[NEohioPAL]The Arts & Absentee Ballots
Jean Martin
jsm72 at sbcglobal.net
Wed Aug 18 17:48:51 PDT 2004
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The people we elect to office can have a big impact on the arts. Therefore, it's important that we let our voices be heard in every way possible. If you or someone you know (esp. college students) will not be in Ohio on election day this November, take two seconds to fill out this form out and mail it to your local board of elections. Here is the link to each county's Board of Elections address.
http://www.electioncentral.com/boe.asp
Application for Absent Voter's Ballots
PLEASE TYPE OR PRINT
Applicant's Name
___________________________________Send Ballots to (if different from home address) Name
_______________________________________Home Address
___________________________________Care Of/PO Box
_______________________________________City, Village, or Post Office
___________________________________Address
_______________________________________
Date of Birth ____/____/________
County _______ Zip Code ________
City ____________ St __ Zip ________
I wish to vote in the following election: (check one) 1. Primary Election
o Democratic
o Republican
o Nonpartisan or issues only
o Other Party (specify)
______________________2. o General Election
3. o Special Election
Date of Election_______________
I will be absent from my polling place for the following reason: (check one)o I am sixty-two years of age or more.
o I will be absent from the county.
o I or a family member will be
confined in a hospital.
o I am physically ill, disabled or
infirmed.
o (I request the assistance of two
election officials.)
o I am an election official or
employee of the Secretary of State.
o I am a full-time fire fighter, peace
officer, or emergency medical
service provider.
o I am on active duty with the
organized militia in Ohio.o I will be confined in a jail or workhouse
under sentence for a misdemeanor, or
awaiting trial on a felony or
misdemeanor.
o I am unable to vote on election day for
religious reasons.
o I am confined to a public or private
institution within the county. Please
have two board employees deliver my
ballots.
o I am a former resident entitled to
vote for President and Vice President.
I am a qualified elector and request an absentee ballot for the above reason.
X________________________________________________
Signature of Applicant____________
Date
INSTRUCTIONS
1. Application must include name, voter residence address, reason for absence from polls, applicant's signature, election for which the ballots are requested, and if primary ballots, voter's party affiliation.
2. An application by mail must be received by the Board of Elections by noon on the third day before the election. Applications by the voter in person must be received until the close of regular board hours the day before the election. Applications for persons who are hospitalized by a medical emergency will be accepted until 3 p.m. on election day.
3. Completed ballots must be delivered to the Board of Elections in person, by mail, or a near relative not later than the close of polls on election day. Exception: If the voter is outside of the United States on election day, the ballot envelope must be signed or postmarked prior to the close of polls and received by the board no later than 10 days after the election or 20 days after the presidential election.
4. If you request an absentee ballot, you will not be allowed to vote or turn in your ballot the polling place on election day.
