Remote Accessible Vote by Mail (RAVBM) Application

Remote Accessible Vote by Mail (RAVBM) Application

This is an application for a Remote Accessible Vote by Mail Ballot for voters that require accessible tools to mark a ballot pursuant to Elections Code 3016.5.

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.

* = Required Field

Residence Address

(within Sonoma County)

Mailing Address

Remote Accessible Vote by Mail System

Please select one:

Digital Signature and Identification validation

By submitting this form, I certify under penalty of perjury that this information is true and correct. I have not applied, nor do I intend to apply, for a Vote by Mail ballot from any other jurisdiction for this election. I certify under penalty of perjury under the laws of the State of California that the name, address and information I have provided are true and correct. I am a voter that requires accessible tools to mark my ballot and therefore I am eligible to use this accessible vote by mail system. I understand that my choices marked by this system must be printed by me.