This form is only for Philadelphia voters who have already applied for a mail-in or absentee ballot. You may not use this form to apply for a ballot.

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Phase 1 of 3

Please check the status of your application here before continuing. Please allow for at least 48 hours for status to be posted.

Please submit your ballot application following the process here.

Download a Federal Postcard Application (FPCA); You may register to vote and request an official absentee ballot by using the FPCA, available for Download here. This application is acceptable for General, Primary, and Special elections for which you are eligible in that calendar year alone. We recommend you send in a new FPCA every January and each time you move. You may apply for an absentee ballot by submitting your FPCA by fax to (215) 686-3398, or by email to

Had Previous Filed Ballot:
Overseas Or militaryVoter:
Last Name:
First Name:
Date of Birth:
Residential Address:
Residential City/State:
Residential ZipCode:
Ballot Reason:
Missing Materials:
Made Error on Envelopes:
Receive New Ballot: