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Get and Sign Application for Absentee Ballot  Form

Get and Sign Application for Absentee Ballot Form

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PHYSICAL DISABILITY disability stated below that the information required to be listed pertaining to my attending physician is correctly stated herein and that all other information that I have listed on this absentee ballot application is true and correct. MAIL BALLOT TO ME AT THE FOLLOWING ADDRESS STREET ADDRESS STATE I HEREBY APPLY FOR AN ABSENTEE BALLOT FOR THE FOLLOWING REASON ABSENCE FROM THE MUNICIPALITY COMPLETE SECTION A SECTION A ABSENCE FROM THE MUNICIPALITY ILLNESS OR PHYSICAL...
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