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(1) Check the box to the left of the candidate you 
support. You can also write in a different candidate 
on one of the blank lines. Make sure you check the 
box to the left whether you vote for an existing 
candidate or write in a new one. 
(4) To vote in-person, turn your 
ballot into this address by the 
Election Date. 
To vote by mail, cut along the 
dotted lines and fold the bottom 
section into an envelope. Tear 
off the top section, put it in the 
envelope, and lick the gray 
adhesive strips to seal. Your 
ballot must be turned in by 
5pm on Election Day. 
Report to this address at the 
specified time if you want to 
watch ballots be counted.
(2) Sign the line below using 
the name in the circled 
address. For example, if the 
address here is made to Bob 
Smith Farms LLC, sign as 
Bob Smith Farms LLC. (If 
you sign as a farm, put 
down your role on the line 
below - like owner or 
manager.) If the address is 
made to Bob Smith, sign as 
Bob Smith. 
(3) If the voter is unable to sign his or 
her name, they need to have another 
person sign here to confirm that only 
the eligible voter is using this ballot. 
Do not sign if you are the voter and 
you are able to sign the section above.

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How to Fill an FSA Ballot

  • 1. (1) Check the box to the left of the candidate you support. You can also write in a different candidate on one of the blank lines. Make sure you check the box to the left whether you vote for an existing candidate or write in a new one. (4) To vote in-person, turn your ballot into this address by the Election Date. To vote by mail, cut along the dotted lines and fold the bottom section into an envelope. Tear off the top section, put it in the envelope, and lick the gray adhesive strips to seal. Your ballot must be turned in by 5pm on Election Day. Report to this address at the specified time if you want to watch ballots be counted.
  • 2. (2) Sign the line below using the name in the circled address. For example, if the address here is made to Bob Smith Farms LLC, sign as Bob Smith Farms LLC. (If you sign as a farm, put down your role on the line below - like owner or manager.) If the address is made to Bob Smith, sign as Bob Smith. (3) If the voter is unable to sign his or her name, they need to have another person sign here to confirm that only the eligible voter is using this ballot. Do not sign if you are the voter and you are able to sign the section above.