Military / Overseas
Vote By Mail (Absentee) Ballot
Request Form

This request is valid for only one (1) registered voter.

If you are a qualified Military / Overseas voter, ballots will be mailed only for the selected elections.

Ballots to overseas voters are mailed to overseas voters 35 days prior to a Primary Election and 45 days prior to a General Election.

Military / Overseas voters are defined as active duty members of the United States uniformed services, the Merchant Marine, spouses and dependents of those active duty members and United States citizens residing overseas who are registered to vote as provided by law.

If you are not a Military / Overseas voter, please use the Vote By Mail (Absentee) Ballot Request Form to make your request.

Please complete the form below to request Vote By Mail (absentee) Ballots. If you have any questions about this form, please e-mail us at abrequests@votenassau.com

(* Denotes a required field)

Voter Information:
*	Voter's First Name:
	Voter's Middle Name:
*	Voter's Last Name:
*	Voter's Birth Date (mm/dd/yyyy):
*	Nassau County Residence Address (No PO Box):
	Voter's Apt, Lot, or Unit Number:
*	Voter's City:
*	Voter's ZIP Code:
Check if this is a change of your Nassau County residence address.
* One of the following two items must be provided.
	Voter's E-mail Address:
	Voter's Facsimile Number:
	Voter's Daytime Phone:
	Voter ID Number (if available):
*	Mailing Address
Check if this is a change of your permanent mailing address.
If making this request for someone other than yourself, F.S. 101.62 requires you to provide the following information about yourself:
	Requester's Name:
	Requester's Address:
	Requester's Driver's License Number (if available):
	Requester's Relationship to Voter:
You may only request Vote By Mail (absentee) Ballots for yourself and your immediate family, which is defined as your spouse, child, parent, grandparent, sibling, spouse's child, parent, grandparent, sibling, or legal guardian.
Absentee Status: Military/Dependent Overseas Civilian Overseas
Vote By Mail (Absentee) Ballots Requested:
A special request for a facsimile or electronic absentee ballot must be made for each specific election.
All Elections 2010 through 2012
Check method you would like ballots transmitted to you: (select only one) By mail (may only be utilized by Overseas Civilian/Military) By e-mail (may only be utilized by Overseas Civilian/Military) By facsimile - Valid for 1 election, a request must be submitted for each election.
If your mailing address, facsimile, phone number or e-mail address changes, be sure and notify our office immediately.