EARLY VOTING APPLICATION REQUEST

Primary Election May 13^th, 2008 General Election November 4^th, 2008

I, _______________________________________, hereby request that a voting ballot(s) be

(Name)

mailed to me for the Primary General Special ALL election(s) occurring in 2008.

(Please indicate by circling the elections that are applicable to your request)

I am a registered voter residing at ____________________________________________________,

(Street Address)

_______________________________________________________________________________

(City) (Zip code) (Precinct if known)

The ballot should be mailed to me at __________________________________________________

(Complete if different than address listed above)

_______________________________________________________________________________

(City) (State) (Zip Code)

I may be reached at the following phone number to verify any information which might be required before sending out the ballot(s): ________________________

________________________________________ ______________________________

Printed Name of Applicant Date of Application

___________________________________ OR ______________________________________

Signature of Applicant Signature of Relative or Person Acting as Agent (AGENT CAN ONLY ACT FOR TWO VOTERS)

Office hours for voting: Monday thru Friday 8:00 a.m. to 4:30 p.m. Early Voting Deadlines 2008

Primary General

Early Ballots should be available for voting the week of: April 7th September 29^th

Last day to apply for ballot to be mailed (4:00 pm): May 7^th October 29^th

Last day to apply for ballot and vote in office: May 12^th November 3^rd

Last day for Agent to make application and pick up absentee ballot (7:00 pm): May 13^th November 4^th

All Ballots must be in possession of the County Clerk by 8:00 pm: May 13^th November 4^th

Mail application to: Otoe County Clerk, PO Box 249, Nebraska City, NE 68410.

For further information call: 402-873-9501

FOR OFFICE USE ONLY:

App Rec’d______________ Verified by __ Voter ID ____________ Ballot Type__________ Party _________

Date Sent / Picked up by Agent_____________ or Voted Here________ Application #________ Entered £