Absentee Ballot Request Form

2020 MAIL-IN ABSENTEE REQUEST

Kenton County Voters who meet the requirements for a mail-in absentee ballot may request an application by either calling 859-392-1620 or by filling out the electronic firm. Once an application is sent to the voter, the application must be completed and mailed to the County Clerk at least 7 days before the election. Once the clerk receives the application the absentee ballot and instructions will be mailed to the address designated by the voter. The absentee ballot must be received by mail no later than Election Day.

Full Name (First Middle Last, Suffix)*

First *

Middle *

Last *

Suffix/Honorific

Address where the voter lives for voter registration purposes *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Confirm Email *

Voter's Date of Birth *

Reason for Mail In-Absentee Ballot *

Due to advanced age, disability, illness or medical emergency.
You are a member of the Armed Forces.
You are a dependent of a member of the Armed Forces.
You are a student attending school outside the county of your voter registration.
You temporarily reside outside the state, but are eligible to vote in Kentucky.
You are incarcerated in jail and have been charged but not convicted of a crime.

Is your address where you would like absentee ballot mailed

Yes
No

Address where voter wants absentee ballot mailed

Address Line 1

Address Line 2

City

State

Zip Code

Relation to the Voter *

Voter
Voter's Spouse
Voter's Parent
Voter's Child

Full Name of Person Requesting the Absentee Ballot (First Middle Last, Suffix)*

First *

Middle *

Last *

Suffix/Honorific (copy)

2020 MAIL-IN ABSENTEE REQUEST

Full Name (First Middle Last, Suffix)*

Full Name of Person Requesting the Absentee Ballot (First Middle Last, Suffix)*

MAILING ADDRESS

Links

Covington

Independence

Voter Registration