Please Send All Forms To:
Missoula County Courthouse
Office of Elections
200 W Broadway
Missoula, MT 59802
Back to Absentee Ballot Information page
During a period beginning 75 days before election day and ending at noon on the day before the election, an elector may submit this application for an absentee ballot to the county election administrator. Voters may apply for each election separately or may request ballots for each subsequent election in which they are eligible to vote, or only for each subsequent federal election
An elector may request this application by mail, phone, or in person and may mail the application directly to the election administrator or deliver it in person to the election administrator
I, _________________________________(print your name legibly), the undersigned with a birth date of _______________________, being a duly qualified elector of Missoula County, whose residence address in said county is ______________________________________________, Montana, do hereby make application for an official absentee ballot for the upcoming _________________(example: school, general, primary, other) election to be held in said county.
I authorize my official absentee ballot to be mailed to me at this address (please print):
_____________________________________ __________________ _______ __________
Mailing Address City State Zip
PERMANENT ABSENTEE LIST:
Optional: I request an absentee ballot to be mailed to me, for as long as
I reside at the address listed above:
[ ] for each subsequent election in which I am
eligible to vote; OR
[ ] only for each subsequent federal election
in which I am eligible to vote.
_________________________________________ _________________________________________
Signature of Elector Date Signed
VOTER INFORMATION PAMPHLET REQUEST (also available at
http://sos.state.mt.us when a
statewide issue is on the ballot.
[ ] If applicable, I would like a Voter
Information Pamphlet to be sent to me along with my absentee ballot.
TO DESIGNATE SOMEONE TO PICK UP YOUR BALLOT FOR YOU: if you do not want your absentee ballot mailed
directly to you but want someone to pick it up for you, please check the box below and complete this section.
[ ] I am designating _______________________________________(name of individual) to pick up my absentee ballot and deliver to me.
IF YOU ARE AN INDIVIDUAL RECEIVING AN ABSENTEE BALLOT FOR ANOTHER PERSON(S):
ABSENTEE BALLOT RECEIPT: On this _________day of ________________, 20___, I received the absentee ballot of _______________________________(name of requestor of absentee ballot).
Signature of absentee ballot recipient ______________________________________________.
FOR OFFICE USE
Registration # _________________________ PRECINCT # _______________________BALLOT #_________
Copyright © 2010 Missoula County
