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CONTACT
Phone: (573) 243-3547
Fax: (573) 204-2418
Contact Us
County Clerk
Staff Contacts
Human Resources and Payroll
Liquor License
Notary Public Information
BOE/RECORDS/TAXATION
Records and Request
Retention Schedule
Tax Levy Information
Board of Equalization
Voting Information
What’s on My Ballot?
Polling Locations and Hours
Acceptable ID at the Polls
Register to Vote
Change My Address or Name
Voter Lookup
Voter Assistance on Election Day
Absentee Voting Information
Military and Oversees Voting
Voter Registration Drives
Student Voting Information
Election Information
Election Results
Become an Election Judge
Candidate Filing Information
Missouri Election Calendar
I Voted Sticker Contest
Precinct and District Maps
Election Security
Government Directories
Federal, State and Local Officials
School Districts
Cities, Towns and Villages
Political Party County Committees
Missouri Secretary of State
FVAP Military/Overseas Voters
Missouri Ethics Commission
Missouri Municipal League
Request for Absentee Ballot
First Name
*
Last Name
*
Election Date - Name
*
April 6, 2021 General Municipal Election
Date of Birth
*
Last 4 Digits of SSN
*
Please indicate the name of the Political Party ballot you wish to receive (for Primary Elections only):
Republican
Democratic
Libertarian
Green
Constitution
Non-Partisan
I,
(First Name,
Last Name)
, do hereby request an absentee ballot for the
April 6, 2021 General Municipal Election
Reason for requesting an absentee ballot
*
Absence on Election Day from the jurisdiction of the election authority in which I am registered
Incapacity or confinement due to illness or physical disability, including caring for a person who is incapacitated or confined due to illness or disability
Religious belief or practice
Employment as an election judge at a location other than my polling place
Incareration, although I have retained all the necessary qualifications for voting
Certified participation in the address confidentiality program established under sections 589.660 to 589.681 because of safety concerns
My
home address
where I am registered to vote in Cape Girardeau County is:
Street Address
*
City
*
State
*
Zip Code
*
Address where ballot is to be mailed:
*
City
*
State
*
Zip Code
*
Phone Number
*
Email Address
Signature
I do solemnly swear that all statements made on this application are true to the best of my knowledge and belief.
The deadline to submit this request to have an absentee ballot mailed to you is 5:00 p.m. on the 2nd Wednesday prior to the election. The deadline for absentee voting in person in the office is 5:00 p.m. on the day before the election. For questions contact the County Clerk’s Office: (573)243-3547.
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