Form 12-I "Notification of Change of Voting Status of out-Of-Country Voters" - Ohio

What Is Form 12-I?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form 12-I by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 12-I "Notification of Change of Voting Status of out-Of-Country Voters" - Ohio

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Form No. 12-I Prescribed by the Secretary of State (08-17)
Notification of Change of Voting Status of Out-of-Country Voters
print clearly
R.C. 3511.02
You have applied for absent voter’s ballots using a federal postcard application (FPCA). Please use this form to notify your county board of elections if you:
1. change the mailing address outside the United States to which you want your ballots mailed,
2. change your name, or
3. intend to vote in any of these elections in person in the precinct where you are registered to vote.
Voter Name
First
Middle
1
Required
Last
Suffix
Address at Which
County
Street Address
you are Registered
(No P.O. Boxes)
2
to Vote
City/Village
ZIP
Required
My Voting Status
The mailing address to which I requested the ballots be sent has changed.
has Changed as
Indicated
Former Mailing Address for Ballots
Required
First
Middle
Last
Suffix
Street Address
County
(No P.O. Boxes)
City/Village
ZIP
Country
New Mailing Address for Ballots
First
Middle
Last
Suffix
Street Address
County
(No P.O. Boxes)
City/Village
ZIP
3
Country
My name has changed.
Former Name
First
Middle
Last
Suffix
Former Signature X
New Name
First
Middle
Last
Suffix
New Signature X
I intend to vote in person in the precinct where I am registered to vote; do not mail me
absent voter’s ballots for the:
Primary Election
Special Election
General Election
Signature
Signature X
Required
4
Today's Date
MM/DD/YYYY
Form No. 12-I Prescribed by the Secretary of State (08-17)
Notification of Change of Voting Status of Out-of-Country Voters
print clearly
R.C. 3511.02
You have applied for absent voter’s ballots using a federal postcard application (FPCA). Please use this form to notify your county board of elections if you:
1. change the mailing address outside the United States to which you want your ballots mailed,
2. change your name, or
3. intend to vote in any of these elections in person in the precinct where you are registered to vote.
Voter Name
First
Middle
1
Required
Last
Suffix
Address at Which
County
Street Address
you are Registered
(No P.O. Boxes)
2
to Vote
City/Village
ZIP
Required
My Voting Status
The mailing address to which I requested the ballots be sent has changed.
has Changed as
Indicated
Former Mailing Address for Ballots
Required
First
Middle
Last
Suffix
Street Address
County
(No P.O. Boxes)
City/Village
ZIP
Country
New Mailing Address for Ballots
First
Middle
Last
Suffix
Street Address
County
(No P.O. Boxes)
City/Village
ZIP
3
Country
My name has changed.
Former Name
First
Middle
Last
Suffix
Former Signature X
New Name
First
Middle
Last
Suffix
New Signature X
I intend to vote in person in the precinct where I am registered to vote; do not mail me
absent voter’s ballots for the:
Primary Election
Special Election
General Election
Signature
Signature X
Required
4
Today's Date
MM/DD/YYYY