Military and Overseas Voter Request Form

Please complete the form below to request either a voter registration application or an absentee ballot application. If you need assistance please contact the Arkansas Secretary of State's office at 1.800.482.1127 or voterservices@sos.arkansas.gov.

General Information

* Form Type:
* Method to Receive Form:
Prefix:
ex: (Major, Lt. Sgt.)
* First Name:
Middle Name:
* Last Name:
Suffix:

Voting Residence Address

* Address:
* City:
State:AR
* Zip:
* County:

Where would you like your application to be mailed?

* Mailing Address:
* Country:
* City:

* State:

* Region Code:
For APO/FPO addresses enter the two-letter code for the region you are stationed in. E.g. 'AE','AA', 'AP'.

* Zip/Postal Code:

Other Information

* Email Address:
* Phone Number:
* Date of Birth:
(MM/DD/YYYY)