New Berlin, NY · Chenango County
Absentee Ballot Application – Village Election
Qualified Village of New Berlin voters use this application to request an absentee ballot for a village election because of absence, illness, or disability.
What this form is
This application lets qualified Village of New Berlin voters request an absentee ballot for a village election because of military service, duties, occupation, business, studies, vacation, illness, or disability. Applicants provide their residence, reason for requesting a ballot, and delivery address, then sign and date the form. The instructions state when the Village Clerk must receive the application, with different timing for mailed and hand-delivered ballots.
Who needs it
Qualified Village of New Berlin voters who cannot appear personally to vote because of an eligible absence, illness, or disability need this application.
How to submit it
The application must be received by the Village Clerk. The form says an applicant or agent may deliver it in person; it gives no mailing address, email, or portal.
About notarization
This application is signed and dated without a notary; it is accepted as equivalent to an affidavit, and a witness signs only if the voter makes a mark.
How to submit this form
- 1
Download the Application
Download the village election absentee ballot application.
- 2
Complete the Application
Fill in the applicant information and the section that describes the reason for requesting an absentee ballot.
- 3
Sign and Date the Form
Sign and date the application. If unable to sign, make a mark and have a witness complete the witness statement.
- 4
Submit to the Village Clerk
Ensure the Village Clerk receives the application by the applicable deadline stated in the instructions.
Frequently asked questions
- Do I need a notary for the New Berlin absentee ballot application?
- No. The voter signs and dates the application without a notary. It is accepted as equivalent to an affidavit; a witness signs only if the voter makes a mark.
- How do I submit the New Berlin absentee ballot application?
- The application must be received by the Village Clerk. The form says an applicant or agent may deliver it in person but provides no mailing address, email, or portal.
- When must the Village Clerk receive the application?
- For a ballot to be mailed, the form says the application must be received no later than seven days before the election. For in-person delivery by the applicant or agent, it must be received no later than the day before.
- Can I use this application for future village elections?
- Only applicants requesting a ballot as a permanently disabled person may request ballots for future elections without applying again. Other applicants must renew for each general village election.
