> Complete a Back-up Federal Write-In Absentee Ballot > Mississippi
Mississippi 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
Open Back-up Federal Write-In Absentee Ballot
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Only the following blocks of the Voter's Declaration/Affirmation are required:
Block 1: Mississippi allows you to use this form for
registration only if you are eligible to register and vote in
the State, and if you provide information sufficient for
Block 2: Select the category that describes you.
Block 3: Name (Last, First, Middle)
Block 4: Date of Birth
Enter your valid Mississippi 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 7: Complete street address of your Mississippi
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.
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.
Open Security Envelope Template
Open Postage-Paid Envelope Template
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
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, it is recommended that you fax the form directly to your local election official (fax numbers can be found on Mississippi's State Election website). Include ballot, voter
affirmation, and cover sheet with secrecy waiver. 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
If you choose to email, email the signed, scanned form directly to the Circuit Clerk (contact information can be found here) or UOCAVA@sos.state.ms.us. Include ballot, voter
affirmation, and cover sheet with secrecy waiver. You may also use our Electronic Transmission Service by sending the form as an attachment to firstname.lastname@example.org.
Open Fax/Email Coversheet
More Information on Mississippi's Absentee Voting Guidelines
Mississippi State Election website
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Q: When should I receive my ballot?
Q: What happens if I do not receive a ballot from my local election office?
Q: Where can I get a back-up Federal Write-In Absentee Ballot?
Q: What is a postmark and how do I make sure I get one?
Last updated: 09.19.2013