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. Use this form to complete an absentee ballot application for federal, state, and local elections set for the following dates:
    1. May 3, 2022 (Primary Election)
    2. August 2, 2022 (Special Election)
    3. November 8, 2022 (General Election)
    If you have an election that is not listed above, please contact or visit your county board of elections website to request an absentee ballot application. An application may be completed and then printed here.
  2. Fill out the following request form to use a remote ballot marking system.
  3. Press the "Download & Print" button at the bottom of the page. *
    *Please note that you may need to disable your browser's popup blocker to open the completed form
  4. Open the downloaded file and verify your information.
  5. Print the downloaded document, sign, put the completed form in an envelope with the correct postage and mail it to your county board of elections.

Please note the following:

  1. Please check your voter registration status. You can do so (once your form is completed and submitted) by contacting your local board of elections.
  2. If your voter registration 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.
  3. The first date that an application may be made for elections in 2022 is January 1, 2022.
  4. The deadline to request an absentee ballot by mail is 12:00 noon on the Saturday before Election Day.

Voter Name

Per Ohio Revised Code section 3509.03, the following must be provided to be considered a valid application:


(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 License number option is selected, please provide your Ohio Driver 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

Choose the TYPE of election in which you would like to vote (choose only one)
  • 1.
    For a PARTISAN primary election only, you must choose the type of ballot:
    • a.
    • b.
  • 2.
  • 3.

If you have an election that is not listed above, please contact or visit your county board of elections website to request an absentee ballot application. An application may be completed and then printed here.

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

NOTE: After clicking "Download & Print" verify your information and print the absentee ballot application. You must then sign, date and mail the application to your county board of elections.