Form Test Absentee Ballot Form Absentee ballots requested for the following election(s). (if no election is marked, a ballot will be mailed for the next election only) 2/8 Special Election 3/8 Township Election 4/12 Special Election 5/10 Special Election 8/9 Primary Election 11/8 General Election Both 8/9 & 11/8 Elections Other (specify date):Other (specify date): Signature signature keyboard Clear Last Name or Surname * First Name * Middle Name Suffix Date of Birth (mm/dd/yyyy) * County where you live Phone Select one option below * I have an MN-issued driver’s license or MN ID card I have a social security number. I do not have a MN-issued driver’s license, MN-issues ID card, or a social security number. The last four digits are: * The number is * Text Text Text Text If you are human, leave this field blank. Submit
