Ballot Cure Form

Ballot Cure Form

2025 Municipal / Local School Board General
The signature on your ballot affidavit did not match the signature we have on file for you. To ensure that your ballot is counted, you are required to update your signature by submitting a ballot affidavit. We must receive your signed affidavit by 5:00pm on Friday, November 14th, 2025.
Please enter the following information for voter identification and authentication.
Voter ID*
(The Voter ID is listed on the email/letter we sent to you)
Voter Date of Birth

MonthDayYear
Date
Voter Name*

First NameLast Name
Email
example@example.com
Phone Number
Please Provide one of the following for further authentication:

Utah Driver's License/State IDDrivers License/State ID
Last 4 digits of your social security number Last 4 of SSN*
Did you return your voted ballot?*

Yes, I returned my voted ballotNo, I did not vote my election ballot
I am a voter with a qualifying disability under the Americans with Disabilities Act that impacts my ability to sign my name consistently. I can provide appropriate documentation upon request. To discuss accommodation, I can be contacted at:
Contact Info
Voter Signature Affidavit:

By signing this affidavit, you are stating under penalty of law: you are a registered voter qualified to vote in the precinct in which you are registered, this ballot belongs to you, and you voted this ballot. The ballot will not be counted if the signature on the affidavit does not match the signature on file with the election's office of the individual to whom the ballot was sent. By signing this affidavit, you authorize the lieutenant governor's and county clerk's use of the signature on the affidavit for voter identification purposes.
Signature*

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