Absentee Ballot Application
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Minimum Requirements (Please verify that you are eligible to register to vote in Alaska by checking all of the statements below)
Yes   No       
Yes   No       

You failed to meet the requirements to submit the absentee ballot application. Please contact the Division of Elections for more information.
You must meet the minimum eligibility requirements prior to applying.
Select Election(s)*
 
 
 
 
Enter Personal Information
Last Name:* First Name:* Middle Initial:
Suffix: Last 4 SSN:* Date of Birth:*  
AK DL #/State ID #:*
Absentee ballot application is unable to validate your Alaska Driver’s License information. To continue without validation, please return to homepage and select the “Apply Using Paper Form” option to complete the form and mail it to the DOE.
           
Consent to Use Signature

To submit an absentee ballot application, the Alaska Division of Motor Vehicles must send the Division of Elections an electronic copy of the signature from my driver’s license or state identification card. I consent to the use of my DMV signature to apply for an absentee ballot.

You have declined to provide your consent for the use of your electronic signature from DMV. Your consent is required to submit the absentee ballot application. You can either provide your consent and complete the application process or continue to use this system to produce a paper-based application that you can mail or deliver to the DOE.
Please make selection for consent to use signature continue the registration process.
 
Residence Address
Street Address:*
City:*
  Keep My Residence Address Confidential. If checked, you MUST provide a different permanent mailing address than your residence address.    
 
Permanent Mailing Address    
Mailing Address 1: Mailing Address 2: Mailing Address 3:
City: City: State: Country:
Zip:
 
Voter Type and Delivery Method
Voter Type:


The deadline to apply for an absentee ballot for the Primary election has passed. You may still apply for an absentee ballot for the below upcoming elections.
The deadline to apply for an absentee ballot for the General election has passed. You may still apply for an absentee ballot for the below upcoming elections.
The deadline to apply for an absentee ballot for the REAA election has passed. You may still apply for an absentee ballot for the below upcoming elections.
Delivery Methods for Elections:
Primary:*     General:*     REAA:*     Special:*
E-mail Address (Your email is used to notify you of ballot availability for your online delivery ballot.)*
Enter E-mail Address:
Fax Number (Used to fax your ballot. Include all state and international prefixes.)*
Enter Fax Number:
Ballot Mailing Address (Ballots will not be forwarded. Provide an address where you will receive mail.)*    
Mailing Address 1: Mailing Address 2: Mailing Address 3:
City: City: State: Country:
Zip:
 
 
In remote Alaska or overseas?
Yes, I will be in a remote area of Alaska or overseas where mail service is limited. If yes, a 45-day advance ballot will be mailed to you.
General Information
Political affiliation: Gender:  Male    Female
 
 
Contact Information
If there is a problem with your application, we will attempt to contact you. Provide a contact phone number and/or email address*.
Day Phone Number:
Evening Phone Number:
Contact E-mail Address:
 
Summary of Registration
Note:
  • Your application is not officially complete until it is approved and processed by the Division of Elections.
  • If you have any questions, please contact the Division of Elections.
Personal Information
Name: Residence Address:
Date of Birth: Permanent Mailing Address:
SSN:
AK DL #/State ID #:
Party:
Gender:
Election Information
Selected Election:
Voter Type:
Primary Election Delivery Method:
General Election Delivery Method: Daytime Telephone :
Special Election Delivery Method: Evening Telephone :
REAA Delivery Method: Contact E-mail :
Is remote Alaska:
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  Print PDF Application
If the information below is wrong, click the back button to correct your application.
Personal Information
Name: Residence Address:
Date of Birth: Permanent Mailing Address:
SSN:
AK DL #/State ID #:
Party:
Gender:
Election Information
Selected Election(s):
Voter Type:
Primary Election Delivery Method:
General Election Delivery Method: Daytime Telephone :
Special Election Delivery Method: Evening Telephone :
REAA Delivery Method: Contact E-mail:
Is remote Alaska:

Voter Certificate: I swear or affirm, under penalty of perjury, that: The information on this form is true, accurate, and complete to the best of my knowledge and I am eligible to vote in the requested jurisdiction, I am not requesting a ballot from any other state, and I am not voting in any other manner in this (these) election(s). I further certify that I am an Alaska resident and that I have not been convicted of a felony involving moral turpitude, or having been so convicted, have been unconditionally discharged from incarceration, probation and/or parole. I am not registered to vote in another state, or I have taken the necessary steps to cancel that registration.
Warning: If you provide false information on this application you can be convicted of a felony and/or misdemeanor under AS 15.56.040 and AS 15.56.050.
Please check the details if you have read and understand the statements and requirements for voter registration in the State of Alaska.
Version: 5.0.0.1