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SPECIAL NOTICE: In accordance to Election Code 1605 (c) the county elections official shall permit any voter to cast a ballot using a certified remote accessible vote by mail system, regardless of whether the voter is a voter with disabilities or a military or overseas voter.

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.