk7525 West Greenfield AvenueWest Allis, WI 53214-4688Fax: (414) 302-8207Email: pziehler@ci.west-allis.wi.us

City of West Bend Municipal Clerk1115 South Main StreetWest Bend, WI 53095-4658Fax: (262) 335-5164Email: wbclk@ci.west-bend.wi.us

City of Wisconsin Rapids Municipal Clerk444 West Grand AvenueWisconsin Rapids, WI 54495-2780Fax: (715) 421-8280Email: sblaser@wirapids.org

Wyominghttp://soswy.state.wy.us/Elections/Elections.aspx

Registering and Requesting Your Absentee BallotThe Federal Post Card Application registers you to vote andrequests absentee ballots for all Federal elections heldthrough the next two regularly scheduled general elections.

Wyoming only accepts the FPCA as a temporaryregistration and absentee ballot request. If you temporarilyregister using the FPCA, you will only be able to voteabsentee, not in person.

To register permanently, state in Block 9 of the FPCA thatyou would like to receive a Wyoming Voter Registrationform. Complete the Wyoming Voter Registration Form andreturn it to your local election official. You may also findthe form online at: http://soswy.state.wy.us/Elections/RegisteringToVote.aspx. The Wyoming Voter RegistrationForm must be received no later than 14 days before theelection.

Your valid Wyoming Driver's License number OR the lastfour digits of your Social Security number is required forvoter registration. If you do not possess either of theseidentification numbers, the State shall assign a number thatwill serve to identify you for voter registration purposes.

Block 6: Wyoming does not allow you to receive yourblank ballot by fax. More transmission options may beavailable. Check www.fvap.gov for updates.

Blocks 7: Complete street address of your Wyoming votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

You must mail your FPCA to your local election office.Addresses can be found at the end of this section.

To find out the status of your registration/absentee ballotrequest, contact your local election office. Contactinformation can be found at http://soswy.state.wy.us/Elections/CountyClerks.aspx.

DEADLINES Presidential PrimaryTBD

Registration TBD August 7, 2012 October 23, 2012

Ballot Request TBD August 20, 2012 November 5, 2012

Ballot Return TBD August 21, 2012 November 6, 2012

Wyoming 2012-13 Voting Assistance Guide

Ballot Request By Phone, Email, Letter, or Proxy

A request for an absentee ballot may be made on your behalfby another individual in writing or by telephone. You may alsorequest a ballot personally by telephone, email, or letter. Thefollowing information about you must be provided to the localelection office.

— Name

— Legal voting residence including street, city, countyand zip code

— Date of birth

— Election for which the absentee ballot is requested

— Political party (if requesting a primary ballot)

— A statement that you are entitled to vote in theelection

— Address to which the absentee ballot should bemailed or the name of the person that you designatein writing to deliver your ballot

Late Registration

Any Uniformed Service member, family member, or overseascitizen who has been discharged, terminated their service, orreturns to the United States less than 14 days before anelection, and who is otherwise eligible to register, may register(with proper identification) and vote at the polls on ElectionDay.

Voting Your Ballot Local election officials send absentee ballots approximately 45days before primary and general elections.

Voted ballots must be received by the local election officeby close of polls on Election Day.

You may track the status of your ballot at: http://soswy.state.wy.us/Elections/MOVE_Overview.aspx.

Haven’t Received Your Ballot? Don’t Wait Until It’s Too Late. . . Use the Federal Write-In Absentee Ballot!Wyoming allows you to use the Federal Write-In AbsenteeBallot (FWAB) for voting in primary, general, and specialelections for Federal office. If you are registered and haverequested your absentee ballot, feel free to use the FWAB tovote anytime before an election.

Block 1: Wyoming does not allow you to use this form forregistration. Do not check the registration block.

2012-13 Voting Assistance Guide Wyoming

Enter your valid Wyoming Driver's License number, thelast four digits of your Social Security number OR yourState voter registration number.

