Board Of Elections

In order for this form to be valid you must be a registered voter. If you are not registered or if you need to change your address please visit Voter Registration Form prior to applying for an absentee ballot.

Voter Info

Voter's Last Name

* Last Name Required

Voter's First Name

* First Name Required

Home Address

* Home Address Required

Apt./Unit #

City

* City Required

State

OHIO

Zip

* Zip Code Required

County

* County Required

BIRTHDATE:

Month

Day

Year

Other Mailing Address

Send Ballot to: (If different from home address or if P.O. Box must be used)

C/O Name

Address

Apt./Unit #

P.O. BOX

City

State

Zip

Ohio Drivers License Number
Where is my Drivers License Number?

Last Four Digits of your Social Security Number

Copy of a current and valid photo identification, a military identification, or a current (within the last 12 months) utility bill, bank statement, government check, paycheck, or other government document (other than a notice of voter registration mailed by a board of elections) that shows your name and current address.
* Please remember to attach one of the above listed items when you print, sign and mail in your application.

Election Selection

I wish to vote in the following election: Tuesday, Nov 2 2021 General *Please make a selection

Optional Info

This information is not required, however it will assist the Board of Elections in contacting you if there is a problem with your application.

Phone

I am interested in serving as a poll worker on Election Day. (optional)

YesNo