Supervisor of Elections

Personal Absentee Ballot Request Form

If you are living in Alachua County, Florida, but are a qualified registered voter in another county or state, you should request your absentee ballot from the county or state where you are registered.
If you are an overseas voter, you must use the Overseas Absentee Request Form.
This form is to be used only to request ballots for yourself.
Required fields are listed in red. All other information is optional.

Name & Date of Birth

First Name

Middle Name

Last Name

Suffix
If yours is not listed, please include it in the Last Name field.

Date Of Birth
(MM/DD/YYYY)

Florida Legal Residence Address
You must provide your street address, no post office boxes.

Street Address

City

State

Zip Code

The above address is a change in my legal residence. The legal address I was previously registered at was also in Alachua County.

Mailing Address
If you receive your mail at an address other than your legal address, you can put that address below.

Street Address

City

State

Zip Code

Are you a Civilian, Active Military, or have a spouse or dependent who is Active Military?
Civilian
Active Military
Active Military Spouse/Dependent

What ballot(s) would you like to request?
Please check any and all of the elections for which you want an absentee ballot.
Gainesville Municipal Election Including Run-off (March 16, 2010)
Primary Election (August 24, 2010)
General Election (November 2, 2010)
All elections through November 2012

Contact Information
The information requested will give us a way to contact you if we have questions concerning your request.

Phone #
(123) 456-7890

E-Mail Address

Overseas Voters Please Note
Voters with overseas mailing addresses should not use the above form.
Please use the Overseas Absentee Ballot Request form instead.

NOTE: The information you provide via this form is intended for the exclusive use of the Supervisor of Elections office; however, Florida law provides that e-mails and e-mail addresses are public records. Your information could be released in response to a public records request.