Absentee Application Request

Section 1: Select the Election(s) You Wish To Vote Absentee In

Using your mouse, left click on the election(s) you would like us to send you an application for an absentee ballot for (required).
Hold down CTRL to select more than one election, if applicable.
February 7, 2012 Town of Six Mile Special ElectionJune 12, 2012 Democratic Primary ElectionJune 12, 2012 Republican Primary ElectionNovember 6, 2012 Statewide General ElectionNovember 6, 2012 City of Clemson Municipal Election

If you will be eligible for any subsequent runoff election held two weeks after the initial election, and wish to recieve an absentee ballot for the runoff as well, please indicate your choice here:
Runoff Ballot - YesRunoff Ballot - No

Section 2: Your Contact Information

Full Name as Registered (required):

Voter Registration Number (if you know it):

Complete Residence Address (required):

Complete Mailing Address (required):

Email Address (required):

Fax Number (only needed if you want your application faxed to you):

Day Phone Number (required):

Evening Phone Number:

Section 3: Delivery Method

How would you like us to send your Application for an Absentee Ballot to you? US Postal Service - First Class MailE-mailFax

Section 4: Qualification

Select your reason/circumstance that qualifies you to vote absentee (required):

------------(01) A Member of the Uniformed Services on Active Duty (UOCAVA)(02) A Merchant Marine (UOCAVA)(03) A Spouse or Dependent of a member of the Uniformed Services or Merchant Marine (UOCAVA)(04) A U. S. Citizen Permanently Residing Outside the United States (UOCAVA)(05) A U. S. Citizen Temporarily Residing outside the United States (UOCAVA)(06) Disabled(07) Student, their spouse, or dependents residing with them who are out of their county of residence on Election Day(08) For reasons of employment will not be able to vote on Election Day(09) Government employees, their spouses and dependents residing with them, who are out of their county of residence on Election Day(10) Persons on vacation who will be outside thier county of residence on Election Day(11) Persons who will be serving as jurors in a state or federal court on Election Day(12) Persons admitted to the hospital as emergency patients on day of election or at least four days prior to the election.(13) Electors with a death or funeral in the family within 3 days before the election(14) Persons confined to a jail or pre-trial facility pending disposition of arrest or trial(15) Persons attending sick or physically disabled persons(16) Certified poll watchers and poll managers, county registration & election commission members and staff working on Election Day(17) Over 65 years of age (Voting Accessibility for the Elderly and Handicapped Act)(18) Persons who, for religious reasons, do not wish to take part in the electoral process on a Saturday (Applicable only to elections scheduled to be held on a Saturday)

Section 5: Requestor's Oath:

Please read the following statement carefully. You must accept the statement by checking the box before continuing:

I do swear or affirm that I am the person listed above, that I am a qualified elector of Pickens County, 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 herby request an application for an absentee ballot be sent to me. I understand that 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.

Section 6: Submit Your Request

Click the submit button below to transmit this application to our office. You will receive a confirmation email shortly.