Early Voting Ballot Request

To request an early ballot for upcoming elections, please complete the form below. A ballot will be mailed to you upon verification of registration. If the following information does not match our registration rolls a ballot will not be sent without an updated registration form being submitted because an original signature is required to modify your record. For information on how to obtain a registration form please see Frequently Asked Questions.

If you desire a ballot to be mailed to an address that is not on your voter registration record (e.g. temporary or out-of-state address), you must submit a written request that contains your: Name, Residence Address, Temporary Mail-to Address, Date of Birth, Party Affiliation (if request is for a partisan Primary Election), Election(s) requesting for and your Signature. Written requests can be sent by fax (480-360-3628) or by mail to:

Maricopa County Elections Department
510 S. 3rd Avenue
Phoenix, AZ 85003

Internet, phone and written request can only be accepted up until the second Friday prior to any election. Should you wish to vote after this time frame or if an election is not listed below, you may be able to vote at one of our offices in person up until the Friday before the election. For additional information please call 602-506-1511, T.D.D. 602-506-2348. For technical questions contact the Webmaster. For tips on filling out the Early Voting Ballot form, click here.

Resident Address Information Only - If you have a mailing address on file with us, your ballot will automatically be mailed to that address. If you wish your ballot to go to a mailing address that IS NOT on file, then you can not use this form. Instead, a written request is required that includes all of the information as listed in the above paragraph and this request can be sent by fax or mail.

DO NOT SUBMIT OLD ADDRESS INFORMATION

To see if you are registered at a former address, click here to use the "Voter Registration Status" page.

Step 1 - To begin your request, you must fill in ALL * of the following fields

Last Name *  

House Number * (e.g. You live at 4569 E. Anywhere St. Apt# 218, ENTER ONLY 4569)   

Month of Birth *
January February March April May June July August September October November December

Day *
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Year *  
1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

and ONE** of the following fields

SSN (Last 4 digits) **

Voter ID **

Driver License Number or Non-Operating ID License Number (no dashes or spaces) **

 

Type the code from the image