Application to Vote by Mail

*Please complete the form below and then click the "Print your absentee ballot application" button. Your completed application will appear with the address for your local county elections board. Don't forget to sign and date and mail the form to your local elections board.

Voter's Info

First Name

Last Name  
Home Address  
Zip Code    
Phone Number  (xxx-xxx-xxxx)  
By providing your email address, we will be able to send you a copy of your registration form.
Birth Date (mm/dd/yyyy)    

Mail ballot to   

You need to provide one of following:  
Your Ohio driver's license number  
Last four digital of your social security number  
When you mail in your application, if you have not provided your driver's license number or last four digits of your Social Security number, you will need to include a copy of one of the following with your absentee ballot application:
  • Current or valid photo identification
  • Military identification
  • Current (within 12 months) utility bill, bank statement, government check, paycheck or other government document (not including voter registration notification) that shows your name and current address.

I wish to vote in the following election to be held on    
Paid for and authorized by the Ohio Democratic Party, not authorized by any federal candidate or campaign committee. Chris Redfern, Chairman, 340 East Fulton St, Columbus, Ohio 43215.