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Navajo County Recorder
Early Voting Ballot Request Form

Ballot requests are no longer being accepted.
(Please note that the * indicates required fields.)
* First Name / Nombre:
* Last Name / Apellido:
Middle Initial / Inicial:      Sr / Jr / III:   
*  Residence Address / Dirección:
* City / Cuidad: Apt / Space #
* Zip Code:
* Email Address:
* Daytime Phone / Teléfono de día:
* Birth Date / Fecha de Nacimiento:
Open the calendar popup.
 
  Mailing Address
(if different than residence address)
  Mailing Address Line 2:
  Mailing Address Line 3:
  Mailing City, State, Zip:
  Country:
(if other than USA)
 
* Select Ballot:
 
  *Required for Primary Ballots
 
   
 
   
 
   
 
   
 
  Primary Election Ballots are not yet available.

To request a ballot for the above election you must select a party. If you are registered as a member of one of the listed parties, you will automatically receive the ballot for that party regardless of the selection you make here.
   
  General Election Ballots are not yet available.

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