To request an early ballot for upcoming elections, please complete the form below. A ballot will be mailed to you upon verification of registration. If your address information does not match our "Registration Rolls" a ballot WILL NOT be sent without an updated registration form. You can register to vote or update your existing registration online at www.servicearizona.com.

If you desire a ballot to be mailed to an address that is not on your voter registration record, you must submit a written request. Written requests must be signed and can be sent by fax (928)428-8828 or by mail to:

Graham County Recorder
PO Box 747
Safford AZ 85546

PLEASE
DO NOT SUBMIT
OLD ADDRESS
INFORMATION

Graham County Recorder
Early Voting Ballot Request Form

**(Please note that the * indicates required fields)**

*	First Name:
*	Last Name:
	Middle Initial:	Sr / Jr / III:
*	Residence Address:
*	City:	Apt/Space#
*	State:
*	Zip Code:
	Email Address:
*	Daytime Phone:
*	Birth Date:	(MM/DD/YYYY)
	Mailing Address: (if different than residence address
	Mailing Address Line 2:
	Mailing Address Line 3:
	Mailing City, State, Zip:
	Mailing Country: (if other than USA
	Select Election General Election November 6, 2012

County Forms:

Graham County Recorder Early Voting Ballot Request Form(Please note that the * indicates required fields)

Graham County Recorder
Early Voting Ballot Request Form

**(Please note that the * indicates required fields)**