ABSENTEE BALLOT APPLICATION

Requesting an absentee ballot in accordance with the provisions set forth in Article 2,
Section 3 of the IAMAW Constitution.

Article XXII

Absentee ballots shall be issued and voted in accordance with the provisions set forth in Sec. 3, Art 2 in compliance with the following provisions: (1) the written request for an absentee ballot must be received by the Recording Secretary not later than 30 days before the election.

Members who reside in outlying districts more than twenty-five (25) miles from the
designated balloting place, members who are either confined because of verified illness
or on leave qualifying under U.S. and Canadian family leave laws, on vacation,
on official IAM business approved by the local lodge, District Lodge or Grand Lodge, or on employer
travel assignment, or reserve military leave, as the case may be,
shall be furnished absentee ballots.

Article B Section 4

Any member entitled to receive an absentee ballot shall make written request therefore to the
Recording Secretary of the Local Lodge by delivering in person or mailing such
request not later than 30 days before the election.

REQUEST FOR ABSENTEE BALLOT
This form MUST be completed in its entirety.

I am requesting an absentee ballot for the upcoming election for the following reason (Check One)

_____ I reside more than 25 miles from the designated balloting place;

_____ I am confined because of a verified illness;

_____ I will be on vacation;

_____ I am or will be on official IAM business approved by the Local, District or Grand Lodge;

_____ I am or will be on employer travel assignment;

_____ I am or will be on reserve Military Leave.

Name __________________________________________________________________

Address: ________________________________________________________________

City:_______________________________ State:_______________ Zip:____________

Phone No: __________________________ Union Book No: ______________________

Employee No: ________________________ Airline:_____________________________

Signature:_________________________________________ Date: _________________

Recording Secretary not later than 30 days prior to the election date__________________________________.

Absentee ballots shall be issued and voted in accordance with provisions set forth in the

IAM Constitution Sec. 3, Art. II. Fraudulent information or prevention of an honest

Absentee Ballot Requests may also be hand delivered to 902 Industry Dr, Tukwila, WA 98188

Absentee voting procedures are only applicable to elections of District Lodge Officers and Grand Lodge Convention delegates.