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Mail-in Ballot Application (COVID-19)
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Mail-in Ballot Application (COVID-19)
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This accessible companion captures the visible mail-in ballot request fields and statutory instructions from the county's 2020 mail-in ballot form. Use the original PDF when you need the exact printable ballot request.
Use this HTML companion as the primary accessible reading version. Use the original PDF when you need the printable form, signature lines, or exact page layout for submission.
Voter Request
- Printed name
- Election under Section 115.302, RSMo
- Election date
- Date of birth or last four digits of Social Security number
- Political party ballot requested for primary election
Addresses and Contact
- Registered voting address
- Ballot mailing address
- Telephone number
- Email address
Certification and Delivery
- Signature of registered voter
- Date
Form Notes
- The form states all mail-in ballots must be notarized.
- Requests for mail-in ballots must be received by 5:00 p.m. on the second Wednesday before election day.
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Mail-in Ballot Application (COVID-19)
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