Complete Back-up Federal Write-In Absentee Ballot

Fill out the Voter's Declaration/Affirmation and Ballot

If you requested an absentee ballot but have not yet received it, you can still vote by using the back-up Federal Write-In Absentee Ballot (FWAB).

In order to be eligible to use this back-up ballot, you must:

  • Have applied for a regular ballot so the request is received by your local election official by the State deadline; or 30 days before the general election; AND
  • Have not received the requested regular absentee ballot from the State.

Illinois allows you to use the Federal Write-In Absentee Ballot (FWAB) when voting in primary, special, run-off, and general elections for Federal, State, and local offices and non-candidate ballot issues.

Open Back-up Federal Write-In Absentee Ballot

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What do I fill in?

Only the following blocks of the Voter's Declaration/Affirmation are required:

Block 1: Illinois 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 valid Illinois Driver's License number, the last four digits of your Social Security number, OR your State 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 6: Enter your political party preference if you are voting in primary elections.

Block 7: Complete street address of your Illinois 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 notary or witness 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.

FWAB Process Overview

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

Mail

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.

If you choose to fax or email, you MUST also sign and mail your request.

Email

If you choose to email, email the signed, scanned form directly to your local election official. Email addresses can be found on Illinois State Election website. You may also use our Electronic Transmission Service by sending the form as an attachment to ets@fvap.gov.

Fax

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 Illinois State Election website. You may also use our toll-free fax service:

Inside the U.S.? Fax to:
1-800-368-8683
(703)696-2148
DSN 426-2148

Outside the U.S.? Show me a list of toll-free fax numbers.

Open Fax/Email Coversheet

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Follow-up

  • 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.

Last updated: 04.10.2013