Please complete the form below to request absentee ballots. If you have any
questions about this form, please e-mail us at absentee@hcsoe.org
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Voter's First Name: |
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Voter's Middle Name: |
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Voter's Last Name: |
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Voter's Birth Date (mm/dd/yyyy): |
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Hillsborough County Residence Address (No PO Box): |
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Voter's Apt, Lot, or Unit Number: |
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Voter's City: |
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Voter's ZIP Code: |
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| * One of the following two items must be provided. |
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Voter's E-mail Address: |
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Voter's Facsimile Number: |
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Voter's Daytime Phone: |
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Voter Information Number (if available): |
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Overseas Mailing Address |
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| Check if this is your permament mailing address |
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| If you are making this request for someone other than yourself, you must give the following information about yourself: |
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Name: |
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Address: |
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Driver's license number (if available): |
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Relationship to person whose ballot you are requesting: |
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| You may only request absentee ballots for yourself and your immediate family, which is defined as your spouse, child, parent, grandparent, or sibling, or your spouse's child, parent, grandparent, or sibling, and a person for who you are legal guardian. |
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Absentee Status:
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| Absentee Ballots Requested: |
| A special request for a facsimile or electronic absentee ballot must be made for each specific election. |
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Check method you would like ballots transmitted to you (select only one)
By mail
By e-mail (Only for military/civilian overseas voters and military residing outside Hillsborough County)
By facsimile (Only for military/civilian overseas voters and military residing outside Hillsborough County)
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| If your mailing address, facsimile, phone number or e-mail address changes, be sure and notify our office immediately. |
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