Block 7: Complete street address of your Wyoming votingresidence. A post office box is not sufficient. If youraddress includes a rural route, describe its location in Block9. This address must be within the county where you claimlegal voting residence.

Vote Your FWAB:

Vote for any Federal office in a general election. To find outthe races and candidates for which you can vote, go to http://soswy.state.wy.us/Elections/Elections.aspx. For each officefor which you vote, write in either a candidate's name or apolitical party designation. Once the ballot is complete, foldand place it in the security envelope and seal. Place only thevoted ballot in the security envelope and do not write on thesecurity envelope.

The deadlines for submitting the FWAB are the same as forregular State absentee ballots. If you receive the regularballot after submitting the voted FWAB, you may also voteand return the regular ballot. If both ballots are received bythe deadline, only the regular ballot will be counted.

Albany Albany County Clerk525 Grand Avenue, Suite 202 Laramie, WY 82070Fax: 307-721-2544Email:jgonzales@co.albany.wy.us

Big Horn Big Horn County ClerkCounty Courthouse, PO Box 31Basin, WY 82410-0031Fax: 307-568-9375Email: clerk@bighorncountywy.gov

Campbell Campbell County ClerkPO Box 3010Gillette, WY 82717-3010Fax: 307-687-6455Email: sfs02@ccgov.net

Carbon Carbon County ClerkPO Box 6Rawlins, WY 82301-0006Fax: 307-328-2669Email: gwynnbartlett@carbonwy.com

Converse Converse County Clerk107 North 5th Street, Suite 114Douglas, WY 82633-2448Fax: 307-358-5998Email: lucile.taylor@conversecounty.org

Crook Crook County ClerkPO Box 37Sundance, WY 82729-0037Fax: 307-283-3038Email: conniet@crookcounty.wy.gov

Fremont Fremont County Clerk450 North 2nd St., Room 220Lander, WY 82520-0090Fax: 307-332-1132Email: julie.freese@fremontcountygovernment.org

Goshen Goshen County ClerkPO Box 160Torrington, WY 82240-0160Fax: 307-532-7375Email: caddy@goshencounty.org

Hot Springs Hot Springs County Clerk415 ArapahoeThermopolis, WY 82443-2783Fax: 307-864-3333Email: hanso@hscounty.com

Johnson Johnson County Clerk76 North Main StreetBuffalo, WY 82834-1883Fax: 307-684-2708Email: clerk@johnsoncowy.us

Laramie Laramie County ClerkPO Box 608Cheyenne, WY 82003-0608Fax: 307-633-4240Email: dlathrop@laramiecountyclerk.com

Lincoln Lincoln County Clerk925 Sage Avenue, Suite 101Kemmerer, WY 83101Fax: 307-877-3101Email: jwagner@lcwy.org

Natrona Natrona County ClerkPO Box 863Casper, WY 82601-0863Fax: 307-235-9367Email: rvitto@natronacounty-wy.gov

Niobrara Niobrara County ClerkPO Box 420Lusk, WY 82225-0420Fax: 307-334-3013Email: niocc@qwestoffice.net

Park Park County Clerk1002 SheridanCody, WY 82414-3589Fax: 307-527-8626Email: jerri.torczon@parkcounty.us

Platte Platte County ClerkPO Drawer 728Wheatland, WY 82201-0728Fax: 307-322-2245Email: pcclerk@plattecountywyoming.com

Sheridan Sheridan County Clerk224 South Main Street, Suite B-2 Sheridan, WY 82801-4855Fax: 307-674-2909Email: ethompson@sheridancounty.com

Sublette Sublette County ClerkPO Box 250Pinedale, WY 82941-0250Fax: 307-367-6396Email: maryl@sublettewyo.com

Sweetwater Sweetwater County Clerk80 West Flaming Gorge Way, Suite 150Green River, WY 82935Fax: 307-872-3994Email: davisd@sweet.wy.us

