Pierce County Vote By Mail Request Form

This form is only for voters who are currently registered to vote in Pierce County, State of Washington.

If you are not currently registered, please go to vote.wa.gov to become a registered voter.

If you already receive your ballot by mail for each election you do not need to submit this form.

Please provide the following information:

Name

Current Pierce County Residence Address or "Home of Record"


City


State Zip Code Phone


Date of Birth (MM/DD/YYYY)


Email Address

Mailing Address (if different from above)


City


State Zip Code Country

Enter any additional comments below: