Fillable Wyoming Absentee Ballot Request Form (Teton County Wyoming Government)

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Wyoming Absentee Ballot Request Form (Teton County Wyoming Government)

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The Wyoming Absentee Ballot Request Form (Teton County Wyoming Government) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Teton County Wyoming Government

BROWSE TETON COUNTY WYOMING GOVERNMENT (WY) FORMS

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2/2020
Wyoming Absentee Ballot Request Form
• Y
ou must be a registered voter in order to request an Absentee Ballot.
• For a Primary Election, your political party is required and it must be the same political party in which you are currently registered.
• To change your political party, please contact your county clerk
.
• If you are not a registered voter, click here for the Wyoming Voter Registration Form, and send to your county clerk when completed.
LAST NAME:
FIRST NAME:
MIDDLE:
COUNTY RESIDENTIAL ADDRESS:
CITY:
STATE:
ZIP:
DATE OF BIRTH:
CONTACT PHONE NUMBER:
ACTIVE MILITARY? Y / N
EMAIL: (optional)
MAIL MY BALLOT TO:
CITY:
STATE:
ZIP:
Which Election(s) are you requesting a ballot for? Check all that apply.
(Political Party is required for the Primary)
2020 PRIMARY 2020 GENERAL
Political Party:____________________________
this section and designate the individual:
I HEREBY GRANT ___________________________PERMISSION TO PICK UP MY BALLOT
FOR ME.
I hereby state that I am a registered voter and entitled to vote in the election indicated above.
Voter Signature ____________________________________________________________________Date _____________________________________
To
receive your Absentee Ballot, this form must be completed and returned to your County Clerk.
Wyoming County Clerk Contact Information
Office Use Only:
Precinct:_______________________
Entered in WyoReg: _____________
Mailed:________________________
Status: Accepted Rejected
Rejection Reason:__________________
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Wyoming Absentee Ballot Request Form (Teton County Wyoming Government)

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Completed 14 February 2021

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