TULSA COUNTY ELECTION BOARD ABSENTEE BALLOT 
REQUEST
         
How to APPLY for an ABSENTEE BALLOT:  Print form, fill out, then FAX or MAIL.

Any registered voter may vote by absentee ballot for any election or all elections in which they are 
eligible.  Voters who apply for ALL ELECTIONS must apply EACH CALENDAR YEAR.  To apply,
a voter may use the form below or write a letter which contains the following:

NAME:  ______________________________________________________________________

DATE OF BIRTH;  ______________________________PHONE #_____________________

ADDRESS: ___________________________________________________________________
 (ADDRESS OF VOTER REGISTRATION  -  STREET ADDRESS -  Not a  P.O. Box)

POLITICAL AFFILIATION:  ___________________________________________________________

NAME OF SCHOOL DISTRICT:  __________________________ BOARD DIST. ______
?                                                                                                                                                                                                         
?*Tulsa I-1, Sand Springs I-2, *Broken Arrow I-3, Bixby I-4, Jenks I-5, Collinsville I-6,       	
?Skiatook I-7, Sperry I-8, *Union I-9, Berryhill I-10, Owasso I-11, Glenpool I-13,               
?                                        Liberty I-14, Keystone C15, Leonard C18                                       
?         (*= School Districts that elect board members by board district, not at large)            

NAME OF CITY OR TOWN: ______________________________________COUNCIL DIST.  _____

ELECTION(S) APPLYING FOR:  _________________________________________   ALL:  20__ __

SIGNATURE:  _________________________________________________________________________

ADDRESS WHERE BALLOTS ARE TO BE MAILED:  ____________________________________

CITY  ____________________________________  STATE  ________  ZIP  ______________________




CHECK BOX BELOW IF ONE OF THESE CIRCUMSTANCES APPLIES:
?  I AM PHYSICALLY INCAPACITATED
?   I AM IN THE MILITARY OR AM OVERSEAS  requesting regular absentee ballots
?  I AM IN THE MILITARY OR AM OVERSEAS additionally requesting State Write-in ballots
Due to military contingencies or due to living in an isolated or extremely remote area of the world, I can
not follow the regular application procedure for an absentee ballot.  I request a special write-in absentee ballot.

This request may be downloaded, printed, filled out and 	|	This request may be mailed to:  
FAXED TO THE ELECTION BOARD AT:  (918)-596-4536	|	TULSA COUNTY ELECTION BOARD
								|	555 NORTH DENVER AVENUE
								|	TULSA  OK  74103-1014

When faxing your absentee ballot request, it is a good idea to call the Absentee Department voice mail box at 
918-596-8833, leaving your name and telephone number where you can be reached, stating you have sent an 
absentee ballot request by fax.  If we find the fax did not transmit, we will notify you within 24 hours.  This 
courtesy will not apply on the last day in which ballots can be mailed.

In-person absentee voting is available before all elections at the Tulsa County Election Board on the preceding 
Friday & Monday 8:00am to 6:00pm.  For Federal and State Elections, in-person absentee voting is also 
available on Saturday 8:00am to 1:00pm.  For additional information, you may phone the Tulsa County 
Absentee Department at (918)-596-5766 or (918)-596-8824.