2024 General Election Ballot Cure Form
votebymail@saltlakecounty.gov | (385) 468-7400 | slco.vote
Voter ID number provided on Cure Letter Notice
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Name
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First Name
Last Name
Email (optional)
example@example.com
Phone Number (optional)
Please enter a valid phone number.
Date of Birth
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-
Month
-
Day
Year
Date
I will provide the following identification:
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Utah State Driver License Number
Last 4 digits of my Social Security Number
Utah Driver License Number
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Last 4 digits of Social Security Number
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Did you return your voted ballot?
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Yes
No (by selecting no, your ballot will not be counted)
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.
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I understand that by signing this affidavit, I authorize the Lieutenant Governor's and County Clerk's offices the use of my signature on the affidavit for voter identification purposes.
By signing I affirm that the information provided is true and correct and that I have personally voted the ballot provided to me. I do solemnly swear that I am a qualified resident voter and that I am entitled to vote in this election. I am not a convicted felon currently incarcerated for commission of a felony.
Signature
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It is illegal to forge a signature or cast another person’s ballot. Attempting to vote when not qualified, attempting to vote more than once, or falsely signing this oath is a felony punishable by a maximum imprisonment of five years, a maximum fine of $10,000, or both.
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