Accessible Ballot Request

Additional Qualifications to Vote by Accessible Absentee Ballot

You are visually impaired or otherwise disabled, and such disability prevents you from being able to independently cast a paper absentee ballot.
You require use of an accessible electronic absentee ballot in order to vote privately and independently.

Personal Information

Only registered New York City voters in the Bronx County 11th and 15th Council District may apply for an Absentee Ballot for the March 23, 2021 Special Election.

*All Fields Are Required

First Name

Last Name

Birth Date (MM/DD/YYYY)

Borough

Zip Code