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2015 Absentee Ballot Application Who is eligible to vote absentee: Any person who is registered to vote may vote by absentee ballot (See Utah Code 20A-3-301) When to apply for an absentee ballot: 1. Regular absentee voting: This application should be received by the clerk no later than the Thursday before the election. The ballot itself must be returned with a post mark no later than the day before the election. 2. Overseas voters: The Clerk should receive this application no later than 20 days before the election. SECTION I. Voter Affidavit – Acknowledgement of voting eligibility I, a qualified voter residing in Summit County, Utah at the above address, apply for an official absentee ballot to be voted by me at the following election: 2015 Primary (August 11, if necessary) 2015 General Election (November 3) Signature Date SECTION II. Voter’s Home Information - Please type or print legibly. Complete all lines and boxes Last Name: First Name: Birth Date: Phone: Home Address: City: Zip: Military Overseas If either box is checked, provide your email Summit County maintains a permanent absentee voter list. A voter that requests to be placed on the permanent list will remain on the list until the voter is no longer registered, cancels his/her absentee status, or the date specified by the voter has passed. I would like my name to be placed on the permanent absentee voter list Yes No SECTION III. Ballot Mailing Information – Where should we send your ballot? August Primary Address: November General Election Address if Different: CLERKS OFFICE 60 N. MAIN – P.O. BOX 128 – COALVILLE, UT 84017 (435)336-3204 ♦ Fax: (435)336-3030 www.summitcounty.org/clerk *2015 is a municipal and special service district election year. Unless a special election is called, only municipalities and certain special service districts will hold elections.