Wyoming 2012-13 Voting Assistance Guide

Teton Teton County ClerkPO Box 1727Jackson, WY 83001-1727Fax: 307-732-8681Email: sdaigle@tetonwyo.org

Uinta Uinta County ClerkPO Box 810Evanston, WY 82930-0810Fax: 307-783-0376Email: lawilcox@uintacounty.com

Washakie Washakie County ClerkPO Box 260Worland, WY 82401-0260Fax: 307-347-9366Email: clerk@washakiecounty.net

Weston Weston County Clerk1 West MainNewcastle, WY 82701-2121Fax: 307-746-9505Email: wcclerk@rtconnect.net

2012-13 Voting Assistance Guide Guide for Voting Assistance Officers

Chapter 3Guide for Voting Assistance Officers

Your ResponsibilitiesAs a Voting Assistance Officer (VAO), you are part of aworldwide network of military members, U.S. governmentemployees, and volunteers who aid in ensuring that citizenscovered under the Uniformed and Overseas CitizensAbsentee Voting Act (UOCAVA) understand their votingrights and know how to vote absentee. These citizensinclude: active duty members of the Uniformed Services orMerchant Marine, their family members, and citizensresiding outside the U.S. VAOs provide these citizens withaccurate and nonpartisan voting information and assistance.You should:

Become familiar with www.fvap.gov, yourorganization or service voting website, the forms andabsentee voting process.

Follow FVAP on Facebook, Twitter, and LinkedIn.Links are available on www.fvap.gov.

Take advantage of FVAP training opportunities.Workshops are offered at military installations andDepartment of State locations worldwide. ContactFVAP or your Service Voting Action Officer for aworkshop schedule. Training may also be completedonline at www.fvap.gov.

Keep current by signing up to receive news releases,a l so a v a i l a b l e o n l i n e . To su b sc r i b e , e m a i lvote@fvap.gov and provide your email address.

Ensure delivery of FPCAs to unit members by January15 of each year if you are a military VAO. If you are acivilian VAO, ensure delivery of FPCAs to overseascitizens by July 15 of each year.

Assist citizens in filling out the FPCA according totheir State’s specific requirements. Remind them toinclude an email address, phone and/or fax number sothat the local election offices may contact them, ifneeded.

Ensure that there is an adequate supply of FPCAs onhand for year-round registration, absentee ballotrequests, and change of address requests for citizensmoving or changing assignment location.

Serve as coordinator for FVAP on-site workshops ifone is scheduled for your installation.

Conduct non-partisan voter registration drives. ArmedForces Voters Week, Overseas Citizens Voters Week,and Absentee Voting Week are excellent times to getthe word out . During Absentee Voting Week,announce through various media that voters shouldreturn their voted ballots immediately. If citizens havenot received their requested State ballot by this week

(or earlier based on location), encourage them to usethe Federal Write-In Absentee Ballot (FWAB).

Ensure that there is an adequate supply of FWABs onhand year-round for citizens to use in case they do notreceive their official State absentee ballot.

Refer local residents to the Installation VotingAssistance Office for local registration.

Post notices on bulletin boards and in high-trafficareas encouraging citizens to register and vote.

Create or continue a Continuity Folder.

Provide your installation directory with contactinformation for referrals if you are a military VAO.

Assign an Assistant Voting Assistance Officer to helpyou fulfill your duties as VAO and provide support tovoters in your absence.

Extend assistance to family members, to include thesharing of information at family events.

Your responsibilities may also include serving in anInstallation Voting Assistance Office. A handbook forOffice personnel is available on the FVAP website at http://www.fvap.gov/resources/media/installation-vao-handbook.pdf

How You Can Assist VotersDetermining Voting Residency

To vote in U.S. elections, citizens must have a legal votingresidence address in a State or territory. The issue of votingresidence can be complex, depending on individualcircumstances. Even in States where laws clearly definecriteria for determining voting residence, the finaldetermination is generally up to each local election office.

