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August 2, 2022 Do not return this page

Primary and Special Election


King County, Washington
 to King County Elections.

Overseas and service voters

Ballot Packet Instructions


Get ready You will need: Your ballot packet will include:
• Pen • Your ballot
• Clear tape (optional) • Declaration and signature sheet
• Envelope (optional) • Optional cover sheet
• Envelope cut-out sheet

1 Vote and prepare your 1. Print this ballot packet. Important! When printing your ballot, make sure the option
ballot packet to “fit to page” is selected so that the entire length of the ballot is printed.
2. Review your selections or mark your choices by hand.
3. Sign and date your Declaration and signature sheet.
4. Arrange your completed ballot packet in the order shown below:
a. Declaration and signature sheet Ballot

b. Optional cover sheet Optional cover sheet

c. All of your ballot pages Declaration and signature sheet

2 Return your ballot Option 1: Email/fax


There are three ways to You can return your completed ballot packet by email or fax no later than 8 p.m. (PT) on
return your ballot. Election Day.
To email your ballot:
1. Email your completed ballot packet as an attachment to
return.ballot@kingcounty.gov. You can take a clear and legible picture of your
ballot packet pages with a digital camera or smart phone.
• Do not send a link.
• Do not exceed a file size of 10MB.
To fax your ballot:
1. Fax your completed ballot packet to 206-296-4499.
Option 2: Mail
Place your completed ballot packet into an envelope using the Envelope Cut-Out Sheet
as instructed. The date you indicate on the voter declaration is considered the date of
mailing and must be no later than Election Day. Your ballot must be received no later
than August 15, 2022, the day before election certification.
Option 3: Ballot drop box
Place your completed ballot packet into an envelope using the Envelope Cut-Out Sheet
as instructed. You do not need to add postage to return your ballot at a ballot drop box.
Visit www.kingcounty.gov/elections to find a ballot drop box.

 Track your ballot and read the voters’ pamphlet.


Track the progress of your ballot at several points using the Ballot Tracker and read the voters’ pamphlet on our website:
kingcounty.gov/elections
August 2, 2022 Return this page to King
Primary and Special Election
King County, Washington
 County Elections.

Overseas and service voters

Declaration and signature sheet


Instructions Complete steps 1-3 below. This sheet must be signed, dated and returned with your ballot.

1 Read the declaration I do solemnly swear or affirm under penalty of perjury that I am:
• A United States citizen;
• A Washington state resident that meets the requirements for voting mandated by state law;
• At least 18 years old on election day, or 17 years old at the primary and 18 years old by the
day of the November general election;
• Voting only once in this election and not voting in any other United States jurisdiction;
• Not serving a sentence of total confinement under the jurisdiction of the Department of
Corrections for a Washington felony conviction or currently incarcerated for a federal or
out-of-state felony conviction;
• Not disqualified from voting due to a court order; and
• Aware it is illegal to forge a signature or cast another person’s ballot and that attempting to
vote when not qualified, attempting to vote more than once, or falsely signing this declaration
is a felony punishable by a maximum imprisonment of five years, a maximum fine of $10,000,
or both.

2 Voter information
Nadia Boussaid
Boussaid
7624 NE 125TH ST
KIRKLAND, WA 98034 12/21/1967 10299470

Information on this form cannot be used to update your voter registration information. Please visit
votewa.gov to make changes to your registration.

3 Sign and date

X
You must sign and
date for your ballot / /
to be counted.
signature of voter (required) date (mm/dd/yy)

email or phone number (optional, in case there is an issue with your signature)

If you are unable to write your signature, make a mark in the signature area above. Have
your mark witnessed and signed by two people below. You may not use a power of
attorney to sign for someone else.

signature of witness 1 signature of witness 2

Failure to sign and date 



continue to optional cover sheet

may invalidate your ballot.


August 2, 2022
Primary and Special Election
King County, Washington
 You may return this page
to King County Elections,
but it is not required.
Overseas and service voters

Optional cover sheet


What is this? This sheet is optional and will keep your ballot private when your ballot packet arrives at
King County Elections. Please note that ballots printed using the online system may be
less secret when processed by Elections staff.

Instructions Once you have finished voting your ballot and signed the declaration, you are ready to
move on to the next step.
Return to the Ballot Packet Instructions, step 2.

return to the ballot packet instructions 

 Contact information
phone: 206-296-VOTE (8683)
1-800-325-6165
 Who donates to campaigns?
View contributors for candidates and measures TTY Relay: 711
Public Disclosure Commission email: elections@kingcounty.gov
www.pdc.wa.gov online: kingcounty.gov/elections
Toll Free 1-877-601-2828
August 2, 2022 Use the envelope cut-out if
Primary and Special Election
King County, Washington  you selected the option to
return your ballot by mail.
Overseas and service voters

Envelope cut-out sheet


What is this? Using the image below identifies your ballot packet as official election mail. Important! If you are returning your ballot materials by mail the
envelope image below provides prepaid postage and first-class delivery.

