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    South Carolina Application For Absentee Ballot: Step 1

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    harrypercival
    This document is a South Carolina absentee ballot application for the November 3, 2020 general election submitted by John Harry Percival. It provides his personal information, voting districts, reason for requesting an absentee ballot due to employment, and signature requesting a ballot be mailed to his specified address. The application instructs the applicant to complete the form and return it to the Berkeley County Board of Voter Registration and Elections office.

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    South Carolina Application For Absentee Ballot: Step 1

    Uploaded by

    harrypercival
    43 views1 page
    This document is a South Carolina absentee ballot application for the November 3, 2020 general election submitted by John Harry Percival. It provides his personal information, voting districts, reason for requesting an absentee ballot due to employment, and signature requesting a ballot be mailed to his specified address. The application instructs the applicant to complete the form and return it to the Berkeley County Board of Voter Registration and Elections office.

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    AbsenteeApplication.pdf

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    This document is a South Carolina absentee ballot application for the November 3, 2020 general election submitted by John Harry Percival. It provides his personal information, voting districts, reason for requesting an absentee ballot due to employment, and signature requesting a ballot be mailed to his specified address. The application instructs the applicant to complete the form and return it to the Berkeley County Board of Voter Registration and Elections office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    43 views1 page

    South Carolina Application For Absentee Ballot: Step 1

    Uploaded by

    harrypercival
    This document is a South Carolina absentee ballot application for the November 3, 2020 general election submitted by John Harry Percival. It provides his personal information, voting districts, reason for requesting an absentee ballot due to employment, and signature requesting a ballot be mailed to his specified address. The application instructs the applicant to complete the form and return it to the Berkeley County Board of Voter Registration and Elections office.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    South Carolina Application for Absentee Ballot

    Election: November 03, 2020 Statewide General Election Application No: 13207 Ballot Style: B47

    Name: John Harry Percival Voting Districts:


    Congressional: 06
    Precinct: Hilton Cross Roads Runoff Ballot Requested: N (Primary Only)
    Senate: 39
    Walk-in Applicant: N Identification Provided: Yes Party: (Primary Only) House: 102
    Mailing Address for Absentee Ballot: CntyCouncil: 07

    John Harry Percival #470566038 School: 07


    JOHN HARRY PERCIVAL MagistrateJuryArea: 085
    1935 Fish Rd
    Ridgeville, SC 29472

    **Complete the steps below and return this application to the address at the bottom of this form**

    Step 1 Check the appropriate box to indicate the reason you are requesting an absentee ballot:
    o 1. Member of the Uniformed Services on Active Duty
    o 2. Member of the Merchant Marine
    o 3. Spouse or dependent of a member of the Uniformed Services or Merchant Marine
    o 4. U.S. Citizen temporarily residing outside of the United States due to employment, service with the American Red Cross, USO, Peace Corps, etc.
    o 5. U.S. Citizen permanently residing outside of the United States
    o 6. Physical Disability, Illness or Injury
    o 7. Student, their spouse or dependents residing with them who are outside their county of residence
    x 8. For reason of employment will not be able to vote on Election Day
    o 9. Government employee, their spouse or dependents residing with them, who are outside their county of residence on Election Day
    o 10. Person on Vacation who will be outside their county of residence on Election Day
    o 11. Serving as a juror in a state or federal court on Election Day
    o 12. Admitted to the hospital as emergency patient on the day of the election or within a four-day period before the election
    o 13. Death or funeral in the family within a three-day period before the election
    o 14. Confined to jail or pre-trial facility pending disposition or arrest or trial
    o 15. Attending a sick or physically disabled person on Election Day
    o 16. Certified poll watcher, poll manager, county registration board or election commission member or staff working on Election Day
    o 17. Persons sixty-five years of age or older
    o 18. State of Emergency (General Election Only)

    Step 2
    I do swear or affirm that I am a qualified elector, that I am entitled to vote in this election, and that I will not vote again during this election. The
    information above is true in all respects, and I hereby apply for an absentee ballot for the reason indicated above. Any person who fraudulently applies for
    an absentee ballot in violation of this section, upon conviction, must be punished in accordance with Section 7-25-20.
    Signature: ____________________________________________________________ _____________________________
    Date
    Phone:__________________________________ Email Address: _________________________________________________________
    (Email and phone used for emergency contact purposes or military/overseas citizens ballots only)

    Step 3
    If you would like your ballot to be mailed to an address other than the one listed above, please indicate the correct address below:
    Street Address: _______________________________________________________________________________
    City, State, Zip: ______________________________________________________________________________
    Active Duty Military and Overseas Voters:
    Active dute military personnel and their dependents assigned outside of their county of residence and overseas citizens may vote by fax or email. All other
    ballots will be mailed via the U.S. Postal Service. If you are eligible and would like to receive your ballot by fax or email, please indicate your preference
    here:

    o Fax (____)_____-______________ BERKELEY County


    Board of Voter Registration & Elections
    o Email (Provide email address above) PO Box 6122
    Moncks Corner, SC 29461
    Phone: (843) 719-4056
    Fax: (843) 719-4060

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