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SPECIAL NOTICE: Due to the COVID-19 Pandemic, Governor Newsom and the State Legislature have approved the use of the Remote Accessible Vote By Mail Ballot to ALL registered voters for the November 3, 2020 Presidential General Election.

Remote Accessible Vote by Mail (RAVBM) Application

This is an application for a Remote Accessible Vote by Mail Ballot for voters that require accessible tools to mark a ballot pursuant to Elections Code 3016.5.

To receive a Remote Accessible Vote by Mail Ballot for any election, this form must be submitted to the Registrar of Voters Office no later than 5 p.m., 7 days before the election.

* = Required Field

Residence Address (within Santa Barbara County)

Attestation Please select one: *

By Clicking Submit, I certify under penalty of perjury that this information is true and correct. I have not applied, nor do I intend to apply, for a Vote by Mail ballot from any other jurisdiction for this election. I certify under penalty of perjury under the laws of the State of California that the name, address and information I have provided are true and correct. I understand that my choices marked by this system must be printed by me and returned to the elections official.