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Governor Mike Braun
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Election Forms

ABSENTEE SERIES

Absentee Voter’s Bill of Rights (Revised 8/23)
ABS-ATTORNEY GENERAL: Application for Absentee Ballot by Attorney General Program Participant (State Form 55378; R16/6-24)
ABS-IN PERSON: Application for Absentee Ballot in-Person Only (State Form 42106; R5/11-23)
ABS-MAIL: Application for Absentee Ballot by Mail Only in 2026 (State Form 47090; R29/11-25)
AUS-POR CORREO Solicitud de Voto en Ausencia por Correo Unicamente (Spanish version) (State Form 53368; (R31/11-25)
ABS-TRAVELING BOARD: Application for Absentee Ballot by Traveling Board (State Form 55379; R7/12-24)
ABS-VPD: Voters with Print Disabilities Combined Voter Registration and Absentee Ballot Application (State Form 53042; R7/6-24)
ABS-5: Statement Concerning Defective, Lost, Destroyed, or Spoiled Absentee Ballot (State Form 47696; R13/6-25)        
ABS-11: Uniformed Services Voter Registration Certificate (State Form 51261; R4/2-22)
ABS-13: Affidavit for Late Voter Registration by Absent Uniformed Services Voter in 2026 (State Form 51263; R21/6-25)
ABS-14: Notice of Disposition of Absentee Ballot Application by Military or Overseas Voter (State Form 51624; R3/10-17)
ABS-17: Affidavit of Individual Delivering Absentee Ballot Application to County (State Form 52411; R3/6-19)
ABS-19: Affidavit of Individual Delivering a Voter’s Marked Absentee Ballot to County (State Form 52412; R2/12-21)
ABS-20: Affidavit of County Election Board or Absentee Board Member Challenging Absentee Ballot Application (State Form 52410; R2/7-14)
ABS-21: Certificate of Absentee Ballot Rejection or Failure to Timely Receive Absentee Ballot by Mail (State Form 56710; R2/8-23)
ABS-22: Appointment and Oath of Office for Absentee Board Member, Absentee Ballot Courier, Absentee Ballot Counter, or Provisional Ballot Counter (State Form 55433; R3/9-19)
ABS-23: Affidavit of Absentee Board Concerning Casting of Voter's Absentee Ballot (State Form 52955, 9-21)
ABS-24: Notice of Disposition of Absentee Ballot: Found in Statewide Voter Registration System only 
Federal Postcard Combined [Absentee and Registration] Application (FPCA)Information About Absentee Voting for Military and Overseas Voters

