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Avoid long lines on Election Day and vote from the comfort of your own home.  Use this form to request an absentee ballot from the Washington County Supervisor of Elections.

To use this form you must be a registered voter in Washington County.

You also must provide your name, address, voter ID number (on your voter registration card) and date of birth.

Full Name:
Date of Birth:
Mail ballot to:
Address on voter registration card, if different than above:
Voter ID Number:
Phone Number:
E Mail Address:
Is this a change of address: No Yes
Driver License Number:

 

Washington County Republican Party | Jennifer Bau, Chairman | 816 Corbin Road | Chipley, FL  32428-5835
Phone: 850-638-2404 | E-Mail: Jennifer Bau

Political advertisement paid for and approved by the Washington County Republican Executive Committee. Not authorized or approved by any candidate or candidate committee.  www.washingtongop.com