Complete Back-up Federal Write-In Absentee Ballot

Oregon allows you to use the Federal Write-In Absentee Ballot (FWAB) for registration and voting in general, special, and primary elections for local, State and Federal offices.

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: Oregon 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

Your valid Oregon Driver's License number OR if you do not have an Oregon Driver's License the last four digits of your Social Security number is required for voter registration. If you do not possess either of these identification numbers, the State shall assign a number that will serve to identify you for voter registration purposes.

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: If you are using this form to register and wish to vote in primary elections, you must enter your political party affiliation or write: “not affiliated with a party.” Some political parties require you to be registered in their party to vote for their candidates in primary elections. If you want to vote in the elections of a political party that has authorized non-affiliated electors, write: “I want to vote in (fill in party) primary.”

Block 7: Complete street address of your Oregon 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.

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

Fax

If faxing, you must use a signed "SEL 531: Facsimile Vote Secret Ballot Waiver Form." This form must accompany your ballot. The Secret Ballot Waiver Form can be found on Oregon's PDF Manuals and Forms page. The fax numbers can be found on Oregon Election website. You must also submit the original by mail. 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 emailing, email the signed, scanned form directly to your local election official, email addresses can be found on Oregon Election website. You must also submit the original by mail. 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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• 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.