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Kitsap County Auditor * 619 Division St
Port Orchard WA 98366-4687
360-337-7129 * Fax: 360-337-4645

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County Auditor
Dolores Gilmore (D)

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Special Early Ballot Request Form

Early Ballot Request - Submit no earlier than 90 days before the election
This ballot may be a write-in ballot containing only those contests known at the time and may be incomplete if requested more than 45 days prior to an election.
first name middle name
last name date of birth (mm/dd/yyyy)
residence address in Kitsap County
city state zip code
confirm email address
current mailing address, date you wish to receive the early ballot, and any additional comments
I will not be able to vote and return a regular ballot by normal mail within the period provided for this election and am requesting a special early ballot.

If you have any problems submitting this form, send an email including all required information to

Last Updated:  February 24, 2015