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Prepared by the Iowa Secretary of State’s Office Revised 8/19 State of Iowa Petition Requesting Satellite Absentee Voting Station Satellite Site Information Type and Date of Election: General on Primary on City/School on Special on Name of Proposed Location: Address of Proposed Location: Street Address City Zip Code The proposed location must be accessible to voters with disabilities and the elderly. We, the undersigned eligible electors of County/City/School District request that there be a satellite absentee voting station at the place and for the election described above. Sign your name Address where you live in Iowa: Today’s Date House number and street City 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.