Application for Absent Voter's Ballot by a Voter with a Disability & Request to use Remote Ballot Marking System

A remote ballot marking system is available through each county board of elections for use by an absentee voter with a qualifying disability under the Americans with Disabilities Act to allow a qualifying voter to mark his or her ballot privately and independently.

If you are a qualifying voter and you wish to request an absentee ballot and use a remote ballot system to mark your ballot, complete the following steps:

  1. Fill out the following request form to use a remote ballot marking system;
  2. Press the "Open Printer Friendly PDF" button and verify you've entered your correct information (if you made a mistake, you can edit your information directly on the PDF);
  3. Print the PDF, affix your signature, put the completed form in an envelope with correct postage and mail it to your county board of elections (follow this link for a county board of elections directory)

It is recommended you check your registration status. You can do so by contacting your local board of elections. If your information has changed since the last time you voted and you have not yet updated your voter registration, follow this link to update your address online or if your name has changed, follow this link to complete a new voter registration.

Voter Name

(required)
(required)

Voter Date of Birth

(required)

Address at Which You Are Registered to Vote

(required)
(required)
(required)
(required)

Voter Identification

You must choose one of the identification options below. Depending on which identification box you check, please input the corresponding information.

Check only one. If the Ohio driver's license number option is selected, please provide your Ohio Driver's license number. If the last four digits of your Social Security Number option is selected, please provide the last four digits of your Social Security Number. If you choose to send in a copy of your identification, be sure to send it in the envelope with your absentee ballot request.

Choose an Identification Option
  • Make a copy of a current and valid photo identification, military identification, or a current (within the last 12 months) utility bill, bank statement, government check, paycheck, or other government document (other than a notice of voter registration mailed by a board of elections) that contains your name and current address.

Election for Which You Would Like to Vote Absentee using a Remote Ballot Marking System

You must complete a seperate application for each election.

The election dates for 2018 are:

  • Tuesday, November 6th, 2018 for the General Election (11/06/2018)

(required)
Choose the TYPE of election in which you would like to vote (choose only one)
  • 1.
  • 2.
  • 3.

Delivery of Ballot

You do not need to state your qualifying disability
(required)

Delivery of Identification Envelope/Statement of Voter and Return Envelopes

After marking your ballot using the remote ballot marking system, you need to print your ballot, enclose it with your identification envelope/statement of voter, and return it to your county board of elections. Your county board of elections will mail an identification envelope/statement of voter and a return envelope to you.

Voluntary Information