Cache County Ballot Cure Form
Received notice from our office that we couldn't process your ballot? Correct the issue with your ballot by "curing" it digitally using the form below.
Voter ID Number provided on the Cure Letter Notice (If Available)
Name
*
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
I will provide which of the following:
*
Utah Driver's License Number
Last 4 digits of my Social Security Number
Utah Driver's License Number
*
A minimum of 9 digits is required
Last 4 of Social Security Number
*
Did you return your voted ballot?
*
Yes
No. If you select no, this ballot will NOT be counted.
By signing this affidavit, you are stating under penalty of law: you are a registered voter qualified to vote in the precinct in which you are registered; this ballot belongs to you; you voted this ballot; and you are not a convicted feloncurrently incarcerated for the commission of a felony. The ballot will not becounted if the signature on the affidavit does not match the signature on filewith election’s office of the individual to whom the ballot was sent. Bysigning this affidavit, you authorize the lieutenant governor’s and countyclerk’s use of the signature on the affidavit for voter identificationpurposes.
*
***FILL OUT THE SECTION BELOW ONLY IF YOU ARE AN ADA VOTER NEEDING ACCOMMODATIONS***
Optional:
I am a voter with a qualifying disability under the Americans with Disabilities Act that impacts my ability to sign my name consistently. I can provide appropriate documentation upon request.
To discuss ADA accommodations, if applicable, I can be contacted at:
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