For voting purposes, "legal voting residence" can be thestate or territory where the citizen last resided prior toentering military service OR the state or territory that thecitizen has since claimed as their legal residence.

Even though the citizen may no longer maintain formal tiesto that residence, the address determines their proper votingjurisdiction. To claim a new legal residence, the citizenmust have simultaneous physical presence and the intent toreturn to that location as their primary residence.

Military and their family members may change their legalresidence every time they change permanent duty stations,or they may retain their legal residence without change.

Guide for Voting Assistance Officers 2012-13 Voting Assistance Guide

This may mean that the family's Uniformed Servicemember has a different legal voting residence than his/herfamily members.

A Judge Advocate General officer or legal counsel shouldbe consulted before the citizen changes legal residence,because there are usually other factors that should beconsidered besides voting.

Asking citizens the following questions may helpadvise them on voting residence:

— Where have you registered to vote or voted?

— What State or territory has issued you a driver’slicense, any other license or identification card?

— Where is your motor vehicle registered?

— Where is your home or home of record?

— What State or territory are you from?

— Where did you live before coming here?

— Where did you live immediately before leavingthe United States?

— Where does your family live?

— Where do your parents live?

— Where do you own property?

— What State do you claim for tax residency?

Assisting Citizens to Complete theFederal Post Card Application (FPCA)

The FPCA can be used by military and overseas citizens tosimultaneously register to vote and request an absenteeballot. As a VAO, you should help citizens correctlycomplete their FPCAs if requested. Local election officialsdetermine the citizen’s eligibility to vote based oninformation provided on this application. Citizens shouldinclude all contact information (email, telephone, fax, and/or mailing address) on their FPCA and submit it earlyenough for election officials to contact them shouldproblems processing the application arise.

If you are sending FPCAs for several citizens by email orfax, use a separate Electronic Transmission Sheet for eachform and send separately to ensure that each form isreceived by the proper election official. Email addressesand fax numbers can be found on the State’s electionwebsite or at www.fvap.gov.

Check that FPCAs Include:

— Signature and date

— Complete voting residence address (no P.O. Boxaddresses)

— Legible handwriting

— All information required by the State

— Party preference if the citizen wants to vote inprimary elections (if required by State)

— Witness signature (if required by State)

Also, be sure that the citizen mails the FPCA to their localelection official in time to be received by the Stateregistration and/or absentee ballot request deadline.

Assisting Citizens to Complete theFederal Write-In Absentee Ballot (FWAB)

The FWAB is available to military and overseas citizenswho have requested but have not received their Stateabsentee ballot in time to vote and return it before thedeadline. To use the FWAB, citizens must have applied fora State ballot early enough so that their local election officereceived the request at least 30 days before the election orbefore the State’s ballot request deadline, whichever is later.

The FWAB may be used to vote for Federal offices(Pres iden t /Vice Pres iden t , U .S . Sena to r, U .S .Representative, Delegate or Resident Commissioner) inprimary, general, special, or runoff elections. Some Stateshave expanded the use of the FWAB and accept the FWABfor voting for State and local offices, or allow the FWAB tobe used for voter registration and ballot request.

If you are sending FWABs for several citizens by email orfax, use a separate Electronic Transmission Sheet for eachballot and send separately to ensure that each ballot isreceived by the proper election official. Email addressesand fax numbers can be found on the State’s electionwebsite, available in the State’s pages in Chapter 2 or atwww.fvap.gov.

Tips for Using the FWAB:

Citizens who have not received a requested Stateballot in time to return it before the election shouldimmediately complete and submit the FWAB to theirlocal election office.

The FWAB must be received by the local electionoffice no later than the ballot return deadline.

The transmittal envelope must be signed and dated,(and the witness or signature must be included ifrequired by State).

