Skip Navigation

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.

Top of Page