Facsimile or Electronic Mail Vote Secret Ballot Waiver Form - SEL 531 rev 08/13

Sep 3, 2026

Facsimile or Electronic Mail Vote Secret Ballot Waiver Form SEL 531 (rev 08/13) authorizes a voter to waive the right to a secret ballot when casting a voted ballot by fax or electronic mail. The form collects residence and contact information, requires an elector’s acknowledgement and signature with the date signed, and states that the ballot will not be counted unless specific delivery and signature-verification requirements are satisfied by the county elections office. It also includes a warning about providing false information and a section for office use.

LanguageEnglish

CategoryForms

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

Facsimile or Electronic Mail Vote Secret Ballot Waiver Form

Elector information and acknowledgement

Counting requirements

Warning and office use

| Secretary of State Elections Division | 255 Capitol St. NE, Suite 501, Salem, [OR 97310 | p. 503.986.1518 | f. 503.373.7414 |](OR 97310 | p. 503.986.1518 | f. 503.373.7414 | www.oregonvotes.gov)[ ](OR 97310 | p. 503.986.1518 | f. 503.373.7414 | www.oregonvotes.gov)[www.oregonvotes.gov](OR 97310 | p. 503.986.1518 | f. 503.373.7414 | www.oregonvotes.gov) | | | | --- | --- | --- | | Facsimile or Electronic Mail Vote Secret Ballot Waiver Form | SEL 531
rev 08/13: ORS 246.021 | | | Oregon Residence Address, Street/Route | | | | | | --- | --- | --- | --- | --- | | City | | State | Zip Code | | | Home Phone | | Work Phone optional | | Cellular Phone optional | | Fax | | Email Address optional Mailing | | | | Address required if different than residence address, Street/Route | | | | | | City | | State | Zip Code | | | Country and/or APO/FPO/DPO | | | | | | I, (print name) acknowledge that by casting my voted ballot using a facsimile machine or electronic mail, I have waived my right to a secret ballot. All information provided by me on this form is true to the best of my knowledge.
Elector’s Signature Date Signed | | | | | | | The elector’s ballot will not be counted unless the elector has complied with the following: | | | | --- | --- | --- | --- | | | 􀁯 The residence address provided is the same as the current Registration and Absentee Ballot Request -FPCA
􀁯 The ballot facsimile or an electronic mail is received in the office of the county clerk not later than 8pm on the day of the election:
􀁯 is accompanied by a facsimile or an electronic mail scan of the return identification envelope containing the signature of the elector and
􀁯 the signature of the elector is verified by the county elections office using the elector’s current registration record | | | | | | | | | | Warning
Any person who supplies information contained on this form knowing | it to be false, may be subject to penalties. | | | | | | | |
For Office Use Only | | | |

FAQs

What does the form waive and when is the waiver used?

The form waives the elector’s right to a secret ballot when the elector casts a voted ballot using a facsimile machine or electronic mail.

When will a ballot not be counted under this form?

The ballot will not be counted unless the residence address matches the current Registration and Absentee Ballot Request (FPCA) and the fax or email is received by 8pm on election day with the required scan and verified signature.

What are the consequences of providing false information?

The form warns that any person who supplies information contained on the form knowing it to be false may be subject to penalties.

Sep 3, 2026

Upload by Olivia Brown