Complete Back-up Federal Write-In Absentee Ballot

The Federal Write-In Absentee Ballot allows voters who have requested their ballot by their state deadline but not received it to vote. Alaska allows you to use this form for registration and voting in general, special, and primary elections for Federal offices. You may not need to fill out this entire form. Check out the instructions below to see what information your state requires.

Open Back-up Federal Write-In Absentee Ballot

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What do I fill in?

Only the following blocks of the Voter's Declaration/Affirmation are required:

Block 1.a: Select the category that describes you.

Block 1.b: Alaska allows you to use this form for registration.

Block 2.a: Name (Last, First, Middle); Block 2.b: Enter any former name under which you were registered in Alaska; Block 2.e: Date of Birth

Block 2.f: Enter your valid Alaska Driver's License number, the last four digits of your Social Security number or your Alaska State Identification Card Number.

Block 3.a through 3.e: Complete street address of your Alaska voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Block 6. This address must be different from the one provided in Block 4 and must be within the county where you claim legal voting residence.

Block 4.a: Enter your current mailing address. It must be different from the address you provided in Block 3.

Block 5: Enter your political party preference if you would like to vote in primary elections.

Block 6: Provide any information that may assist the local election official in accepting this ballot or application.

Block 7: Sign and date. This form must be sworn to before a commissioned officer, notary or other person authorized to administer oaths, or one witness (18 years or older).

Completing your ballot:

Alaska allows you to use this form for registration and voting in general, special, and primary elections for Federal offices. For each office for which you vote, write in either a candidate's name or a political party designation.

Once the ballot is complete, fold and place it in the security envelope and seal. Place only the voted ballot in the security envelope and do not write on the security envelope. Insert the sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and seal.

Optional: You may print this template on your security envelope

Open Security Envelope Template

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Optional: You may be able to use this postage-paid envelope template

Open Postage-Paid Envelope Template

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The postage-paid envelope may be used in the U.S. postal system which includes: all U.S. Military Post Offices (APO/FPO) overseas or through the diplomatic pouch available at U.S. Embassies/Consulates

Mail the form to:

Absentee Voting Office
619 E. Ship Creek Ave, Ste 329
Ste 329
Anchorage, AK 99501-1677

Don't know your county? Go to the county finder. Don't know your zip code? Go to the United States Postal Service website.

If you choose to fax, you MUST also sign and mail this ballot

Fax

You may choose to fax this ballot. To vote absentee by fax you must request the ballot using a state of Alaska Absentee by Fax Application, which may be requested from the Division of Elections Absentee Voting Office and is available online starting 15 days prior to an election. Fax the ballot directly to the Absentee Voting Office at 907-677-9943. You may also use our toll-free fax service:

Inside the U.S.? Fax to:
1-800-368-8683
(703)-693-5527
DSN 223-5527

Outside the U.S.? Show me a list of toll-free fax numbers

Open Fax Coversheet

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• Check the "Important Dates" section at the top of this page for registration, ballot request, and voted ballot return deadlines.
• Want to submit your Federal Write-In Absentee Ballot by fax? Before you can send the back-up Federal Write-In Absentee Ballot by fax, you must submit an Alaska Absentee By Fax Application which is available online 15 days prior to the election. The by fax application must be submitted no later than 5:00 p.m. Alaska time the day before the election. Remember that by faxing your voted ballot you are waiving your right to secrecy.
• If using our Electronic Transmission Service you must use the Fax Coversheet
• If you receive your state absentee ballot after submitting your Federal Write-In Absentee Ballot, fill it out and return it. The state absentee ballot will be counted instead of the back-up ballot if it's received in time.