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Remote Conditional Voter Registration Form
Use this form to notify our office that you wish to use a remote conditional voter registration, and complete a ballot remotely. If you have not already submitted an online voter registration, please do so at
ocvote.gov/register
. After you submit this form, our office will process your registration and notify you of the next steps required to complete the process.
Name
First
Middle
Last
Email
Needs to match email used on registration.
Voter Registration Number
Reasons
I am a military or overseas voter, or a voter with a disability, and I am not able to vote in person at your county elections office or a voting location
Method of receipt of ballot
Receive instructions to complete a remote accessible vote-by-mail ballot online.
Receive instructions to complete a ballot remotely, but not using the remote accessible vote-by-mail ballot.
Note: Please allow delays for processing if you choose this method.