GSA Form SF-186 "Federal Write-In Absentee Ballot (Fwab)"

GSA Form SF-186 is a U.S. General Services Administration form also known as the "Federal Write-in Absentee Ballot (fwab)". The latest edition of the form was released in September 1, 2017 and is available for digital filing.

Download a PDF version of the GSA Form SF-186 down below or find it on U.S. General Services Administration Forms website.

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Download GSA Form SF-186 "Federal Write-In Absentee Ballot (Fwab)"

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Federal Write-In Absentee Ballot
Use this form if you are:
If you do not receive your absentee ballot in enough time to
meet your State’s deadlines, use this ballot as a backup. If you
On active duty in the Uniformed
send in this ballot and receive your State’s ballot later, you
Services or Merchant Marine
should fill out and return your State ballot as well. Your election
office will count only one ballot.
An eligible spouse or dependent
The following require you to register and request an absentee
On active duty in the National
ballot before filling out this form: AL, AS, AR, CT, FL, GU, HI,
Guard under State orders
ID, IL, IN, IA, KS, LA, MI, NH, NJ, NM, NY, PA, PR, RI, TX, VT,
(some States only)
WV, and WY. If your State or territory is listed, complete a
Federal Post Card Application (FPCA) online at FVAP.gov.
A U.S. citizen living outside the
United States
If you already registered and requested a ballot, send in the
Voter Information page and the Official Backup Ballot.
You can vote wherever you are. This is how.
1. Fill out your Voter Information page completely and accurately.
Agency Disclosure Statement
The public reporting burden for this collection of
• Your U.S. voting residence address is used to determine where
information is estimated to average 15 minutes per
you are eligible to vote absentee. For military voters, it is
response, including time to review instructions,
usually your last address in your State of legal residence. For
gathering and maintaining the data needed,
and completing and reviewing the collection of
overseas citizens, it is usually the last place you lived before
information. Send comments regarding this burden
moving overseas. You do not need to have any current ties
estimate or any other aspect of this collection of
with this address.
information, including suggestions for reducing the
burden to: Department of Defense, Washington
• Most States allow you to provide a Driver’s License number or
Headquarters Services, Executive Services
the last 4 digits of your SSN. Some States require a full SSN.
Directorate, Information Management Division, 4800
See your State’s guidelines at FVAP.gov.
Mark Center Dr., East Tower, Suite 03F09, Alexandria,
VA 22350-3100. [OMB Control #0704-0502].
• Most States require you to specify a political party to vote in
Respondents should be aware that notwithstanding
primary elections. This information may be used to register
any other provision of law, no person shall be subject
you with a party.
to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB
• Remember to sign the bottom of the Voter Information page!
control number. DO NOT RETURN YOUR FORM TO
THE ADDRESS ABOVE.
Privacy Act Statement
2. Carefully fill out your Official Backup Ballot.
Authority: The authority to collect your personal
• DO NOT sign your ballot or include any personal information.
information on this form comes from 52 U.S.C. §
Keep your ballot anonymous.
20301, “Uniformed and Overseas Citizens Absentee
Voting Act (UOCAVA).”
• Remove the adhesive liner from the top and sides of your ballot.
Principal purpose: This form serves as a write-in
• Fold and seal tightly.
absentee ballot for elections for Federal office or
other elections provided by State law or special
provisions for all persons covered by UOCAVA.
Routine use(s): There is no retention of this
3. Assemble your documents for mailing.
information by the Federal government. Completed
forms are sent by you to an appropriate State
• Put your Voter Information page and Official Backup Ballot into
election official.
the envelope.
Disclosure: Your disclosure of personal information
• You can find the address for your election office at FVAP.gov.
is voluntary. However, failure to provide the
requested information may result in the Federal
• All States accept this form by mail, but they vary on email
Write-In Absentee Ballot not being recognized and
therefore not counted.
and fax. See your State’s rules in the Voting Assistance Guide
online at FVAP.gov.
Questions? Email vote@fvap.gov
Federal Write-In Absentee Ballot
Use this form if you are:
If you do not receive your absentee ballot in enough time to
meet your State’s deadlines, use this ballot as a backup. If you
On active duty in the Uniformed
send in this ballot and receive your State’s ballot later, you
Services or Merchant Marine
should fill out and return your State ballot as well. Your election
office will count only one ballot.
An eligible spouse or dependent
The following require you to register and request an absentee
On active duty in the National
ballot before filling out this form: AL, AS, AR, CT, FL, GU, HI,
Guard under State orders
ID, IL, IN, IA, KS, LA, MI, NH, NJ, NM, NY, PA, PR, RI, TX, VT,
(some States only)
WV, and WY. If your State or territory is listed, complete a
Federal Post Card Application (FPCA) online at FVAP.gov.
A U.S. citizen living outside the
United States
If you already registered and requested a ballot, send in the
Voter Information page and the Official Backup Ballot.
You can vote wherever you are. This is how.
1. Fill out your Voter Information page completely and accurately.
Agency Disclosure Statement
The public reporting burden for this collection of
• Your U.S. voting residence address is used to determine where
information is estimated to average 15 minutes per
you are eligible to vote absentee. For military voters, it is
response, including time to review instructions,
usually your last address in your State of legal residence. For
gathering and maintaining the data needed,
and completing and reviewing the collection of
overseas citizens, it is usually the last place you lived before
information. Send comments regarding this burden
moving overseas. You do not need to have any current ties
estimate or any other aspect of this collection of
with this address.
information, including suggestions for reducing the
burden to: Department of Defense, Washington
• Most States allow you to provide a Driver’s License number or
Headquarters Services, Executive Services
