APPLICATION FOR ABSENT ELECTOR’S BALLOT

State of Idaho             }

     } s.s.

County of Lewis         }

 

Date:________________ day of ________________________, 20______

 

I hereby make application for an absentee elector’s ballot to be voted at the election held on:

□  1st Tuesday in February

□  4th Tuesday in May / Primary Election

□  1st Tuesday in August

□  Tuesday following 1st Monday in November / General Election

□  Special Emergency Election to be held on ___________________, 20___

 

Name (print):             _________________________________________________

Home Address:           _________________________________________________

     _________________________________________________

 

Mail Ballot to:             _________________________________________________

     _________________________________________________

     _________________________________________________

  

  ELECTOR MUST SIGN APPLICATION

 

Signed:______________________________________________

(Elector)

 

You may download and fax this completed request to:

Lewis County Auditor’s Office - Fax Number: (208) 937-9234

or mail to the address listed below:

 

LEWIS COUNTY AUDITORS OFFICE

510 Oak Street, Room #1

Nezperce, ID  83543

 

COMPLETED BALLOT MUST BE RETURNED TO THE ABOVE ADDRESS NO LATER THAN 8:00 P.M. ON ELECTION DAY.  PLEASE ALLOW ADEQUATE MAILING TIME.