Permanent Absent Voter List
To be added to the Permanent Absent Voter List, please complete the form below:
Name:

Address:

Address Line 2:

City or Town:

State or Province:

Zip or Postal Code:

Phone:

Email:
Birth Year: 
Comments:

    Check this box if you'd like an e-mail confirmation that you've been added to the Permanent Absent Voter list.