Vote By Mail

Request A Mail-In Ballot Today

The deadline to apply to vote by mail for the Special Election CD 11 is Friday, August 29th, 2025 at 5:00 p.m. EST
Make sure to apply as early as possible to reduce any possible delays.
If you want to check on the status of your previously submitted application, please visit the Virginia elections website.

Your Information

First Name *

Middle Name

Last Name *

Suffix

SSN (Last 4 Digits) *

Birth Year *

Where Are You Registered To Vote in Virginia?

Street Address *

Apartment

City *

ZIP *

Locality *

I'd like to vote by mail for all future elections until I instruct otherwise. If you want to send your ballot to a different address, uncheck this box

Which election would you like to request a mail-in ballot for?
You can view the official list of upcoming elections here.

I am applying to vote by mail in the:

General or Special Election

Election Date *

I'd like for my mail-in ballot to be delivered to a different address than the address where I'm registered to vote.

I will need assistance in completing my ballot due to a disability, blindness, or inability to read or write. If checked, assistance form will be provided with ballot.

I have changed my residence address or legal name since the last time I voted.

Contact Info

Your email address is required to send you a copy of your application.

Email Address *

Phone No. *

Voter Signature

I swear/affirm, subject to felony penalties for making false statements pursuant to VA Code § 24.2-1016 , that (1) the information provided in this form is true, (2) I am not requesting a ballot or voting in any other jurisdictions in the US, (3) I am registered to vote in the city/county where I am applying to vote.

Voter Name *