Platte County :: Absentee Request

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Request for Wyoming Absentee Ballot

If you prefer a paper request, you can print and mail the paper application here.

Voter Information

Name (First, Middle, Last):
Phone #:
Physical Address:
City/State/Zip:
Date of Birth:
Are you currently in the military?:	Yes No

Ballot and Election Information
Primary Election \|	RepublicanDemocratLiberatarianOther/Unaffiliated
General Election
Special Election

Mailing Information
Mail Ballot To:
City/State/Zip:
Request Information
Name of Person Requesting Ballot:
(if different from applicant)
Relationship:
Special Instructions:
E-Mail:
Confirm E-Mail:

I, hereby state that I am a registered voter or that the person for whom I am applying is a registered voter and entitled to vote in the election(s) indicated above.