Virginia Absentee Ballot Application

VOTE by MAIL!

Virginia Board of Elections urges voters:

Use Reason Code 2A and vote absentee due to COVID19

Request Your Absentee Ballot NOW!

Request your mail-in ballot up to a year before the election. Virginia Board of Elections urges voters to request ballot early to allow time for processing and mail delivery.
Expect to receive your ballot around 10 days after your request is received, but no earlier than 45 days before the election.
The last day to request your mail-in ballot online is 5pm the Tuesday before the Election Day. With unprecedented demand, apply for your mail-in ballot EARLY.
Your returned ballot must be received by the Registrar by 7pm Election Day.
Are you already registered to vote? If not, click here.
If your voter registration needs to be updated for a change in name/residence, please indicate your former name or resident address at the end of this form.

Your Name and Last 4 Digits of SSN

First Name Middle Name

Last Name Suffix

Social Security # Why? (last 4)

I Am Applying to Vote In:

Not all districts have June primaries. Click here to see if you do.

Democratic U.S. House Primaries | Tuesday, June 23, 2020

Republican U.S. House and Senate Primaries | Tuesday, June 23, 2020

Presidential Election | Tuesday, November 3, 2020

Arlington County Special | Tuesday, July 7, 2020

Reason for Absentee Ballot

Due to COVID-19, the Virginia Board of Elections suggests all registered voters vote by mail to avoid crowds. All voters are permitted to select reason 2A.

Supporting Information

Residence Address

Your residence address is where you live with the intent to remain indefinitely.

I am registered to vote in

Address Apt./Suite

City

State ZIP Code

I Would Like My Ballot Delivered To:

Residence Address

Different Mailing Address

Address Apt/Suite

City

Country

State ZIP Code

Change of Name/Address

If changing registration name/address.

Former Full Name

Former Address

Date Moved

Assistance 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.

Assistant’s Statement/Info

I swear/affirm, under felony penalty for making willfully false material statements, that the information I have provided on this form is true and I have written on the Applicant’s signature line “Applicant Unable to Sign.”

Provide Information of Assistant

Full Name

Address Apt./Suite

City

State ZIP Code

Name (In Lieu of Signature)

More Info

I would like a copy of my application e-mailed to me.

Telephone

Applicant Signature

I swear/affirm, under felony penalty for making willfully false material statements, that by pressing the Submit button and submitting this information that (1) the information I have provided on this form is true, (2) I am not requesting a ballot or voting in any other jurisdiction in the U.S., except the jurisdiction to which this application relates, and (3) that I am the person named in this absentee application.

Applicant Name (In Lieu of Signature)

Error

Your Name and Last 4 Digits of SSN

I Am Applying to Vote In:

Reason for Absentee Ballot

Residence Address

I Would Like My Ballot Delivered To:

Change of Name/Address

Assistance To Vote

Assistant’s Statement/Info

More Info

Applicant Signature

Application Submitted