Complete Back-up Federal Write-In Absentee Ballot
Fill out the Voter's Declaration/Affirmation and Ballot
Hawaii allows you to use the Federal Write-In Absentee Ballot (FWAB) for registration and voting in primary, special, run-off, and general elections for Federal, State, and local offices, and non-candidate ballot issues. Feel free to use the FWAB to vote anytime before an election.
Open Back-up Federal Write-In Absentee Ballot
(Opens in a new window and requires Adobe Reader 7)
What do I fill in?
Only the following blocks of the Voter's Declaration/Affirmation are required:
Block 1: Hawaii does not allow you to use this form for registration. Do not check the registration block.
Block 2: Select the category that describes you.
Block 3: Name (Last, First, Middle)
Block 4: Date of Birth
Enter your Social Security number or your assigned voter registration number.
Block 5: Recommended but not required. Provide your contact information to allow your local election official to follow up if more information is required.
Block 7: Complete street address of your Hawaii voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Block 9. This address must be within the county where you claim legal voting residence.
Block 8: Enter your current mailing address.
Block 9: Provide any information that may assist the local election official in accepting this ballot or application.
Affirmation: Sign and date. No witness or notary required.
Put Voter's Declaration/Affirmation and Voted Ballot into Envelopes
Once the ballot is complete, fold and place it in the security envelope and seal. Place only the voted ballot in the security envelope and do not write on the security envelope. Insert the sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and seal.

Envelope Templates
Open Security Envelope Template
Open Postage-Paid Envelope Template
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The postage-paid envelope may be used in the U.S. postal system which includes: all U.S. Military Post Offices (APO/FPO) overseas or through the diplomatic pouch available at U.S. Embassies/Consulates
Submission Options
You must mail your back-up Federal Write-In Absentee Ballot to your local election official. Find your county or city in the address list below to locate your election official.
Open Election Official Address List
Don't know your county? Go to the county finder. Don't know your zip code? Go to the United States Postal Service website.
Fax
Emergency procedures exist to submit the FWAB by fax for a military or overseas voter within 5 days before the election.
If you choose to fax, it is recommended that you fax the form directly to your local election official (fax numbers can be found on Hawaii State Election website). You may also use our toll-free fax service:
Inside the U.S. fax to:
1-800-368-8683
(703)-693-5527
DSN 223-5527
Outside the U.S.? Show me a list of toll-free fax numbers
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Follow-up
- If using our Electronic Transmission Service you must use the Fax Coversheet.
- If you receive your State absentee ballot after submitting your Federal Write-In Absentee Ballot, fill it out and return it. The State absentee ballot will be counted instead of the back-up ballot if it's received in time.