5. This document may be reproduced.
Jean Sycle Martin
216-561-8588
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<DIV><FONT color=#ff007f size=6> </FONT><EM><FONT face="comic sans ms"><FONT style="BACKGROUND-COLOR: #ffffff" size=6><FONT color=#6000bf>T<FONT size=5>he people we elect to office can have a big impact on the arts. Therefore, it's important that we let our voices be heard in every way possible. If you or someone you know (esp. college students) will not be in Ohio on election day this November, take two seconds to fill out </FONT></FONT></FONT></FONT></EM><EM><FONT face="Comic Sans MS" color=#8000ff size=5><FONT color=#6000bf>this form out and mail it to your local board of elections. Here is the link to each county's Board of Elections address.</FONT></FONT></EM>
<DIV align=left><EM><FONT face="Comic Sans MS" color=#8000ff size=5><FONT color=#6000bf></FONT> </DIV>
<P style="MARGIN-TOP: -13px" align=center><A href="http://www.electioncentral.com/boe.asp" target=_blank><FONT color=#003399>http://www.electioncentral.com/boe.asp</FONT></A><BR></FONT></EM><FONT style="BACKGROUND-COLOR: #d0d0d0"><BR></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" size=4><B></B></FONT></P>
<P style="MARGIN-TOP: -13px" align=center><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" color=#000000 size=4><B>Application for Absent Voter's Ballots<BR>PLEASE TYPE OR PRINT<BR></P></B></FONT><FONT face="Times Roman,Times New Roman" color=#ff0000 size=1></FONT>
<DIV align=center>
<CENTER>
<TABLE cellPadding=0 width=558 border=0>
<TBODY>
<TR>
<TD vAlign=top align=left width=267><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT size=1><SMALL>Applicant's Name<BR></SMALL><BR><SMALL>___________________________________</SMALL></FONT></FONT></TD>
<TD vAlign=top align=left width=294><FONT style="BACKGROUND-COLOR: #d0d0d0"><SMALL><SMALL>Send Ballots to <SMALL>(if different from home address)</SMALL> </SMALL><FONT size=1>Name</FONT></SMALL><BR><BR><SMALL><FONT size=1>_______________________________________</FONT></SMALL></FONT></TD></TR>
<TR>
<TD vAlign=top align=left width=267><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT size=1><SMALL>Home Address</SMALL><BR><BR><SMALL>___________________________________</SMALL></FONT></FONT></TD>
<TD vAlign=top align=left width=294><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT size=1><SMALL>Care Of/PO Box</SMALL><BR><BR><SMALL>_______________________________________</SMALL></FONT></FONT></TD></TR>
<TR>
<TD vAlign=top align=left width=267><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT size=1><SMALL>City, Village, or Post Office</SMALL><BR><BR><SMALL>___________________________________</SMALL></FONT></FONT></TD>
<TD vAlign=top align=left width=294><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT size=1><SMALL>Address</SMALL><BR><BR><SMALL>_______________________________________</SMALL></FONT></FONT></TD></TR>
<TR>
<TD vAlign=top align=left width=267>
<P style="MARGIN-TOP: 8px; MARGIN-BOTTOM: 0px"><FONT style="BACKGROUND-COLOR: #d0d0d0">Date of Birth <SMALL><FONT size=1>____/____/________</FONT></SMALL></FONT></P></TD>
<TD vAlign=top align=left width=294><FONT style="BACKGROUND-COLOR: #d0d0d0" size=1></FONT></TD></TR>
<TR>
<TD vAlign=top align=left width=267><BR><SMALL><FONT style="BACKGROUND-COLOR: #d0d0d0" size=1>County _______ Zip Code ________</FONT></SMALL></TD>
<TD vAlign=top align=left width=294><BR><SMALL><FONT style="BACKGROUND-COLOR: #d0d0d0" size=1>City ____________ St __ Zip ________</FONT></SMALL></TD></TR>
<TR>
<TD vAlign=top align=left width=561 colSpan=2><FONT face="Times Roman,Times New Roman" size=2><B><BR><FONT style="BACKGROUND-COLOR: #d0d0d0">I wish to vote in the following election:</FONT></B><FONT style="BACKGROUND-COLOR: #d0d0d0"> (check one)</FONT></FONT></TD></TR>
<TR>
<TD vAlign=top align=left width=267><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> 1. Primary Election<BR> </FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> Democratic<BR> </FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> Republican <BR> </FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> Nonpartisan or issues only <BR> </FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" size=2> Other Party
(specify)<BR> ______________________</FONT></TD>
<TD vAlign=top align=left width=294><FONT face="Times Roman,Times New Roman" size=2><FONT style="BACKGROUND-COLOR: #d0d0d0">2. <FONT face=Wingdings size=2>o</FONT> General Election </FONT>
<P><FONT style="BACKGROUND-COLOR: #d0d0d0">3. </FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0" face=Wingdings size=2>o</FONT><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" size=2> Special Election<BR> Date of Election_______________</FONT></P></TD></TR>
