Cuyahoga Soil and Water
Conservation District
Request for Absentee Ballot
……………..
Please send me an absentee ballot for the election since I will not be able to vote at your
Supervisor Election that will be held at the Euclid Creek Reservation’s: Highland Road Picnic
Shelter, off of Highland Rd., Euclid, Ohio 44117 on Saturday, September 13, 2008.
I am a qualified voter of the Cuyahoga SWCD because I am at least 18 years of age on or before
Saturday, September 13, 2008, and:
I live within the borders of Cuyahoga County
and/or
I own property within the borders of Cuyahoga County
Please send an absentee ballot to (please print):
Name______________________________________________________________________
Address____________________________________________________________________
City _________________________________________ State ________ Zip __________
Telephone __________________________________
Signature _______________________________________ Date _______________________
Return this form to:
Cuyahoga SWCD
6100 West Canal Road
Valley View OH 44125
Or fax it to: (216) 524-6584
Thank you for your interest in the Supervisor election.
Requests for ballots must be in writing and received (date of office receipt, not
postmarked) in the District office no later than Friday, September 12, 2008. Ballots
must be received in the District office at 6100 West Canal Road by 4:00 p.m. on
Friday, September 12, 2008. Absolutely no absentee ballots will be received at the
general election. As an absentee voter, you may come to our office in person and
vote until 4:00 p.m. on Friday, September 12, 2008. Please call ahead and verify
that someone will be in the office when you would like to stop in. The
Administrative Assistant number is (216) 524-6580 ext 10.
COPY THIS FORM FOR EACH INDIVIDUAL BALLOT REQUEST
NUMEROUS BALLOT REQUESTS CAN BE INCLUDED IN ONE ENVELOPE
ONE VOTE PER PERSON.