Absentee Ballot Request. Federal Post Card Application (FPCA). Print clearly in blue or black ink please see back for instructions. This form is for absent
NOTE to County Election Official ONLY: If the voter has marked that he or she is permanently away (new FPCA form) or indefinitely away (old FPCA form)
to use this form). I am a U.S. citizen residing outside the U.S. and I intend to return. I prefer to receive my ballot
A FPCA is used as both an absentee application and a registration form. (https://www.fvap.gov/uploads/FVAP/Forms/fpca_envelope.pdf) for free return.
Name of Form: Federal Post Card Registration and Absentee Ballot Request (FPCA). Section Reference: 42 U.S.C.A. 1973cc-14 Section 84.007
Form Number: 5-35. Section Reference: 39 U.S.C. 3406 Section 86.013
International airmail postage is required if not mailed in the. U.S. Postal Service APO/FPO system
If you are NOT the correct early voting clerk to receive this FPCA reject FPCA and send applicant notice using Form AW5-15-FPCA
If the voter is already registered and is using the FPCA to request an absentee ballot the form can be mailed
States but under federal law
Pick one I request an absentee ballot for all elections in which I am eligible to vote AND: I
States administer elections in the United States but under federal law the FPCA allows you to request voter registration in your state of legal voting
This form is for absent Uniform Service members their families and citizens residing outside the U S only U S Government Departments Agencies and Offices
See your State's pages in the Voting Assistance Guide on FVAP gov D D / / M M Y Y
A FPCA is used as both an absentee application and a registration form Any voter may use the FPCA Your clerk will send your absentee ballot within one
Please keep the attached copy of the FPCA and send to the voter named above a ballot for each election for which you are the early voting clerk and in which you
To temporarily register and request early voting ballots for members of armed forces their spouses and dependents members of merchant marines
If you ARE the correct early voting clerk continue to step 2 below 2 Did applicant complete all necessary information on the FPCA? [Note applicant should
MY POLITICAL PARTY PREFERENCE (Optional but may be required by states to register to vote in primary elections): EMAIL FAX MAIL c I PREFER TO RECEIVE MY