To obtain a vote by mail ballot, complete the information on this form. This application must be received by the election official no later than 11:59 PM PST on 4/11/2017.
Information to the Voter
Only the registered voter himself or herself may apply for a vote by mail ballot.
An application for a vote by mail ballot made by a person other than the registered voter is a criminal offense. (Sections 3007.5,D)
A BALLOT WILL NOT BE SENT TO YOU IF THIS APPLICATION IS INCOMPLETE OR INACCURATE..
VOTER INFORMATION WILL BE USED FOR OFFICIAL PURPOSES ONLY.
Any voter may apply to become a PERMANENT VOTE BY MAIL VOTER. You can download or print this form on our Vote By Mail page. Elections Code Sections 3201, 3206