I vote in Missouri and would like to vote by mail

• Incapacity or confinement due to illness

In 2020, I have contracted coronavirus or I am at-risk due to any of the following because I:

• Am age 65 or older

• Live in a long term care facility

• Have chronic lung disease/asthma

• Have a serious heart condition

• Am immunocompromised

• Have diabetes

• Have chronic kidney disease and am undergoing dialysis

• Have liver disease

• Religious beliefs or practice

• Working as an election worker

• Incarcerated and  still eligible to vote

• Certified participation in an address confidentiality program Pursuant to 589.660—589.681 RSMo.