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).

North Carolina allows you to use the Federal Write-In Absentee Ballot (FWAB) for voting in all elections. The FWAB may be used to register to vote and/or request an absentee ballot as long as it is received no later than 5:00 p.m. on the day before the election. If received later than that date, then the voter must already be registered and have already requested an absentee ballot.

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: North Carolina does allow you to use this form for registration.

Block 2: Select the category that describes you.

Block 3: Name (Last, First, Middle)

Block 4: Date of Birth

Enter your valid North Carolina 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 North Carolina 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 requried.

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

(Opens in a new window and requires Adobe Reader 7)

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 should also sign and mail your original request, however, it is not required for processing of form.

Fax

If you choose to fax, send the form directly to (919) 715-0351 or to your local election official. Local election official fax numbers can be found on North Carolina'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)696-2148
DSN 426-2148

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

Email

If you choose to email, email the signed, scanned form directly to UOCAVA.ABSENTEE@sboe.state.nc.us or your local election official. Local election official email addresses can be found on the North Carolina State Election website. 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 ets@fvap.gov.

Open Fax/Email Coversheet

(Opens in a new window and requires Adobe Reader 7)

Follow-up

  • Want to submit your Federal Write-In Absentee Ballot by fax? Remember that by faxing your voted ballot you are waiving your right to secrecy.
  • 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.

Last updated: 02.13.2013