Hospitalized or Nursing Home Voter


If you are admitted to a hospital, nursing home, or rehabilitation center within 14 days before Election Day, you may qualify for personal delivery of a ballot by a friend or family member, subject to statutory conditions.

You must complete the request form, Application for Ballot for Qualified Voter Admitted to a Hospital, Nursing Home or Rehabilitation Center. Your physician is required to complete the accompanying Affidavit of Attending Physician.

Forms are available by contacting the Lake County Clerk’s Elections Department at [email protected] or 847-377-2314.

All required forms must be completed and returned to the Lake County Clerk's office prior to the application and ballot being issued. 

If your friend or family member is unable to deliver the forms and ballot, you may want to take advantage of the voting by mail option. Click here for a Voting by Mail application.
Hospitalized Voter