<TR>
<TD vAlign=top align=left width=561 colSpan=2><BR><FONT face="Times Roman,Times New Roman" size=2><FONT style="BACKGROUND-COLOR: #d0d0d0"><B>I will be absent from my polling place for the following reason: </B>(check one)</FONT></FONT></TD></TR>
<TR>
<TD vAlign=top align=left width=267><FONT style="BACKGROUND-COLOR: #d0d0d0" face=Wingdings size=2>o</FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I am sixty-two years of age or more.<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I will be absent from the county.<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I or a family member will be<BR> confined in a hospital.<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I am physically ill, disabled or<BR> infirmed.<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> (I request
the assistance of two<BR> election officials.)<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I am an election official or <BR> employee of the Secretary of State.<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" size=2> I am a full-time fire fighter, peace<BR> officer, or emergency medical <BR> service provider.<BR><FONT face=Wingdings size=2>o</FONT> I am on active duty with the <BR> organized militia in Ohio.</FONT></TD>
<TD vAlign=top align=left width=294><FONT style="BACKGROUND-COLOR: #d0d0d0" face=Wingdings size=2>o</FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I will be confined in a jail or workhouse<BR> under sentence for a misdemeanor, or <BR> awaiting trial on a felony or <BR> misdemeanor.<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I am unable to vote on election day for<BR> religious reasons.<BR></FONT><FONT face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0"><FONT face="Times Roman,Times New Roman" size=2> I am confined to a public or private<BR> institution within the county. Please <BR> have two board employees deliver my<BR> ballots.<BR></FONT><FONT
face=Wingdings size=2>o</FONT></FONT><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" size=2> I am a former resident entitled to<BR> vote for President and Vice President.</FONT></TD></TR></TBODY></TABLE></CENTER></DIV><STRONG><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" color=#ff0000 size=2>
<P align=center>I am a qualified elector and request an absentee ballot for the above reason.</P></FONT></STRONG>
<DIV align=center>
<CENTER>
<TABLE cellSpacing=0 width=516 border=0>
<TBODY>
<TR>
<TD vAlign=top width=387><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" size=2>X________________________________________________<BR>Signature of Applicant</FONT></TD>
<TD vAlign=top width=125><FONT style="BACKGROUND-COLOR: #d0d0d0" face="Times Roman,Times New Roman" size=2>____________<BR>Date </FONT></TD></TR></TBODY></TABLE></CENTER></DIV>
<DIV align=center>
<CENTER>
<TABLE cellSpacing=1 cellPadding=8 width=520 border=1>
<TBODY>
<TR>
<TD vAlign=top><FONT size=1><STRONG>
<P align=center><FONT style="BACKGROUND-COLOR: #d0d0d0">INSTRUCTIONS</FONT></P></STRONG>
<P><FONT style="BACKGROUND-COLOR: #d0d0d0">1. Application must include name, voter residence address, reason for absence from polls, applicant's signature, election for which the ballots are requested, and if primary ballots, voter's party affiliation.<BR>2. An application by mail must be received by the Board of Elections by noon on the third day before the election. Applications by the voter in person must be received until the close of regular board hours the day before the election. Applications for persons who are hospitalized by a medical emergency will be accepted until 3 p.m. on election day.<BR>3. Completed ballots must be delivered to the Board of Elections in person, by mail, or a near relative not later than the close of polls on election day. Exception: If the voter is outside of the United States on election day, the ballot envelope must be signed or postmarked prior to the close of polls and received by the board no later than 10 days after the election or 20 days
after the presidential election.<BR>4. If you request an absentee ballot, you will not be allowed to vote or turn in your ballot the polling place on election day.<BR>5. This document may be reproduced.</FONT></FONT></P></TD></TR></TBODY></TABLE></CENTER></DIV></DIV><BR><BR><DIV>
<DIV align=right><FONT face="comic sans ms" color=#0000ff size=3>Jean Sycle Martin</FONT></DIV>
<DIV align=right><FONT face="comic sans ms" color=#0000ff size=3>216-561-8588</FONT></DIV></DIV>
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