New York Absentee Ballot Application Form PDF Details

Are you a New York resident who is interested in voting by mail? If so, applying for an absentee ballot is a great way to ensure that you can cast your vote even if you cannot make it to the polls on Election Day. The process of obtaining an absentee ballot is relatively simple and straightforward, with all registered New York voters eligible to submit an application. In this blog post, we will provide step-by-step guidance on how to fill out an official New York Absentee Ballot Application Form. This guide includes information about what an absentee ballot is, eligibility requirements for voting by mail, understanding the language of the form itself—and more! Keep reading to learn what you need to know before submitting your own form and getting one step closer to making sure your voice is heard during this important election cycle.

QuestionAnswer
Form NameNew York Absentee Ballot Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesvote by mail new york, new york state mail in ballot, absentee ballot for new york, absentee ballot ny

Form Preview Example

MM/DD/YYYY
!pplicant Must Sign Below

New York State !bsentee Ballot !pplication

Please print clearly; See detailed instructions/

To receive an absentee ballot: In-Person - Application must be personally delivered to your county board of elections not later than the day before the election. By Mail - Application must be received by your county board of elections not later than the 15th day before the election.

The ballot itself must either be personally delivered to the board of elections in your county no later than the close of polls on election day, or postmarked by a governmental postal service not later than the day of the election and received no later than 7 days after the election/

BOARD USE ONLY:

Town/City/Ward/Dist:

_________________________________

Registration No: ____________________

Party: ____________________________

voted in office

 

1/

I am requesting, in good faith, an absentee ballot due to (check one reason):

absence from county or New York ity on election day

resident or patient of a Veterans Health

 

temporary illness or physical disability

!dministration Hospital

 

permanent illness or physical disability

detention in jail/prison, awaiting trial, awaiting

 

duties related to primary care of one or more

 

action by a grand jury, or in prison for a conviction

 

individuals who are ill or physically disabled

 

of a crime or offense which was not a felony

 

 

 

 

 

2/

absentee ballot(s) requested for the following election(s) .

 

Primary Election only

General Election only

Special Election only

!ny election held between these dates. absence begins. _____/_____/_____

absence ends. _____/_____/_____

MM/DD/YYYY

MM/DD/YYYY

3/

last name or surname

 

 

 

 

 

 

first name

 

 

 

 

middle initial

 

 

suffix

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4/

date of birth MM/DD/YYYY

 

county where you live

 

 

 

 

phone number (optional)

 

email (optional)

 

 

 

 

_____ /_____ /_____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5/

address where you live (residence) street

apt

 

 

city

 

 

state

zip code

 

 

 

 

 

 

 

 

 

 

 

 

 

NY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6/

Delivery of Primary Election allot (check one)

 

 

Deliver to me in person at the board of elections

I authorize (give name)._______________________________________ to pick up my ballot at the board of elections/

 

Mail ballot to me at. (mailing address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________________________________________________________________________________________________

 

 

street no/

street name

 

 

 

 

apt/

city

 

 

 

state

 

 

zip code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7/

Delivery of General (or Special) Election allot (check one)

Deliver to me in person at the board of elections

I authorize (give name)._______________________________________ to pick up my ballot at the board of elections/

 

Mail ballot to me at. (mailing address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

________________________________________________________________________________________________________

 

 

street no/

street name

 

 

 

 

apt/

city

 

 

 

state

 

 

zip code

8/

I certify that I am a qualified and a registered (and for primary, enrolled) voter- and that the information in this application is

true and correct and that this application will be accepted for all purposes as the equivalent of an affidavit and, if it contains a

 

material false statement, shall subject me to the same penalties as if I had been duly sworn/

 

Sign Here: X__________________________ Date ____/____/____

If applicant is unable to sign because of illness, physical disability or inability to read, the following statement must be executed. y my mark, duly witnessed hereunder, I hereby state that I am unable to sign my applica- tion for an absentee ballot without assistance because I am unable to write by reason of my illness or physical disability or because I am unable to read/ I have made, or have the assistance in making, my mark in lieu of my signature/ (No power of attorney or preprinted name stamps allowed/ See detailed instructions/)

Date ___/___/___ Name of Voter.____________________________________ Mark.___________________

MM/DD/YYYY

 

I, the undersigned, hereby certify that the above named voter affixed his or her mark to this application in my pres-

ence and I know him or her to be the person who affixed his or her mark to said application and understand that

this statement will be accepted for all purposes as the equivalent of an affidavit and if it contains a material false

statement, shall subject me to the same penalties as if I had been duly sworn/

_____________________________________________

______________________________________

_____________________________________________

(signature of witness to mark)

(address of witness to mark)

Board Use Only

 

 

2021 Absentee Ballot Application

Instructions:

Who may apply for an absentee ballot?