CANDIDATE SERIES

CAN-1: Candidate Filing Challenge (State Form 46437; R13/8-19)
CAN-2: Declaration of Candidacy for Primary Election in 2026 (State Form 46439; (R22/ 6-25)
CAN-3  Declaration of Intent to be a Write-In Candidate in 2026 (State Form  46438;  (R24/6-25)
CAN-6: Circuit Court Clerk’s or Election Director’s Certificate of Primary Election Candidate List (State Form 46432; R4/12-02)
CAN-9:  Legal Notice of Primary Election (State Form 46430; R16/6-25)
CAN-10: 2026 Primary Election Candidate Withdrawal (State Form 46429; R17/6-25)
CAN-12: Statement of Economic Interests for Local and School Board Offices  (State Form 55128 (R/8-19)
CAN-15: Call for Town Convention (State Form 46421; R8/6-11)
CAN-16: Town Office Declaration of Candidacy by a Libertarian Party Candidate in 2026 (State Form 46422; R27/6-25)        
CAN-17: Circuit Court Clerk Certification of Town Candidates (State Form 46424; R15/8-22)
CAN-18: Town Convention Certificate of Nomination 2026 (State Form 46423; R16/6-25)
CAN-19 Indiana Petition of Nomination for Federal, State, State Legislative, or Certain Local Offices in 2026 (State Form 36186; R24/6-25)
CAN-20 Consent of Independent or Minor Political Party Candidate Nominated by Petition for Election in 2026 (State Form 46419; R20/6-25)
CAN-21 Local Office Petition of Nomination in 2026 General Election (State Form  56760); (R4/6-25)
CAN-22: 2026 Party Chairman Certification of Libertarian Party Nominees for County and Large Town Offices and Candidate’s Consent to Nomination (State Form 49025; (R22/6-25)
CAN-24: 2026 General Election Candidate Withdrawal (State Form 46416; R18/6-25)
CAN-26   Declaration of Intent to be a School Board Write-in Candidate in 2026 (State Form 46415; (R9/7-25)
CAN-27   Certificate of Candidate Selection to Fill an Early Ballot Vacancy for a Federal Office in 2026 (State Form 47012; (R18/7-25)
CAN-28 Certificate of Candidate Selection to Fill an Early Ballot Vacancy for a State Legislative Office in 2026 (State Form 47009; (R17/7-25)
CAN-29 Certificate of Candidate Selection to Fill an Early Ballot Vacancy for a Local Office in 2026 (State Form 47011; (R18/7-25)
CAN-30   Call of Political Party Caucus or Committee Meeting to Fill an Early Ballot Vacancy on the General Election Ballot(State Form 47004; (R13/7-25)
CAN-31 Declaration of Candidacy and Written Consent to Fill a Ballot Vacancy in 2026 (State Form 47005; (R17/7-25)
CAN-32  2026 Libertarian State Party Chair Certificate of Candidate Selection to Fill a Ballot Vacancy for County and Large Town Offices and Candidate’s Consent to Fill Ballot Vacancy(State Form 47006; (R6/7-25)
CAN-34 Petition of Nomination and Consent for School Board Office Elected in 2026(State Form 47008 (R22/7-25)
CAN-35   Certificate of Candidate Selection to Fill a Late Ballot Vacancy for a Local Office (State Form 47010; (R12/11-23)
CAN-37   Declaration of Candidacy for Precinct Committeeman or State Convention Delegate 2026 (State Form 47417; (R16/7-25)
CAN-39   Legal Notice of General or Special Election (State Form 48110; (R11/7-25)
CAN-40   Replacement of Candidate Nominated by Petition in 2026 (State Form 48518; (R19/7-25)
CAN-41: Allen County Superior Court Judge/Vanderburgh County Superior Court Judge/Vanderburgh County Circuit Court Judge Declaration of Candidacy in 2026 (State Form 48517; (R14/7-25)
CAN-42   Declaration of Candidacy for Municipal Primary Nomination in 2023(State Form 48870; R6/8-22)
CAN-43   Municipal Primary Election Candidate Withdrawal in 2023(State Form 48891; R6/8-22)
CAN-44 Petition of Nomination for City or Town Office in 2025(State Form 49024; R10/12-24)
CAN-45 Consent of Independent or Minor Political Party Candidate Nominated by Petition for City or Town Office in 2025 (State Form  49027; (R9/12-24)
CAN-46   Municipal Election Candidate Withdrawal in 2023(State Form 49041; R8/8-22)
CAN-47: Call of Political Party Caucus to Fill an Early Ballot Vacancy for a City of Town Office(State Form 49039; R2/12-06)
CAN-48   Declaration of Candidacy and Written Consent to Fill a Ballot Vacancy for a City or Town Office in 2023(State Form 49038; R6/8-22)
CAN-49: Certificate of Candidate Selection to Fill an Early Ballot Vacancy for a City of Town Office in 2023(State Form 49040; R6/8-22)
CAN-50: Certificate of Candidate Selection to Fill a Late Ballot Vacancy for a City of Town Office(State Form 49036; R3/11-10)
CAN-51   Declaration of Intent To Be a Write-In Candidate for a City or Town Office in 2025(State Form 49043; R8/12-24)
CAN-52   Declaration of Candidacy for Nomination to the Ballot and Written Consent for a Special Election to Fill a Congressional Vacancy(State Form _____; 8-22)
CAN-53   Certificate of Candidate Selection to Nominate a Candidate to the Ballot for a Special Election to Fill a Congressional Vacancy(State Form _____; 8-22)
CAN-54   Call of Political Party Caucus to Appoint a Candidate to the Ballot for a Special Election to Fill a Congressional Vacancy(State Form _____; 8-22)
CAN-55   Declaration of Intent to be a Write-In Candidate to Fill a Congressional Vacancy(State Form _____; 8-22)
CAN-56   Notice of Intent to Select Candidate for Special Election to Fill a Congressional Vacancy(State Form _____; 8-22)
CAN-57   Libertarian State Party Chair Certification of Candidate Selection to the Ballot for a Special Election Held to Fill a Congressional Vacancy and Candidate’s Consent(State Form _____; 8-22)
CAN-58   Indiana Petition of Nomination for Special Election to Fill a Congressional Vacancy and Candidate’s Consent(State Form _____; 8-22)
CAN-59   Consent of Independent or Minor Political Party Candidate3 Nominated by Petition to a Special Election Ballot(State Form _____; 8-22)
CAN-60   Legal Notice of Special Election(State Form _____; 12-24)
County Chairman Certification of Party Affiliation for a Primary Election Candidate (NOTE: This is not a state-approved form, but is provided as a template for candidates and others to use when necessary as part of the candidate’s declaration of candidacy filing.)

