Request Registration/Absentee Ballot

Fill out the Voter Registration/Absentee Ballot Request

The Federal Post Card Application registers you to vote and requests absentee ballots for all regularly scheduled Federal elections for the calendar year in which it is submitted.

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: To vote in primary elections, enter your political party affiliation. If you want to change your political party affiliation, submit a completed FPCA indicating your new party preference to the local election official. Political party affiliation is not required if only requesting absentee ballots for general elections.

Block 3: Name (Last, First, Middle)

Block 4: Date of Birth

Your valid Vermont 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 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: Vermont allows you to receive your absentee ballot by mail, email, or fax. Please rank your preference of how you would like to receive your absentee ballot. Provide your email address or fax number in Block 5. If you do not make a selection, then your local election official will mail your ballot to you.

Block 7: Complete street address of your Vermont 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 town or city where you claim legal voting residence.

Block 8: Complete address where you want your ballot sent, usually where you live now.

Block 9: If you have never registered before in Vermont, you must take a self-administered oath or it may be administered by anyone over the age of 18. The Vermont voter's oath is: “I solemnly swear (or affirm) that whenever I give my vote or suffrage, touching any matter that concerns the State of Vermont, I will do it so as in my conscience I shall judge will most conduce to the best good of the same, as established by the Constitution, without fear or favor of any person.” You, or the person who administered the oath to you, must write ONE of the following and sign (as applicable):

— “On the __ day of __, 20__, I swore or affirmed the Vermont voter's oath”

OR — “I administered the oath to the voter”

Provide any information that may assist the local election official in accepting this application.

Affirmation: Sign and date. No witness or notary required.

Submission Options

Mail

You must mail your Voter Registration/Absentee Ballot Request to your local 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 Vermont State Election website). You may also use our toll-free fax service:

Inside the U.S.? Fax to:
1-800-368-8683
(703) 588-2148
DSN 425-2148

Outside the U.S.? Show me a list of toll-free fax numbers.

Email

If you choose to email, email the signed form directly to your local election official. Email addresses can be found on Vermont State Election website. 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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Telephone

You may request a ballot by calling your Town Clerk (phone numbers can be found on Vermont State Election website).

Follow-up

Last updated: 10.12.2012