If citizens receive their State absentee ballot aftersubmitting the FWAB, they should vote and return theballot immediately. If the State absentee ballot arrivesby the ballot return deadline, the State will count theState absentee ballot instead of the FWAB.

Legal GuidelinesVAOs may not provide partisan voting information fromcandidates, political parties, or partisan organizations.Military VAOs may receive questions from votersregarding whether they can distribute and/or displaypartisan materials at the military installations. VAOs

should consult their Commanding Officer for theirinterpretation of DoD Directive 1344.10 PoliticalActivities by Members of the Armed Forces on ActiveDuty, available at www.fvap.gov.

VAOs should report any irregularities in the voting processto their department or agency headquarter’s VAO. Federallyemployed VAOs should refer to the Hatch Act, Title 5U.S.C. Sec. 7321, link available at: www.fvap.gov.

VAOs can advise citizens on locating information oncandidates and issues using national, local, and Servicenewspapers, magazines, radio, television, political partyand campaign committee offices, overseas newspapers andperiodicals, and State election websites.

Continuity FolderVAOs should create and maintain a Continuity Folder forpersonal reference and for passing on to future VAOs.

It should provide basic details on absentee votingprocedures and contain anything that may help your backupor successor. Your folder should also provide a quickorientation of VAO voting responsibilities. It can be in theform of a notebook, file folder, or an online communityfolder. Make sure it is readily available to other VAOs andassistants.

Your Continuity Folder Should Contain:

Your VAO Designation Letter (only Military VAOs)

FPCAs and FWABs

Reporting requirement materials

Your complete contact information. (Stateside VAOsshould also include local county election office contactinformation.)

Current Voting Assistance Guide (updates available atwww.fvap.gov)

Voting Assistance Guide 2012

Documents

1 Military Voter Training Federal Voting Assistance Program (FVAP) Department of Defense

Wisconsin - Federal Voting Assistance Program

Personal Affairs Army Voting Assistance Program

Ranked-Choice voting in 2012

Federal Voting Assistance Program Technology Programs and 2012

Voluntary Voting System Guidelines - The US Election Assistance

Schroders Voting, October-December 2012

Assessment of DoD Voting Assistance Programs for Calendar ... · Assessment of DoD Voting Assistance Programs for ... Voting Assistance Programs for Calendar Year 2012,” April 29,

1 Overseas Voter Training Federal Voting Assistance Program (FVAP) Department of Defense

Federal Voting Assistance Program (FVAP) Operation VOTEweb.mit.edu/supportthevoter/www/files/2013/08/Operation... · 2017-01-31 · Federal Voting Assistance Program Operation VOTE

Assessment of DoD Voting Assistance Programs for …DODIG-2016-071 (Project No. D2016-D00SPO-0063.000) │ i. Results in Brief. Assessment of DoD Voting Assistance Programs for Calendar

Federal Voting Assistance Program 2004 Voting Workshop Presented to the Uniformed Services

United States Election Assistance Commission The voting

Voting Assistance Program (VAP) Action PlanThe AF Voting Assistance Program (VAP) is an ongoing program to assist Total Force Airmen, their family members and all other voting age

SWS 2012 Annual - Proxy Voting

Federal Voting Assistance Program (FVAP) Operation VOTE · 2013-01-29 · Federal Voting Assistance Program (FVAP) coordinated with the Office of Wounded Warrior Care and Transition

Hart InterCivic Verity Voting 2.2 · Certificate of Conformance Hart InterCivic Verity Voting 2.2.1 Executive Director U.S. Election Assistance Commission The voting system identified

Federal Voting Assistance Program Programs & Data Collection · 2011-08-29 · FVAP Mission ¾Assistance: • FVAP exists to help Uniformed Services personnel, their voting age dependents,

Federal Voting Assistance Program Technology Programs and 2012 Cycle Initiatives Technical Guidelines Development Committee EAC-NIST January 13, 2011

2012 Navy Voting Action Plan - Federal Voting Assistance Program