Voter Registration And Absentee Ballot Request Form (FPCA).pdf

## Voter Registration & Absentee Ballot Request (FPCA) Summary

This form is for Uniformed Service members, their families, and US citizens living outside the country who wish to register to vote or request an absentee ballot.

Who can use this form:

Active duty military personnel or Merchant Marines
Eligible spouses or dependents of military personnel
US citizens living abroad with a return intention (or uncertain return intention)
US citizens living abroad who have never lived in the US

Information Required:

1. Personal Details: Last name, first name, middle name, SSN, suffix, gender, previous names (if applicable), birthdate, driver's license/state ID, and mailing address.

2. US Address: The address where you are requesting your voting materials to be sent (different from your mailing address).

3. Mailing & Forwarding Addresses: Your current mailing address and any mail forwarding address.

4. Contact Information: Phone number (including area code), fax number, email, and alternate email.

5. Voting Preferences: How you prefer to receive voting materials and your political party affiliation for primary elections (if applicable).

6. Additional Info: Required information varies by state (see FVAP.gov for details).

7. Signature: You must sign and date this form, affirming the accuracy of the information provided.

Important Notes:

Use blue or black ink.
Do not use a Defense Switched Network (DSN) number for phone contact.
Complete the form completely and accurately.
Return the form to your election official (contact info at FVAP.gov).
* Many states accept this form by mail, email, and fax.