Weber County Signature Verification
Received notice from our office that we couldn't process your ballot? "Cure" it digitally!
PIN Number provided on the Cure Letter Notice
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Name
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First Name
Last Name
Date of Birth
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-
Month
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Day
Year
Date
I will provide which of the following:
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Utah Driver's License Number
Last 4 digits of my Social Security Number
Driver's License Number
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Social Security Number
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Did you return your voted ballot?
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Yes
No. If you select no, this ballot will NOT be counted
I am a voter with a qualifying disability under the Americans with Disabilities Act that impact my ability to sign my name consistently. I can provide appropriate documentation upon request.
I understand that by signing this affidavit, I authorize the Lieutenant Governor's and County Clerk's 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, and I authorize the Lieutenant Governor’s and County Clerk’s offices use of the signature on this affidavit for voter identification purposes.
Submit
Submit
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