Complete Back-up Federal Write-In Absentee Ballot

Nevada allows you to use the Federal Write-In Absentee Ballot (FWAB) for registration and voting in general, special, and primary elections for Federal, State, and local offices. 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: Nevada allows 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 Nevada Driver's License OR Nevada identification card number. If you do not have either, provide the last four digits of your Social Security number. If you do not possess any of these identification numbers, contact your local election official to be assigned a unique identification number.

Block 5: Recommended but not required. Provide your contact information to allow the local election official to follow up if more information is required.

Block 6: If you are using this form to register and wish to vote in primary elections, you must enter your political party affiliation. If you leave this block blank, you will be registered as nonpartisan and will receive a nonpartisan ballot for each nonpartisan primary election. If you want to change your political party affiliation, submit a completed Federal Post Card Application no later than 30 days before the election.

Block 7: Complete street address of your Nevada 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.

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

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.

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 Nevada 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

Email

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

Open Fax/Email Coversheet

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• Want to submit your Federal Write-In Absentee Ballot by fax or email? Remember that by faxing your voted ballot you are waiving your right to secrecy. You must submit an Oath of Voter with your ballot.
• If using our Electronic Transmission Service you must use the Fax Coversheet.
• If you are qualified to fax your FWAB, you may also choose to email your FWAB. Email it as a signed, scanned attachment to the DoD Electronic Transmission Service at: ets@fvap.gov with instructions to forward it by fax to your local election office. Include ballot, voter affirmation, and cover sheet with secrecy waiver.