CAMPAIGN FINANCE ADMINISTRATION SERIES

CFA-1: Candidate’s Statement of Organization and Designation of Principal Committee or Exploratory Committee (State Form 4604; R15/5-19)
* Versions R14/10-17, R13/9-10, and R12/9-09- may continue to be used
CFA-2: Political Action Committee or Legislative Caucus Committee Statement of Organization (State Form 28251; R12/6-25)
*Versions R11/12-18 and R10/10-17 may continue to be used if the form is filed through the Indiana Campaign Finance Database.
CFA-3: Regular Party Committee Statement of Organization (State Form 46413; R6/10-17)
* Versions R5/9-09 and R4/11-05 may continue to be used
CFA-4: Report of Receipts and Expenditures of a Political Committee (State Form 4606; R18/6-25)
*Version R13/11-05 may continue to be used if the form is filed through the Indiana Campaign Finance Database.
CFA-5: Notice of Contribution or Expenditure to Candidate’s Committee (State Form 4761 (R6/11-01)
CFA-11: Supplemental “Large Contribution” Report by a Candidate’s Committee ($1,000 Contributions or More) (State Form 48492; R8/6-25)
*Versions R7/8-23, R6/5-19, R5/10-17, R4/11-05, and R3/11-05 may continue to be used.
CFA-12: Reporting Independent Expenditures to Support or Oppose a Public Question ($5,000 Expenditures or More)(State Form 57829; 6-25)

INDIANA ELECTION COMMISSION SERIES

IEC-6: Indiana Voting System or Electronic Poll Book Disposal Plan (State Form 56532; R2/8-23)
IEC-7: Request for Indiana Election Division Maps (State Form 46736; R23/11-25)
IEC-8: Precinct Summary Statement (State Form 13332; R7/7-06)
IEC-9: Certification of Test of Electronic Voting Systems (State Form 54728; R5/6-25)
IEC-10: Certification of Test of Optical Scan Card Ballot Automatic Tabulating Machines (State Form 47203; R12/6-25)
IEC-11 Application for Voting System Certification (State Form 45487; R7/5-21)
IEC-22: County Certification of Voting System and Electronic Poll Book Inventory (State Form 56531; 6-18)
County Certification of Voter Verifiable Paper Audit Trail for DRE Voting System in County Inventory(State Form  53092)

COUNTY ELECTION BOARD SERIES

CEB-1A: Certificate of Delivery of Voting Systems to Precinct or Vote Center (State Form 47202; R5/7-19)
CEB-1B Certificate of Return of Precinct or Vote Center Materials by Inpector and Judge (State Form 56792; 7-19)
CEB-1C Certificate of Return of Voting Systems from Precinct or Vote Center(State Form 53025; 8-21)
CEB-1D Certificate of Return of Electronic Poll Books from Precinct or Vote Center(State Form 53021; 12-21)
CEB-3: Certificate of Appointment Pro Tempore to Fill a Local Elected Office by a County Chairman of a Major Political Party (State Form 47433; (R9/6-25)
CEB-4: Certificate of Appointment Pro Tempore to Fill a Local Elected Office by a Precinct Committeeman Caucus (State Form 47437; (R8/8-19)
CEB-5: Declaration of Candidacy for a Vacant Local Office to be Filled by a Precinct Committeeman Caucus (State Form 47729; (R7/6-25)
CEB-6: Appointment and Oath of Office for County Election Board Member (State Form 47857; (R4/12-03)
CEB-22: Certificate of Selection for Appointment Pro Tempore to Local Office (State Form 48231; (R8/8-23) 
CEB-34: Apportionment of Municipal Primary Costs in Counties Using Precincts (State Form 54704; R3/10-22)
CEB-35: Apportionment of Municipal General Election Costs in Counties Using Precincts (State Form 51845; R3/10-22)
CEB-38: Apportionment of Municipal Primary Costs in Counties Using Vote Centers (State Form 56606; R/10-22)
CEB-39: Apportionment of Municipal General Election Costs in Counties Using Vote Centers (State Form 56607; R2/10-22)
CEB-40 Certification of Ballot Agreement in a Vote Center County; Notice to Voters (State Form 56742; R/6-19)
Certification of Death of Officeholder (2014)