Instructions 1. Cut out envelope image below along the dotted lines.
2. Tape the image onto an envelope. Be careful not to cover the postmark area in the upper right corner of your envelope with tape.
3. Fold the completed ballot packet (declaration and signature sheet, optional ballot cover sheet, and ballot) and place it into the envelope.
IMPORTANT: DO NOT ENLARGE, REDUCE OR MOVE the FIM and POSTNET barcodes. They are only valid as printed!
Special4. must be
careSeal andtaken to ensure
mail FIM and POSTNET barcode are actual size AND placed properly on the mail piece
the envelope.
to meet both USPS regulations and automation compatibility standards.

U.S. Postage Paid


NE PAS AFFRANCHIR
AIR MAIL 39 USC 3406
NO POSTAGE
NECESSARY
PAR AVION
PAR AVION IF MAILED
TO THE
IBRS/CCRI No. 10349 UNITED STATES

10299470


INTERNATIONAL BUSINESS REPLY MAIL/REPONSE PAYEE
OFFICIAL MAIL
PERMIT NO. 10349 BALLOTING MATERIAL - FIRST-CLASS
RENTON WA MAIL

NO
POSTAGE WILL BE PAID POSTAGE
BY ADDRESSEE NECESSARY IN THE U.S. MAIL - DMM 703.8.0

King County Elections


KING COUNTY ELECTIONS
919 SW GRADY WAY STE 100
919 SW Grady Way, Suite 200
RENTON WA 98057-9974
UNITED STATES OF AMERICA
Renton WA 98057-2905
USA
August 2, 2022 KIR 01-2767
Official Primary and Special Election Ballot 2767.590
King County, Washington
Instructions Begin voting here Federal
How to vote
 United States Representative
Congressional District No. 1
partisan office
READ: Each candidate for partisan vote for one
office may state a political party
Matthew Heines
that he or she prefers. A (Prefers Republican Party)
candidate's preference does not Derek K Chartrand
Completely fill in the oval next to your imply that the candidate is (Prefers Republican Party)
choice. nominated or endorsed by the Vincent J Cavaleri
(Prefers Republican Party)
How to correct a mistake party, or that the party approves of Tom Spears
or associates with that candidate. (States No Party Preference)
Suzan DelBene
(Prefers Democratic Party)
Federal
United States Senator State
To make a correction, draw a line through partisan office
the entire choice. You then have the vote for one Secretary of State
option of making a different choice by unexpired 2-year term
completely filling in another oval. Henry Clay Dennison
partisan office
(Prefers Socialist Workers Party) vote for one
Mohammad Hassan Said Bob Hagglund
Optional write-in (Prefers Democratic Party) (Prefers Republican Party)
To add a new candidate, fill in the oval next John Guenther Kurtis Engle
to the write-in line and print the name on (Prefers Republican Party) (Prefers Union Party)
Tiffany Smiley Marquez Tiggs
the write-in line. (Prefers Republican Party) (Prefers Democratic Party)
Dan Phan Doan Tamborine Borrelli
(States No Party Preference) (Prefers America First (R) Party)
Dr Pano Churchill Steve Hobbs
(Prefers Democratic Party) (Prefers Democratic Party)
Dave Saulibio Keith L. Wagoner
. (Prefers JFK Republican Party) (Prefers Republican Party)
Sam Cusmir Mark Miloscia
(Prefers Democratic Party) (Prefers Republican Party)
Bill Hirt Julie Anderson
(Prefers Republican Party) (Prefers Nonpartisan Party)
Jon Butler
(Prefers Independent Party)
Bryan Solstin
Legislative District No. 1
(Prefers Democratic Party)
Martin D. Hash Representative Position No. 1
(States No Party Preference) partisan office
Patty Murray
(Prefers Democratic Party)
vote for one
Thor Amundson John Peeples
(Prefers Independent Party) (Prefers Republican Party)
Charlie (Chuck) Jackson Davina Duerr
(Prefers Independent Party) (Prefers Democratic Party)
Naz Paul
(Prefers Independent Party)
Ravin Pierre
(Prefers Democratic Party)
Leon Lawson
Continue voting
(Prefers Trump Republican Party)
other side 

KIR 01-2767 [2767.590] STND (CS 14)


State
Legislative District No. 1
Representative Position No. 2
partisan office
vote for one
Jerry Buccola
(Prefers Republican Party)
Shelley Kloba
(Prefers Democratic Party)

End of Ballot
Vote both sides of ballot

KIR 01-2767 [2767.590] STND (CS 14)

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