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Full name.

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Clark County residential address and the address where you want the mail ballot to be delivered (if different from the residential address).

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The election(s) (primary, general, special, and/or permanent) in which you want to vote by mail--you will be sent a mail ballot for only those specific elections and no others, e.g., if you only indicate the primary, you will not be sent a mail ballot for the general and vice-versa.  You may also indicate that you want a permanent mail/absentee ballot for ALL future elections.

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The language, English, Spanish, or Filipino/Tagalog, in which want to receive your mail ballot voting materials.

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Optional:  (a) A telephone number and/or e-mail address where you can be reached in case any questions arise; and (b) your Nevada Voter Registration number if you know it (to find it, login to Registered Voter Services and select View My Registration Information from the dropdown menu).

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Handwritten signature (if you are physically disabled and cannot sign your name, call the Election Dept. at (702) 455-6552 for instructions)
 

Send your letter to us by one of the means indicated below:

• Postal Mail:
  Mail Ballot Division
  PO Box 3910
  Las Vegas, NV 89127-3910
• E-Mail (for requests scanned as a PDF):
  MailBallotRequest@ClarkCountyNV.gov
• Deliver in Person:
  CLARK COUNTY ELECTION DEPARTMENT
  965 Trade Dr., Suite A
  North Las Vegas, NV
• FAX:
  (702) 455-2831