Status I request an absentee ballot for all elections in which I am eligible to vote: (Make only 1 selection) I am a member of the Uniformed Services or Merchant Marine on active duty OR I am the spouse or dependent of a member of the Uniformed Services or Merchant Marine. I am a U.S. citizen residing outside the U.S., and I intend to return. I am a U.S. citizen residing outside the U.S., and I do not intend to return. I am a U.S. citizen otherwise granted military/overseas voting rights under State law (check the Voting Assistance guide).
I request an absentee ballot for all elections in which I am eligible to vote: (Make only 1 selection) I am a member of the Uniformed Services or Merchant Marine on active duty OR I am the spouse or dependent of a member of the Uniformed Services or Merchant Marine. I am a U.S. citizen residing outside the U.S., and I intend to return. I am a U.S. citizen residing outside the U.S., and I do not intend to return. I am a U.S. citizen otherwise granted military/overseas voting rights under State law (check the Voting Assistance guide).
Political Party Please select your party preference: Democratic Republican Libertarian Unafilliated <\SELECT> If you register Unaffiliated, in a partisan primary, please select your ballot preference: Democratic Republican Libertarian Unafilliated <\SELECT>
Please select your party preference: Democratic Republican Libertarian Unafilliated <\SELECT>
If you register Unaffiliated, in a partisan primary, please select your ballot preference: Democratic Republican Libertarian Unafilliated <\SELECT>
First Name:
Middle Name:
Last Name:
Suffix:
Previous Name:
Sex:
Race:
Ethnicity:
Birthdate:
NC Driver's License or ID:
OR last 4 digits of SSN:
Telephone:
Fax:
Email:
Alternate Email:
Ballot Receipt I prefer to receive my ballot by(rank from 1-3 in order of preference; be sure appropriate contact information is provided above): 1 2 3 Mail 1 2 3 Email/Online 1 2 3 Fax
I prefer to receive my ballot by(rank from 1-3 in order of preference; be sure appropriate contact information is provided above): 1 2 3 Mail 1 2 3 Email/Online 1 2 3 Fax
RESIDENTIAL ADDRESS U.S. address for voting purposes - usually your last U.S. residence or your legal U.S. residence. See instructions. Street address: (no PO Box) Apt. # City/Town/Village: County: select one Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gaston Gates Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison Martin McDowell Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pasquotank Pender Perquimans Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin Yancey State: NC AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code:
U.S. address for voting purposes - usually your last U.S. residence or your legal U.S. residence. See instructions.
Street address: (no PO Box) Apt. #
City/Town/Village:
County: select one Alamance Alexander Alleghany Anson Ashe Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chatham Cherokee Chowan Clay Cleveland Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edgecombe Forsyth Franklin Gaston Gates Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hoke Hyde Iredell Jackson Johnston Jones Lee Lenoir Lincoln Macon Madison Martin McDowell Mecklenburg Mitchell Montgomery Moore Nash New Hanover Northampton Onslow Orange Pamlico Pasquotank Pender Perquimans Person Pitt Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Wilkes Wilson Yadkin Yancey State: NC AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code:
ADDRESS WHERE YOU LIVE NOW This is different from above. Your voting materials will be sent here, unless you specify a forwarding address below.
This is different from above. Your voting materials will be sent here, unless you specify a forwarding address below.
FORWARDING ADDRESS If different from the address above, provide the address where you would like your ballot to be forwarded.
If different from the address above, provide the address where you would like your ballot to be forwarded.