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ABSENTEE BALLOT REQUEST FORM INSTRUCTIONS

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/ > E -K / E KZ &KZ K&&/ h^ KE>z z E D ^ d / E z / Z z LJ / LJ LJ LJ LJ , ^ LJ LJ t z ^ D / D W K d W ' W LJ LJ ^ ^ KZ DO NOT ADD THIS INFORMATION TO MY voter RECORD Date: LJ Z Z W LJ LJ /

4.Voter Verification Number (ID Number)-Iowa Driver's License or Non-Operator ID Number OR-Four digit Voter PIN located on the voter's Iowa Voter ID Card-Any voter may request an Iowa Voter ID Card by contacting their County Auditor's Office 5.The name OR date of the election for which you are requesting an absentee ballot

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