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Permanent Vote by Mail Application

McLean County Clerk Kathy Michael - Election Division
PO Box 1328
Bloomington, IL 61702-1328

For more information about permanent vote by mail, visit the Vote by Mail page.

Phone Number

Vote by Mail Ballot Selection

I wish to vote by mail ballot for all future elections, and I wish to receive a vote by mail ballot for the party identified below in elections that require a party designation. (You MUST choose a party in the next field).

I wish to vote by mail in all future elections that do not require a party designation.

Please remove my name from the Permanent Vote by Mail List if I have previously signed up.

For future elections that require a party designation, please send me a ballot for this party:

Ballots cannot legally be mailed more than 40 days before election day. If you have not heard from the McLean County Clerk's Office or received your ballot within 5 days from the day you submitted your request, please call our office at 309-888-4035 or contact us via the Ask an Election Question form on our website.

This application must be received at least 5 days prior to an Election.

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First Name

Last Name

Choose how to sign

Draw Type

I certify that I reside at the address specified above, in the stated precinct and county, that I have lived at such address for 30 days or more preceding this election, that I am lawfully entitled to vote in such precinct at said election to be held therein, and that I wish to vote by absentee ballot. I hereby make application for an official ballot or ballots to be voted by me at such election, and I agree that I shall return such ballot or ballots to the official issuing the same prior to the closing of the polls on the date of the election or, if returned by mail, postmarked no later than midnight election day, and received no later than during the period for counting provisional ballots, the last day of which is the 14th day following election day. Under penalties as provided by law pursuant to 10 ILCS 5/29-10, the undersigned certifies that the statements set forth in this application are true and correct. I also confirm that I am a registered voter in McLean County, Illinois. Applications for non-registered voters or voters within other election jurisdictions will be rejected.

Permanent Vote by Mail Application

Full Name

Registered Address

Date of Birth

Mailing Address (if different from above)

Vote by Mail Ballot Selection

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