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Remote Accessible Vote by Mail (RAVBM) Application

This is an application for a Remote Accessible Vote by Mail Ballot (RAVBM). A RAVBM system allows voters to mark their selections using their own compatible technology to vote independently and privately in the comfort of their own home. To use a RAVBM system, a voter must:
•   Download the ballot
•   Electronically mark their selections
•   Print their voted ballot
•   Sign the envelope
•   Return the printed and signed selections either by mail or by dropping it off at a voting location. The selections cannot be returned by facsimile unless you are a registered military or overseas voter.

To receive a Remote Accessible Vote by Mail Ballot for any election, this form must be submitted to the Registrar of Voters Office no later than 5 p.m., 7 days before the election. If you are a new voter in Sonoma County and registered to vote within 14 days of an election and are a voter with a disability or a military or overseas voter, you may use this form to request a RAVBM ballot through Election Day.

* = Required Field

First Name

Middle Name

Last Name

Residence Address

(within Sonoma County)

Number & Street

Apartment # (if applicable)

City

State Abbreviation

Zip Code

Mailing Address

Mailing Address is the same as above

Number & Street

City

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Zip Code

Remote Accessible Vote by Mail System

Please select one:

I would like to receive my ballot via the RAVBM system on a permanent basis, for all elections.

I would like to receive my ballot via the RAVBM system for one election only.

If you selected to receive your ballot via the RAVBM system for one election only, please specify the election date:

Email (where we can send a link to access your Remote Accessible Vote by Mail Ballot)

Digital Signature and Identification validation

Please validate your ID by completing one of the following Value is not selected

California Driver License or Identification (ID) Number

Last 4 digits of your Social Security Number (SSN)

Signature

Full Name

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Remote Accessible Vote by Mail (RAVBM) Application/Aplicación de Voto por Correo Accesible Remoto

Remote Accessible Vote by Mail (RAVBM) Application

Residence Address

Mailing Address

Remote Accessible Vote by Mail System

Digital Signature and Identification validation