
Get the free Curbside Voting Request Form - Sangamon County Clerk
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10 ILLS 5/7-47.1(b), 17-13(b) Suggested Revised July 1999 BE No. F-2 REQUEST FOR BALLOT BY VOTER UNABLE TO ENTER POLLING PLACE (For use by temporarily or permanently physically disabled voter) To:
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How to fill out curbside voting request form

How to fill out a curbside voting request form:
01
Visit your local election office or go to their website to obtain the curbside voting request form.
02
Fill out the personal information section of the form, including your name, address, and contact information.
03
Provide details about the specific election for which you are requesting curbside voting, such as the election date and the name of your precinct.
04
Indicate any necessary accommodations you may require for curbside voting, such as language assistance or mobility aids.
05
If applicable, provide the name and contact information for any caregiver or assistant who will be with you during the voting process.
06
Read and understand any additional instructions or disclaimers provided on the form, ensuring that you comply with all requirements.
07
Once you have completed the form, review it for accuracy and make any necessary corrections.
08
Sign and date the form to validate your request.
09
Return the completed form to your local election office according to their instructions, whether that be by mail, in person, or through their website's online submission portal.
Who needs a curbside voting request form:
01
Individuals with physical disabilities or mobility issues who may have difficulty accessing the polling location.
02
Voters who are unable to enter the polling location due to health concerns or limitations.
03
Caregivers or family members who accompany and assist individuals requiring curbside voting.
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What is curbside voting request form?
The curbside voting request form is a document used to request a curbside voting option for individuals who are unable to enter a polling location and require assistance in voting.
Who is required to file curbside voting request form?
Any individual who is unable to enter a polling location and requires assistance in voting is required to file a curbside voting request form.
How to fill out curbside voting request form?
To fill out the curbside voting request form, you need to provide your personal information such as name, contact details, reason for requiring curbside voting, and any other relevant information as requested on the form.
What is the purpose of curbside voting request form?
The purpose of the curbside voting request form is to enable individuals who cannot enter a polling location to request and receive assistance in voting through a curbside voting option.
What information must be reported on curbside voting request form?
The curbside voting request form typically requires information such as the individual's name, contact details, reason for needing curbside voting, and any other relevant information as specified on the form.
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