Register Alternate Ballot Address

Alternate Ballot Address Registration

Vernon Township

First Name

Last Name

Date of Birth

Address

Phone

ABOUT YOUR ALTERNATE ADDRESS

Date Leaving for this Address

Date of Return

Alternate Address

I Understand

I understand that by submitting this form I am temporarily chaning my mailing address with the township of Vernon only for the purpose of receiving election mail during the period listed above. I further understand that I will need to submit this form for each election cycle for which I am a permanent ballot voter or permanent absentee voter for which I will need an alternative mailing address.

Alternate Ballot Address Registration

Vernon Township

Government

Departments

Resources

Opportunities