Each person must apply for themselves/ It is a felony to make a false statement in an application for an absentee ballot, to attempt to cast an illegal ballot, or to help anyone to cast an illegal ballot/

Information for military and overseas voters:

If you are applying for an absentee ballot because you or your family are in the military or because you currently reside overseas, do not use this application/ You are entitled to special legal provisions if you apply using the Federal Postcard !pplication (FPCA)/ For more information about military/overseas voting, contact your local board of elections or refer to the Military and Federal Voting sections at. http.//www/elections/ny/gov/Voting/html

Where and when to return your application:

Applications for an absentee ballot that will be delivered in-person at the county board of elections to the voter or an agent of the voter must be received not later than the day before the election. Applications for a ballot to be delivered by mail to the voter must be received at the county board of elections no later than 15 days before the election. If the address of your county board of elections is not provided on this form, contact information for your local election office can be found on the New York State oard of Elections’ website, under “ounty oards of Election” directory at. http.//www/elections/ny/gov/ountyoards/html

Options available to you if you have an illness or disability:

If you check the box indicating your illness or disability is permanent, once your application is ap- proved you will automatically receive a ballot for each election in which you are eligible to vote, without having to apply again/ You may sign the absentee ballot application yourself, or you may make your mark and have your mark witnessed in the spaces provided on the bottom of the appli- cation/ Please note that a power of attorney or printed name stamp is not allowed for any voting purpose/

When your ballot will be sent:

Your absentee ballot materials will be sent to you beginning 46 days before federal, state, county, city or town elections in which you are eligible to vote/ If you applied after this date, your ballot will be sent immediately after your completed and signed application is received and processed by your local board of elections/ If you provide dates in section 2, identifying the time frame within which you will be absent from your county or from the ity of New York, you will be sent a ballot for any primary, general, special election or presidential primary election which might occur during the time frame you have specified/ If you prefer, you may designate someone to pick up your ballot for you, by completing the required information in section 6 and/or section 7, as appropriate/ ontact your local county board of elections if you have not received your ballot/

How to Edit New York Absentee Ballot Application Form Online for Free

voting by mail get can be completed online without any problem. Simply make use of FormsPal PDF editor to complete the task right away. FormsPal expert team is always endeavoring to enhance the tool and insure that it is much easier for users with its many features. Discover an constantly revolutionary experience today - explore and find out new opportunities as you go! All it requires is several basic steps:

Step 1: Just hit the "Get Form Button" in the top section of this webpage to see our pdf editor. This way, you will find all that is required to fill out your file.

Step 2: When you access the editor, you will get the document prepared to be completed. In addition to filling out various blank fields, you can also perform several other things with the file, specifically writing any textual content, changing the initial textual content, inserting graphics, affixing your signature to the document, and more.

When it comes to blanks of this particular PDF, this is what you want to do:

1. The voting by mail get usually requires certain information to be inserted. Ensure that the following blank fields are filled out:

Stage no. 1 for submitting absentee ballot ny

2. The subsequent stage is to fill out these blank fields: Delivery of Primary Election allot, street name, street no, I authorize give name to pick up, Mail ballot to me at mailing, street name, street no, Delivery of General or Special, apt, apt, state, state, city, city, and pplicant Must Sign Below I certify.

absentee ballot ny writing process outlined (part 2)

In terms of state and street name, ensure that you do everything right here. These two could be the most important fields in the document.

3. Completing address of witness to mark, signature of witness to mark, and Board Use Only Absentee Ballot is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Writing section 3 of absentee ballot ny

Step 3: Once you've reread the information in the blanks, press "Done" to complete your form. Acquire the voting by mail get when you sign up for a free trial. Immediately get access to the form in your personal cabinet, along with any modifications and changes all saved! When using FormsPal, you can complete forms without the need to get worried about data breaches or entries being shared. Our secure software helps to ensure that your private details are maintained safely.

New York Absentee Ballot Application Form isn’t the one you’re looking for?

Related Documents