PRECINCT SERIES

PRE-1: Precinct Oath Book (State Form 42063; R12/5-19)
PRE-2: Statement of Expenses of Precinct Election Officers (State Form 47432; R4/7-25)
PRE-3: Affidavits of Voter Assistance (State Form 28192; R10/5-19)
PRE-4/PRO-2: Challenge Affidavit of a Voter by a Challenger or Member of the Precinct Election Board/Affidavit of Challenged Voter (State Form 42132; R14/11-25)
*The PRE-4 must be printed directly on the PRO-2 Provisional Ballot Security Envelope.
PRE-5:    Voter’s Affidavit Requesting to Vote in Person at Polls After Failing to Receive Mailed Absentee Ballot (State Form 55876; R/10-15)
PRE-6: Affidavit to Challenge a Person at a Primary Election Due to Party Affiliation (State Form 42130; R9/7-25)
PRE-8: Appointment of Replacement Precinct Election Officer (State Form 47930; R4/12-05)
PRE-9: Affidavit of Inspector Judges Concerning Casting a Voter's Ballot (State Form 56749; 6-19)
PRE-10: Inspector’s Affidavit for Return of Ballot and Supplies (State Form 47929; R6/9-19)
PRE-11: General Election Certificate and Memoranda of Total Votes Cast in a Precinct (State Form 47921; R6/12-05)
PRE-12: Voter Registration Affidavit Envelope (State Form 47936; R2/12-01)
PRE-13: Grand Jury Affidavits Envelope (State Form 47937; R9/9-19)
PRE 15: Miscellaneous Forms Envelope (State Form 47940; R4/12-06)
PRE-16: Inspector and Judge’s Report of Total Number of Votes Cast on Electronic Voting Systems in Precinct/Vote Center and Number of Voters Who Received Ballot at Precinct/Vote Center as Indicated by Signing Poll List or EPollbook (State Form 56529; R2/11-25)
PRE-17: Primary Election Certificate and Memoranda of Total Votes Cast in a Precinct (State Form 48885; R5/12-05)
PRE-18: Municipal Election Certificate and Memoranda of Total Votes Cast in a Precinct (State Form 49037; R2/12-06)
PRE-19:  Affidavit of a Public Safety Officer or Member of the Military Returning to the Polls to Vote After Responding to an Emergency (State Form 54510; 11-10)
Pollbook and E-pollbook Notice to Voters (2015) 

PROVISIONAL VOTING SERIES

PRO-1: Provisional Ballot Retention Envelope (State Form 54856 (R/9-19)
PRO-3: Provisional Ballot Package Label (State Form 51630; R14/11-23)
PRO-4: Provisional Ballot Outer Envelope (State Form 51615; R/8-14)
PRO-5: Provisional Ballot Envelope for Ballots Issued After Regular Poll Closing Hours (State Form 51616; 2-04)
PRO-6: Provisional Ballot Envelope for Spoiled Provisional Ballots (State Form 51617; 2-04)
PRO-7: Provisional Ballot Envelope for Rejected Provisional Ballots (State Form 51629; 2-04)
PRO-8: Provisional Ballot Counter Oath (State Form 51628; 2-04)
PRO-9: Instructions to Provisional Voter (State Form 51626; R6/6-24)
PRO-10: Affidavit of Challenged Voter Concerning Proof of Identification Requirement (State Form 52432; R4/7-14)
PRO-11: Affidavit of Challenged Voter Concerning Proof of Identification Requirement in a Municipal Election (State Form 52433; R3/7-14)

VOTER REGISTRATION SERIES

A voter registration form authorized by United States Postal Service regulations to include the “Official Mail Logo” may do so.

VRG-1: County Sheriff Quarterly Report to County Voter Registration Office (State Form 56337; 7-17)
VRG-4/12 : Affidavit of Request for Transfer of Voter Registration at the Time of Requesting a Ballot (State Form 28186; R16/8-23)
VRG-7: Indiana Registration by Mail Application (State Form 50504; R26/11-25)
VRG-7: Solicitud de Registro para el Votante de Indiana (Spanish language form) (State Form 54509; R19/11-25)
VRG-8: Indiana Voter Registration Material Receipt (State Form 46927; R9/5-19)
VRG-9: Indiana Voter Registration Transmittal (State Form 46928; R9/5-19)
VRG-11: Indiana County Voter Registration Application (State Form 46965; R14/11-25)
VRG-11: Solicitud de Registro para el Votante del Condado (Spanish language form) (State Form 55442; R2/11-25)
VRG-14: Authorization to Cancel Registration (State Form 47363; R3/12-01)
VRG-15: Affidavit for Presidential Voting Only (State Form 47362; R3/ 10- 13)
VRG-21: Affidavit of County Voter Registration Officer Concerning Voter List Maintenance (State Form 47858; R9/9-19)
VRG-24: Application for County Voter Registration Computerized Data (State Form 48648; R4/10-13)
Precinct “Vote Here” poster (State Form 47943; R2/6-19)
* Revision R/2-01 may also be used
Federal Voter Registration Form (US Election Assistance Commission)Federal Postcard Combined [Absentee and Registration] Application (FPCA) (2023 revision)