Mail-In Ballot Voting Request Form
Please complete the following information to request a mail-in ballot for the upcoming election. If you are the spouse of a property owner in Jocelyn Township and are an eligible voter as per the Municipal Elections Act, please indicate such under "Reason for Request". Prior to submitting this form, please ensure that you are an eligible voter as determined under the Municipal Elections Act. Request for mail-in ballots will be reviewed and received up until 4:00 p.m. EST on September 25, 2026. The Township reserves the right to request additional information prior to approving a mail-in ballot request.
Full Legal Name
*
First Name
Last Name
Date of Birth
*
Qualifying Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (Where ballot will be sent to)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Upload a photo of your government issued identification. Applications will not be accepted unless accompanied by government issued identification.
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Please specify the reason for your request for a mail in ballot.
*
By signing below, I certify that I am a registered voter at the address provided above and that I am eligible to vote by mail in accordance with applicable laws. I understand that providing false information may result in penalties under applicable law.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Printed Name
*
Submit Photo
Submit Photo
Should be Empty: