Absentee Ballot Request for Hamilton County Ohio

Provide the following information, then sign the form and
Mail or fax to your Board of Elections.

Hamilton County Board of Elections
824 Broadway
Cincinnati, OH 45202
(513) 632-7000/Fax: (513) 579-0988

Link to LWVOhio Web Site for Other Ohio Counties Board of Election Addresses

Your Name:___________________________

The Election for which you are requesting a ballot:_________________________

Your reason for being absent from the polls on election day: (select one below)

* You will be absent from the county on election day.

* You or a family member will be hospitalized on election.

* You have a personal illness or physical disability.

* You are an election official or board of elections employee.

* You cannot vote on election day because of a religious belief.

* You will be in jail for a misdemeanor or awaiting trial.

* You are a full-time fire fighter, peace officer or full-time provider of emergency medical services.

* You are on active duty in the state with the organized militia.

Your party choice if the election is a primary or that you want to vote an issues-only ballot.

______________________________

The mailing address to which you want your ballot sent.

Your Signature: _____________________________ Date:__________



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