Follow the steps to accurately complete your application.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Start by entering your full name and primary residence exactly as it is registered. This is critical for ensuring your application is processed correctly.
3. Provide the mailing address where you would like to receive your ballot. This should include your street address, city, state, and zip code.
4. Indicate your county of residence, which is Luzerne, and fill in your date of birth.
5. Complete the section indicating how long you have lived at the provided address.
6. If you are absent due to duties, occupation, or business, complete Section A. Include a brief explanation of your reason for absence and provide your signature and date.
7. If your absence is due to illness or physical disability, fill out Section B. Insert the reason for your absence, provide the name and address of your attending physician, their phone number, and your signature along with the date.
8. If you are unable to sign because of your illness or disability, you must indicate this in the designated area. Include a witness's signature and their address.
9. After completing all necessary sections, review the form for accuracy and completeness before finalizing.
10. Save changes to your form. You can also download, print, or share the form as needed for submission.

Complete your absentee ballot application online today to ensure your voice is heard in the upcoming election.