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Get PA Absentee Ballot Application - Warren County

De city, town or borough) (ZIP CODE) (ELECTION DISTRICT – if known) (COUNTY) (OCCUPATION) (DATE OF BIRTH) I have lived at this address since_________________________________ State or Federal Government employees check here ( ). Place PA Driver’s License (DL) or PennDOT ID # Here if you have one: □ ________________________________________ EMAIL ADDRESS (Optional) If no PA DL or PennDOT ID # Place SS# (last 4 digits) here: I DO NOT have a PA DL #, PennDOT ID # or SS#. (A copy of an.

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