HOW TO FILL OUT:

1. APPLICATION FOR BALLOT BY MAIL

2. CARRIER ENVELOPE TO RETURN
BALLOT
 MIDLAND
COUNTY
ELECTIONS
Instructions on how to fill
out your APPLICATION FOR
BALLOT BY MAIL and your
CARRIER ENVELOPE to
return your ballot.

Thank you,
Carolyn Graves
Election Administrator
APPLICATION FOR
BALLOT BY MAIL
How to fill it out properly
 Optional Section1
Email and Personal ID
phone #
1. You must now fill in the
personal identification
information on your
APPLICATION for a BALLOT
BY MAIL. You may use
A. Driver’s License #
B. Texas Personal ID #
C. Election ID Certificate #
issued by DPS
D. Last 4 of your Social Security
number.

It MUST be what we have on

file.
To be sure, you can use
both.
2. Read carefully and fill in all
boxes that apply to you.
 Let us know
exactly where
you want us to
send your
Section 2
ballot Mail my ballot to..
1. Your Residence address
2. Other address,
a. Mailing address listed
on registration
b. Address outside the
County (voters absent
from the county)
c. Hospital, Nursing Home,
Long-Term Care Facility
or Assisted Living
Center or a relative
(voters aged 65 OR
DISABLED ONLY)
 Section 3
Reasons for
Voting
1. 65 years or older
2. Disability
3. Expected to give birth
Why? within 3 weeks before
or after Election Day
4. Expected absence
from the county
5. Confined in jail or
involuntary Civil
Commitment.
 Section 4
Send me a ballot
for the following
Elections
1. Annual –for all elections
in voting year (January
to December)
2. For Primary Elections-
must select a Party
3. Uniform Election dates
or
4. Primary Elections (even
numbered years only)
 Section 5
Sign here

Sign
And
Date your
application
Sign
 Section 6
W itness or Assistant Fails to
complete Section 6, it is a Class
A Misdemeanor.”
1. If the applicant is unable
to make a mark
2. Witness- if you check this
box, you MUST state your
relationship.
3. Assistant- If you assisted
Failure to complete the applicant in
Section 6 completing this
application in the
completely is a applicant’s presence or
Class A mailed/emailed/faxed
Misdemeanor the application on behalf
of the applicant
4. Witness or Assistant-
you must print name,
sign, and show your
address
CARRIER ENVELOPE
How To Properly Fill Out Your Carrier Envelope
 IMPORTANT-
READ
CAREFULLY
OPTIONAL
DL# CONTACT 1. YOU MUST PUT YOUR DL# OR THE LAST
INFORMATION 4 OF YOUR SS# ON THE CARRIER
LAST 4 OF Check this box if you
ENVELOPE. It must be what we
SS# have NOT been have on file.
issued a DL or a SS# 2. If you have an Assistant-They MUST fill
out all of the information and circle
the box that they have or have not
received compensation.
3. If you have a Witness- They MUST fill
out every question. And sign and
date.

SIGNATURE 4. Don’t forget to sign your

ballot carrier envelope in
the red signature box.
5. Optional line for phone
and email (This helps if
we need to contact
you)