Absentee Ballot Request Form

Personal Information
Prefix*
First Name*
Middle Name
Last Name*
Suffix
Date of Birth* (mm/dd/yyyy)
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Address Where You Live
Street Number*
Street Name* Click to select Street Name
Type Street Name and click select
Quadrant*
Apt. #
City, State, Zip* -
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  Address Where We Should Send Ballot (if different from Above)

 

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Fields marked * are required

DC Board of Elections and Ethics
441 4th Street, NW, Suite 250 North
Washington, DC 20001
Tel: (202) 727-2525 | TTY: (202) 639-8916 | Tollfree: 1-866-DC-VOTES