Apply for Your Absentee Ballot

The mail-in ballot application deadline for the 2023 Virginia primary election was 5pm Friday, June 9th and has now passed. You are now able to apply to vote by mail in the general election.
Effective July 1st, 2020, any registered Virginia voter can request an absentee mail-in ballot. No reason is required!
The mail-in ballot application deadline for the general election is 5pm Friday, October 27th. Apply now to reduce any possible delays.
Does your voter record need to be updated for a change in your name or address? You can do so at the end of this absentee mail-in ballot application.
If you are not registered to vote, register to vote here first, then return here to complete your application.

Your Information

First Name

Last Name

Middle Name

Suffix

SSN (Last 4 Digits)

Where are you registered to vote?

Your residence address is where you live and are registered to vote.

Street Address

Apartment

City

ZIP Code

County:

I'd like to vote by mail for all future elections until I instruct otherwise.

Which party primary ballots would you like to receive?

Democratic Party

Republican Party

I do not wish to receive ballots for Primary Elections.

Which election would you like to request an absentee ballot for?

You can view the official list of upcoming elections here.

I am applying to vote by mail in the:

General or Special Election

Election date:

I'd like for my absentee ballot to be delivered to a different address than the address where I'm registered to vote.

Street Address

Apartment

City

ZIP Code

State

Country

I will need assistance in completing my ballot due to a disability, blindness, or inability to read or write. If checked, assistance form will be provided with ballot.

Assistant Full Name

Assistant Street Address

Assistant Apartment

Assistant City

Assistant State

Assistant ZIP Code

I swear/affirm, under felony penalty for making willfully false material statements, that the information I have provided on this form is true and I have written on the Applicant's signature line "Applicant Unable to Sign."

I have changed my residence address or legal name since the last time I voted.

Former Full Name

Former Address

Date Moved

Contact Info

Your email address is required to send you a copy of your application. By providing your mobile phone number you consent to receive recurring text messages from Our States Matter PAC. Please read our Privacy Policy to understand how information about you is collected, used and disclosed by Our States Matter PAC and any affiliates.

Email Address

Phone Number

Applicant Signature

I swear/affirm, subject to felony penalties for making false statements pursuant to VA Code § 24.2-1016, that (1) the information provided in this form is true, (2) I am not requesting a ballot or voting in any other jurisdictions in the US, (3) I am registered to vote in the city/county where I am applying to vote, and (4) if I checked the box to vote by mail for the calendar year, I will likely remain eligible to vote throughout the calendar year.

Applicant Name