Absentee Ballot Form

State. fl.us/soe/supervisorelections. asp. Voter s Full Name please print Voter s Date of Birth month/date/year Voter s Phone Number optional Voter s Email Address optional The election taking place on mm/dd/yyyy All elections through the next regularly scheduled general election I would like absentee ballot s for Florida address where voter is registered to vote Address City FL State Zip Code How would you like the absentee ballot delivered Voter will pick absentee ballot up in person Voter will designate a representative to pick up the ballot Voter would like the ballot mailed to the following address If you are applying on behalf of an immediate family member or a person for whom you serve as legal guardian please complete this section also Your name Relationship to voter Your FL driver s license number if available Your address I swear and affirm that all the above information is true and correct Signature Date This application was created by LongDistanceVoter. Rev. 9/4/2012 Florida Absentee Ballot Application One application shall be deemed sufficient to receive an absentee ballot for all elections through the next regularly scheduled general election. To th be processed for the next election the application must be received by the Supervisor of Elections by 5pm on the 6 day before an election. If you are a first time Florida voter who registered by mail and you did not include your Florida driver s license number or Florida identification card number on your voter registration form then you must provide a copy of your identification with this application. Acceptable forms of ID include a copy of a photo ID that shows your name U.S. Passport employee ID buyers club ID debit/credit card military ID student ID retirement center ID neighborhood association ID public assistance ID OR a copy of a current utility bill bank statement government check paycheck or government document that shows your name and Florida address. Mail your completed application to your Supervisor of Elections. You can find the mailing addresses here http //election*dos. org in accordance with the the requirements outlined here http //election*dos. state. fl*us/ voting/absentee. shtml* NOT FOR REDISTRIBUTION This form is for individual use only. No part of the content herein may be redistributed copied abstracted uploaded or included as part of any other service or product outside of www. longdistancevoter. org without prior written approval* Please email contact longdistancevoter. org if you have any questions about this form*. org in accordance with the the requirements outlined here http //election*dos. state. fl*us/ voting/absentee. shtml* NOT FOR REDISTRIBUTION This form is for individual use only. No part of the content herein may be redistributed copied abstracted uploaded or included as part of any other service or product outside of www. shtml* NOT FOR REDISTRIBUTION This form is for individual use only. No part of the content herein may be redistributed copied abstracted uploaded or included as part of any other service or product outside of www. longdistancevoter. org without prior written approval* Please email contact longdistancevoter. org if you have any questions about this form*.