District of Columbia: Board of Elections and Ethics: Services - Absentee Ballot Request Form

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ONLINE SERVICE REQUESTS

Absentee Ballot Request Form

Step 1 of 4: Personal and Demographic Information
Personal Information
Prefix*
First Name*
Middle Name
Last Name*
Suffix
Date of Birth*	(mm/dd/yyyy)

Address Where You Live
Street Number*
Street Name*	Click to select Street Name Type partial Street Name and click select
Quadrant*
Apt. #
City, State, Zip*	-

Address Where We Should Send Ballot (if different from Above)

Fields marked * are required

Government of the District of Columbia
Citywide Call Center : (202) 727-1000
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