City of Lansing Permanent Absentee Application List Request

2. 

4. Contact us
   If you desire assistance or have questions about this form, you can email us at city.clerk@lansingmi.gov, call us at (517) 483-4131, or visit us in the City Clerk's office, located on the 9th floor of City Hall (124 W Michigan Avenue, Lansing, MI 48933).

   If you desire assistance or have questions about this form, you can email us at city.clerk@lansingmi.gov, call us at (517) 483-4131, or visit us in the City Clerk's office, located on the 9th floor of City Hall (124 W Michigan Avenue, Lansing, MI 48933).

5. Fill out this form if you wish to be added to the Permanent Absentee Application list. Each time there is an election, you will automatically receive an application for an absentee ballot. You will receive an absentee ballot in the mail after we receive your application.

   Fill out this form if you wish to be added to the Permanent Absentee Application list. Each time there is an election, you will automatically receive an application for an absentee ballot. You will receive an absentee ballot in the mail after we receive your application.

7. First name*

8. Last name*

10. Email Address

11. Phone Number

13. Street Address*

15. City*

    Note: this form can only be completed by residents of the City of Lansing

16. Zip code*

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field