Town of New Ipswich Absentee Ballot Request Form

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                          NEW IPSWICH TOWN CLERK / TAX COLLECTOR

              TOWN OF NEW IPSWICH ABSENTEE BALLOT REQUEST FORM     

              Town of New Ipswich    

Application for Official Absentee Ballot

                                                    Date                                        

I,                                                                                                  hereby apply for an official

absentee voting ballot. I am a duly qualified to vote in the Town of New Ipswich, NH.

Signature                                                                                      

Street Address                                                                                                                        

If you want the ballot mailed to an address other than your residence;

                                                                                                             

                                                                                                             

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Hand carry or mail to: Town Clerk 661 Turnpike Road New Ipswich, NH 03071

You can use an absentee ballot if:

You will be absent from town when the polls are open.

You are unable to vote in person because of a physical disability.

You can not appear in public on Election Day due to observance of a religious commitment.

Ballots must be hand carried in person up until 5:00 pm the day before the election or by mail until Election Day.