Orange County, Florida

Vote by Mail Request

The form below is only for voters who are currently registered to vote in Orange County.

If you are not sure about your registration, check here now.

ONLY THE VOTER OR A MEMBER OF THE IMMEDIATE FAMILY OR THE LEGAL GUARDIAN OF THE VOTER CAN REQUEST AN ABSENTEE BALLOT.

NOTE: Request for absentee ballots to be mailed to the voter must be received by 5:00 p.m. on Wednesday prior to the election. After that time, ballots may be picked up at the Supervisor of Elections Office during regularly scheduled business hours.

A Voter May Request an Absentee Ballot by:

EMAIL

Scroll down to complete the online vote by mail request form now.

PHONE

Call us at (407) 836-2070

MAIL OR FAX

Download and print the Absentee Request Form (pdf) to send your request by mail or fax.

Send via mail to:

Orange County Supervisor of Elections
PO Box 562001
Orlando, FL 32856

Send via fax to:

(407) 254-6598

* Indicates a Required Field

Please visit www.orangevotes2010.com to verify if you have already requested an Absentee ballot

or to check the status of your absentee.

*Voter's Information:
*First Name:
Middle Name:
*Last Name:
*Date of Birth:
Telephone Number:
Voter ID # (if known):

*Absentee Status:
	Civilian Domestic (U.S.A. and Territories)
	Civilian Overseas [?]
	Active Duty Military Domestic/Dependent of Active Duty Military Domestic
	Active Duty Military Overseas/Dependent of Active Duty Military Overseas [?]
	Disabled
	Assisted Living/Adult Congregate Living Facility resident

Optional: For overseas request, please include an e-mail address below.
If you are a military or merchant marine member or spouse or dependent there of temporarily away from your residence because of active duty or if you are a U.S. citizen overseas you may receive your absentee ballot by mail or electronically. Indicate below how you want your ballot delivered:

For overseas request, you MUST select one.
	I swear/affirm the I am absent from my county of residence address located at the address provided below, please send my ballot via Email to
	I swear/affirm the I am absent from my county of residence address located at the address provided below, please send my ballot via facsimile to
	Send my ballot by mail to my Mailing Address Below

*Permanent Orange County Residence Address
	House #	Pre Directional	Street Name		Street Type	Post Directional
	Secondary	Secondary #
	City[?]		State	Zip Code[?]

Mailing Address. Absentee ballots can not be forwarded by the Post Office. Notify us immediately if updates are needed.
My Mailing Address Is The Same As The Residence Address Listed Above. I Have A Different Mailing Address. Send Ballot To:

Address Line 1:	Street Address, P.O. Box, Company Name, c/o
Address Line 2:	Apartment, Suite, Unit, Building, Floor, etc.	NOTE: Ballots for all the elections requested below will be mailed to this address. If you need them mailed to different addresses please call us at 407-836-2070 or make separate online requests. If no special address is given, your ballot will be mailed to the mailing address currently on file.
City:
State/Province/Region:
Zip/Postal Code:
Country:
	This is a Temporary Mailing Address. [?] Make this my Permanent Mailing Address. [?]

*I am requesting ballots for:

	August 24, 2010 - Countywide Primary Election
	November 2, 2010 - Countywide General Election

NOTE: If you have requested all elections in 2010 you must keep this office updated should you move. Florida law prohibits the Post Office from forwarding Absentee Ballots.

* Disclosure:

I affirm that I am the voter making this Absentee Request. (Skip the section below)

I am a member of the voter’s immediate family or the voter’s legal guardian and I was directly instructed by the voter to make the request. (Must complete the section below)[?]

*Requester’s Name:
*Requester’s Relationship:
*Address Line 1:
*City, State, Zip:
Driver’s License Number or Florida ID # ( if available):
Phone Number:

Instructions on how to fill out the ballot and voter's certificate are included with your absentee ballot.

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not use this form as it will send electronic mail to our office. Instead, contact this office by phone or in writing.

Orange County Supervisor of Elections

Phone (407) 836-2070 * Fax (407) 254-6598 * PO BOX 562001 Orlando, FL 32856

General Email: voter@ocfelections.com