Nassau County, USA - Supervisor of Elections

Notice: If you are a Military / Overseas voter or are requesting a Vote By Mail (absentee) Ballot for a Military / Overseas voter, please use the Military / Overseas Vote By Mail (Absentee) Ballot Request Form.

This request is valid for only one (1) registered voter. If you are a qualified and registered voter, ballots will be mailed only for the selected election. Vote By Mail (Absentee) Ballots are mailed approximately 30 days prior to each election to those voters who have requested a Vote By Mail (absentee) Ballot.
VOTE BY MAIL (ABSENTEE) BALLOTS CANNOT BE FORWARDED. If you will not be at your Nassau County address, please complete the MAIL BALLOT TO portion of this form with the address to which you want the ballot mailed. If you are requesting a Vote By Mail (absentee) Ballot for more than one election and will be in a different location for each election, make a separate request for each election with the correct mailing address.

( * Denotes a required field)

* Are you making this request for someone in your immediate family?
Yes Myself
Voter Information:
* Voter's First Name:
Voter's Middle Initial:
* Voter's Last Name:
* Voter's Date of Birth (mm/dd/yyyy):
* Nassau County Residence Address (No PO Box):
Voter's Apt, Lot, or Unit Number:
* Voter's City:
* Voter's ZIP Code:
* Voter's Email Address:
Voter's Daytime Phone:
Voter ID Number(if available):


Mail Ballot to: (if different from above)

Street, PO Box, Rural Route:
Apartment, Lot, or Unit Number:
City:
State:
ZIP Code:

Vote By Mail (Absentee) Ballots must be mailed to the current mailing address on file with the Supervisor of Elections, unless the voter is:
Absent from the county and does not plan to return before the day of the election. Temporarily unable to occupy the residence because of emergency or natural disaster. In a hospital, assisted living facility, nursing home, short-term medical or rehabilitation facility, or correctional facility. Changing his or her current mailing address on file to:
Street, PO Box, Rural Route:
Apartment, Lot, or Unit Number:
City, State, ZIP Code:

Absentee Status:
Civilian Overseas Military/Dependent Overseas Military/Dependent Stateside Person With a Disability

Vote By Mail (Absentee) Ballots requested:
All Elections 2010 through 2012

Vote By Mail (Absentee) Ballot Request Form Nassau County, Florida

Vote By Mail (Absentee) Ballot
Request Form
Nassau County, Florida