the last 4 digits of your SSN. Some States require a full SSN.
Directorate, Information Management Division, 4800
See your State’s guidelines at FVAP.gov.
Mark Center Dr., East Tower, Suite 03F09, Alexandria,
VA 22350-3100. [OMB Control #0704-0502].
• Most States require you to specify a political party to vote in
Respondents should be aware that notwithstanding
primary elections. This information may be used to register
any other provision of law, no person shall be subject
you with a party.
to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB
• Remember to sign the bottom of the Voter Information page!
control number. DO NOT RETURN YOUR FORM TO
THE ADDRESS ABOVE.
Privacy Act Statement
2. Carefully fill out your Official Backup Ballot.
Authority: The authority to collect your personal
• DO NOT sign your ballot or include any personal information.
information on this form comes from 52 U.S.C. §
Keep your ballot anonymous.
20301, “Uniformed and Overseas Citizens Absentee
Voting Act (UOCAVA).”
• Remove the adhesive liner from the top and sides of your ballot.
Principal purpose: This form serves as a write-in
• Fold and seal tightly.
absentee ballot for elections for Federal office or
other elections provided by State law or special
provisions for all persons covered by UOCAVA.
Routine use(s): There is no retention of this
3. Assemble your documents for mailing.
information by the Federal government. Completed
forms are sent by you to an appropriate State
• Put your Voter Information page and Official Backup Ballot into
election official.
the envelope.
Disclosure: Your disclosure of personal information
• You can find the address for your election office at FVAP.gov.
is voluntary. However, failure to provide the
requested information may result in the Federal
• All States accept this form by mail, but they vary on email
Write-In Absentee Ballot not being recognized and
therefore not counted.
and fax. See your State’s rules in the Voting Assistance Guide
online at FVAP.gov.
Questions? Email vote@fvap.gov
Voter Information
Have you already registered and
Yes
requested an absentee ballot?
No
Federal Write-In Absentee Ballot (FWAB)
Some States allow you to use this form to register and request
ballots for future elections. Visit FVAP.gov for more details.
Print clearly in blue or black ink.
1. Who are you? Pick one.
I am on active duty in the Uniformed Services or Merchant Marine
-OR-
I am an eligible spouse or dependent.
For absent Uniformed
I am an activated National Guard member on State orders.
Service members, their
families, and citizens
I am a U.S. citizen living outside the country, and I intend to return.
residing outside the
I am a U.S. citizen living outside the country, and my return is uncertain.
United States.
I am a U.S. citizen living outside the country, and I have never lived in the United States.
Female
Sex
Last name
Suffix (Jr., II)
Male
First name
Previous names (if applicable)
/
/
Middle name
Birth date (MM/DD/YYYY)
Social Security Number
Driver’s license or State ID #
2. What is your U.S. voting residence address?
Your voting materials will not be sent to this address. See instructions on other side of form.
Street address
Apt #
City, town, village
State
County
ZIP
3. Where are you now? You must give your CURRENT contact information.
Your mailing address. (Different from above)
Your mail forwarding address. (If applicable)
4. What is your contact information? This is so election officials can reach you about your request.
Provide the country code and area code with your phone and fax number. Do not use a Defense Switched Network (DSN) number.
Email:
Phone:
Alternate email:
Fax:
5. What is your voting preference for future elections?
Mail
How do you want to
What is your
Do you want to register and
Yes
receive voting materials
political party for
request a ballot for all elections
Email or online
No
from your election office?
primary elections?
you are eligible to vote in?
Fax
6. What additional information must you provide?
The following need more information: Alabama, Alaska, Arizona, Puerto Rico, Virginia, and Wisconsin. (Ex. Witness signature, etc.)
You may also use this space to clarify your voter information. See the Voting Assistance Guide online at FVAP.gov.
7. You must read and sign this statement.
I swear or affirm, under penalty of perjury, that:
The information on this form is true, accurate, and complete to the best of my knowledge. I understand that a material misstatement of fact in
completion of this document may constitute grounds for conviction of perjury.
I am a U.S. citizen, at least 18 years of age (or will be by the day of election), eligible to vote in the requested jurisdiction, and
I am not disqualified to vote due to having been convicted of a felony or other disqualifying offense, nor have I been adjudicated mentally
incompetent; or if so, my voting rights have been reinstated; and
I am not registering, requesting a ballot, or voting in any other jurisdiction in the United States, except the jurisdiction cited in this voting form.
In voting, I have marked and sealed this ballot in private and have not allowed any person to observe the marking of this ballot, except those
authorized to assist voters under State and Federal law.
X
Today’s date
Sign here
/
/
(MM/DD/YYYY)
This information is for official use only. Any unauthorized release may be punishable by law.
Previous editions are obsolete.
Standard Form 186 (Rev.09-2017), OMB No. 0704-0502
Official Backup Ballot
Vote by writing the NAME or PARTY of the
candidates you choose. To find out about
Federal Write-In Absentee Ballot (FWAB)
specific candidates and races go to
FVAP.gov.
Print clearly in blue or black ink.
Instructions
• This ballot can be used to vote for federal offices.
• DO NOT write your name or any identifying number (SSN, driver’s license) on this ballot.
• Photocopy this page if you require additional room for candidates or ballot initiatives.
• If you are voting in American Samoa, Guam, Puerto Rico, or the U.S. Virgin Islands, you may vote for Delegate or
Resident Commissioner, and in presidential primaries. State laws vary about using the FWAB for other offices like
Governor or Mayor. Learn more online at FVAP.gov.
Federal offices
President and Vice President
U.S. Senator
U. S. Representative, Delegate, or
Resident Commissioner to Congress
Non-federal offices
Candidate name
Office
Political party
Ballot initiatives
Standard Form 186 (Rev.09-2017), OMB No. 0704-0502
Official Ballot
Federal Write-In Absentee Ballot
Private
Fold your ballot and keep it private. Put it in the envelope.
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