Request Registration/Absentee Ballot

You may not need to fill out this entire form. Check out the instructions below to see what information your state requires.

Open Voter Registration/Absentee Ballot Request

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What do I fill in?

Only the following blocks are required:

Block 1: Select the category that describes you.

Block 2.a: Name (Last, First, Middle); Block 2.e: Date of Birth

Blocks 2.f and 2.g: Your valid Indiana Driver's License number or 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 3.a through 3.e: Complete street address of your Indiana voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Block 6. This address must be different from the one provided in Block 4 and must be within the county where you claim legal voting residence.

Block 4.a: Complete address where you want your ballot sent – usually your current mailing address. It must be different from the address you provided in Block 3.

Block 4.c: Check how you would like to receive your absentee ballot (mail or fax). If you do not make a selection, then your local election official will mail your ballot to you. Indiana only allows you to receive your ballot by mail or fax.

Block 5: Enter your political party affiliation or write "none" if you want to vote in primary elections. If you are a registered non-partisan or undeclared, you must indicate which party ballot you want to receive. If you want to change your political party affiliation, submit a completed Voter Registration/Absentee Ballot Request form indicating your new party preference to the local election official not later than 29 days prior to the election.

Block 6: Submission of this form serves as a request to receive ballots for all Federal elections held through the next two regularly scheduled general elections. If you do not wish to receive ballots for that length of time, you may request a ballot for each election for Federal office held in the next election year OR a ballot for only the next scheduled election for Federal office by noting your choice here. A State Write-In Absentee Ballot is available, see Step 3 for details. Provide any additional comments for your election official here.

Block 7: Sign and date. No witness or notary required.

Mail

You must mail your Voter Registration/Absentee Ballot Request to a specific election official. Find your county or city in the 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.

Optional: You may be able to use the Postage-Paid Envelope Template.

Open Postage-Paid Envelope Template

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The postage paid envelope may be used if mailed 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. Affix appropriate postage if using international mail. Template must be printed on a number 10 or larger envelope.

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

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 Indiana State Election website). 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

Indiana will allow you to receive and return an absentee ballot by electronic mail. Registration and Ballot Request CANNOT be completed by email.

For your vote to be counted, you must include the email cover sheet and sign the waiver of your right to secrecy. You must use our Electronic Transmission Service by sending your scanned marked ballot as an attachment to ets@fvap.ncr.gov.

Open Fax/Email Coversheet

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• Check the "Important Dates" section at the top of this page for registration, ballot request, and voted ballot return deadlines.
• Want to receive your ballot by fax or email? Write your fax number or email address in section 2 of the form, and check your preference in Block 4c.
• Want to return your voted ballot by fax or email? See Step 2 for instructions.
• If you have not received your absentee ballot in a timely manner use the Federal Write-In Absentee Ballot.
• In addition to mailing a regular ballot, Indiana provides a State Special Write-In Absentee Ballot not later than 45 days before the general election to any voter outside the U.S. unable to vote in the regular absentee voting process. This ballot allows you to vote for local, state and Federal offices. To request it, write in Block 6: "Please send me a State Write-In Absentee Ballot. I cannot vote and return a regular ballot by normal mail delivery."