Official Santa Rosa Government

Absentee Ballot Request Form

According to Florida Statutes no Absentee Request will be accepted after 5 p.m. today (Wednesday, January 25, 2012). for the Presidential Preference Election, January 31.

Any request sent after 5 p.m. will be for the August Primary Election.

Any registered and qualified voter may vote an absentee ballot. In addition, all members of the Armed Forces, their family members and members of the Merchant Marine and their family members, who are U.S. citizens, may vote absentee. For more information on overseas absentee voters (UOCAVA), please visit the Federal Voting Assistance Program web site at www.fvap.gov.

Call (850) 983-1900 or e-mail soe-bodenstein our office to ask about absentee balloting as soon as you know that you will be unable to go to the polls on Election Day. When requesting an absentee ballot, you must provide your name, date of birth, and residence address or address which the ballot should be mailed.

One request shall be deemed sufficient to receive an absentee for all elections in the year that you request. Or you can request just one election if that is all you need. You may make your request in writing 6495 Caroline St, Suite F
Milton, FL 32570, by telephone (850) 983-1900, e-mail soe-bodenstein, or fax (850) 983-1829. Requests may also be made by the voter's immediate family or legal guardian if instructed by the voter.

Please complete the entire form. If you have any questions please contact us at (850) 983-1900 .

NOTE: If you have any problems with this form please email us at
soe-bodenstein with your contact information.

The Santa Rosa County Supervisor of Elections Office is a public entity subject to Chapter 119 of the Florida Statutes concerning public records. E-mail messages are covered under such laws and thus subject to disclosure. 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 send electronic mail to this entity. Instead, contact this office by phone or in writing.