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This form is for registered electors who cannot reasonably vote in person at their polling station due to physical incapacity and wish to apply for a proxy vote.
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How to fill out application to vote by

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How to fill out APPLICATION TO VOTE BY PROXY DUE TO A DISABILITY AND FOR WAIVER OF THE REQUIREMENT FOR A SIGNATURE

01
Obtain the APPLICATION TO VOTE BY PROXY DUE TO A DISABILITY form from your local election office or website.
02
Fill in your personal information, including your name, address, and contact details.
03
Indicate your disability status by providing any required documentation or explanation.
04
Specify the name of the person who will serve as your proxy, ensuring they meet eligibility requirements.
05
Clearly state the reasons for requesting a waiver of the signature requirement, if applicable.
06
Review the form for accuracy and completeness before submission.
07
Submit the completed application form to your local election office by the specified deadline.

Who needs APPLICATION TO VOTE BY PROXY DUE TO A DISABILITY AND FOR WAIVER OF THE REQUIREMENT FOR A SIGNATURE?

01
Individuals with disabilities who are unable to vote in person due to their condition.
02
Voters who may have difficulties providing a signature due to a disability.
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It is a formal request allowing individuals with disabilities to vote via a proxy, enabling someone else to cast their vote on their behalf due to their condition, while also seeking to waive the requirement for the individual's signature.
Individuals with disabilities who are unable to vote in person due to their condition and who wish to have someone else vote on their behalf are required to file this application.
The application should be filled out by providing personal details, including name, address, and the reason for the proxy voting request. It may require signatures from both the voter and the designated proxy, unless the signature requirement is being waived.
The purpose is to ensure that individuals with disabilities have the opportunity to participate in elections by allowing them to vote through a proxy, thereby making the voting process accessible.
The application must include the voter's name, address, disability status, details about the designated proxy, and any additional information required by the local election authority to process the application.
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