Election Commission

REQUEST FOR AN ABSENTEE BALLOT

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REQUEST FOR AN ABSENTEE BALLOT FROM THE DAVIDSON COUNTY ELECTION COMMISSION

PRINT AND COMPLETE THE FOLLOWING AND FAX OR MAIL TO THE DAVIDSON COUNTY ELECTION COMMISSION OFFICE

  1. Print Name_________________________________________________                  
                           
  2. Address on Voter Registration____________________________________________

___________________________________________________________

  1. If the Voter will be outside the county where the voter is registered
    during the EarlyVoting Period and on Election Day during all the hours the polls are open, the Voter may Vote Absentee.
    Mail my Absentee Ballot to the following address____________________________________________

____________________________________________________________

  1. Mail my Absentee Ballot to this Address_______________________________________

____________________________________________________________

  1. Social Security Number____________________________________
  1. Date of Birth_______________ Telephone Number _______________
  1. My reason for voting Absentee is_______________________________________________________
  1. The Name and Date of the Election I wish to vote in_______________________________________

_________________________________________________________Election

IF THE ELECTION IS A PRIMARY, STATE LAW REQUIRES YOU TO DECLARE ONE PARTY
FOR THIS PRIMARY, PLEASE CIRCLE ONLY ONE (1):

DEMOCRAT     OR      REPUBLICAN                    

Signature of Voter_________________________________________________________
(Required by Law)

STATE LAW DICTATES THAT THE FIRST DAY THE ELECTION OFFICE CAN RECEIVE A REQUEST FROM A VOTER FOR A BALLOT IS THE 90TH DAY BEFORE AN ELECTION.  THE LAST DAY TO RECEIVE A REQUEST FOR A BALLOT IS THE 7TH DAY BEFORE AN ELECTION.

FAX OR MAIL THIS INFORMATION TO:
                        DAVIDSON COUNTY ELECTION COMMISSION
                        ATTN:  ABSENTEE DEPARTMENT
                        P.O. BOX 650
                        NASHVILLE, TN 37202-0650
                        (615) 862-8800 – VOTER REGISTRATION
                        (615) 862-8815 – ABSENTEE/EARLY VOTING
                        (615) 880-1729 – ABSENTEE DIVISION FAX
                        TTY -1-800-848-0298 OR RELAY: 711