Skip to main content

GAB-122 Standard Absentee Ballot Certificate

Form Number: 
GAB-122
Form Name: 
Standard Absentee Certificate
Revision Date: 
2014/09
AttachmentSize
(2014-09) GAB-122_landscape v3.pdf160.43 KB
GAB-122 Standard Absentee Ballot Certificate-portrait_(2014-09) v2.pdf119.2 KB
Notes: 

 Landscape v3 and Portrait v2 were uploaded no September 24, 2014 to fix an error in the Certification of Care Facility Authorized Representative.  Landscape v2 and Portrait v1 may still be used until any existing stock is depleted.