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Click ‘Get Form’ to open the Virginia Absentee Ballot Application Form in the editor.
Begin by entering your first and last name in the designated fields. Ensure that you print clearly for accurate processing.
Fill in your residence address, including any apartment or suite number, city, state, and zip code. If applicable, provide details for rural addresses.
Select the reason for requesting an absentee ballot from the provided codes. Write this code in the specified section of the form.
Indicate how you would like to receive your ballot by selecting one of the delivery options available on the form.
Complete your contact information, including phone number and email address if applicable. This will help ensure smooth communication regarding your application.
Sign and date the application at the bottom of the form. If you are unable to sign, indicate this and provide information about your assistant if necessary.
Once completed, return only this page to Gloucester County's General Registrar via mail, fax, or email as instructed.
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WARNING: INTENTIONALLY VOTING MORE THAN ONCE IN AN. ELECTION OR MAKING A MATERIALLY FALSE STATEMENT ON. THIS FORM CONSTITUTES THE CRIME OF ELECTION FRAUD,.
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