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Application for Town/City Election Absentee Ballot - RSA 657:4

  1. Absence Due to Religious Observance and Disability

    Uniformed and Overseas citizen voters residing outside the United States, use the federal post card application.

  2. I hearby declare that:

  3. I will be entitled to vote by absentee ballot because:

  4. For use only on Monday immediately prior to the election:

  5. I cannot appear at my polling place on election day because the National Weather Service has issued a winter storm warning, blizzard warning, or ice storm warning for election day applicable for my place of residence

  6. Any person who votes or attempts to vote using an absentee ballot who is not entitled to vote by absentee ballot shall be guilty of a misdemeanor. (RSA 657:24)

  7. The applicant must sign this form to receive an absentee ballot. Any person who witnesses and assists a voter with a disability in executing this form shall print and sign his or her name in the space provided.

  8. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. Visit Absentee Ballot Website to track your absentee ballot. You may verify receipt of your application, obtain the date when your absentee ballot was mailed to you, the date the clerk receives your completed absentee ballot, and after the election learn if your absentee ballot was rejected/not counted and why. Contact your clerk if you have questions regarding the information on the Voter Information Look-Up / Absentee Ballot Search site.

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