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Apply to Vote by Mail

Use the form below to apply to vote by mail with the Cook County Clerk's office.  Once you complete your form, your application will be sent directly to the Cook County Clerk's vote by mail deparment for processing.

As required by 10 ILCS 5/19-3, I affirm that I currently reside at the above-listed address and precinct and have lived there for 30 or more days. I further affirm I am lawfully entitled to vote and understand that this application is a request for an official ballot by mail to be voted by me at this election and that I must submit a separate application for a ballot at each election. 

Under penalties provided in 10 ILCS 5/29-10, I certify the information in this application is true and correct.
Where should the Cook County Clerk mail your ballot?

SUCCESSFULLY SENT

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