Workflows

Vote-by-Mail Ballot Application

Only the registered voter himself or herself may apply for a vote-by-mail ballot. An application for a vote-by-mail ballot made by a person other than the registered voter is a criminal offense.

This application must be received by the county elections official not later than 5 p.m. seven (7) days prior to the date of the election. If your mailing address is outside of the United States, use the Federal Post Card Application at www.fvap.gov. (Link opens in a new tab.)

A ballot will not be sent to you if this application is incomplete or inaccurate.

Individuals/Organizations/Groups Distributing this Application

Anyone distributing this application may not complete any entries on behalf of the registered voter.

If you prefer to complete the process by mail, please download the PDF application here. (Link opens in a new tab.)

* = Required Field

This is an application for a vote-by-mail ballot for the election on:

Voter Information

First Name

Middle Name or Initial

Last Name

Date of Birth

Email Address

Daytime Phone Number (optional)

Evening Phone Number (optional)

Residence Address

Number & Street

Apartment # (if applicable)

City

State Abbreviation

Zip/Postal Code

Mailing Address for Ballot

If your mailing address is outside of the United States, use the Federal Post Card Application at www.fvap.gov.

Mailing address is the same as residence address above

PO Box or Number & Street

Apartment # (if applicable)

City

State Abbreviation

Zip/Postal Code

Additional Information

Is this application for a Presidential Primary Election?

Yes

No

Presidential Primary Election Ballot Selection

No, I do not want to select a political party ballot.

Yes, I want to request a political party ballot for the Presidential Primary Election. I have declined to disclose a preference for (formerly known as “registered with”) a qualified political party. However, for this primary election only, I request a vote-by-mail ballot for the party indicated below.

For information as to which, if any, qualified political parties will allow voters who have declined to disclose a preference for a political party (formerly known as "decline-to-state" voters) to vote the ballot of that political party, contact the Secretary of State at (800) 345-8683 or visit https://www.sos.ca.gov/elections/political-parties/no-party-preference/.

Please indicate the name of the qualified political party whose ballot you are requesting.

Do you want to become a permanent vote-by-mail voter?

No, this application is only for the election indicated.

Yes, I want to become a permanent vote-by-mail voter.

By checking this box, I am requesting to become a permanent vote-by-mail voter. A vote-by-mail ballot will automatically be sent to me in all future elections. I understand that if I fail to vote by mail in four consecutive statewide general elections, I will need to reapply for permanent vote-by-mail voter status.

Electronic Signature

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. Warning: Perjury is a felony, punishable by imprisonment in State prison for up to four years. (Penal Code Sec. 126).

Please validate your ID by completing one of the following Value is not selected Press enter to open combobox or type to start search.

California Driver License or Identification (ID) Number

Last 4 digits of your Social Security Number (SSN)

Please click the signer's name box to sign your name.

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