Solicitud de Confirmación de Dirección

A usted le fue enviado una Solicitud de confirmación de Dirección para que la Supervisora de Elecciones pueda verificar que tenemos la dirección correcta en su expediente. Por favor complete el formulario de abajo.

Si usted ha cambiado su nombre, por favor presione aquí para ver la Solicitud de Inscripción Electoral de la Florida. Este formulario debe ser completado y devuelto a nuestra oficina para poder procesar su cambio de nombre.

¿SE MUDÓ FUERA DE LA FLORIDA?

Si usted ya no vive en Florida y desea cancelar su Inscripción Electoral de Florida, por favor ¡PARE AQUÍ! Marque el encasillado apropiado en la tarjeta que le enviamos, firme y devuélvala a nuestra oficina.

Please use this form if you received an Address Confirmation Request, Address Change Notice or Address Confirmation Final Notice from our office to confirm your address within the State of Florida.

You can use this form if the following two statements are true.

* Your name is correct on the notice
* You continue with your legal residence in this county

Otherwise, if you have changed your name or moved to another place within the state of Florida, you may use the Florida Voter Registration Application to update your voter registration information.

Finally, if you moved your legal residence outside the state of Florida and wish to cancel your Florida Voter Registration, please complete the Elector's Removal Request Form.

Fields marked with a red asterisk are required.

First Name

Middle Name or Initial

Last Name

Date of Birth

Florida Voter Registration Number (if known)

Phone Number

E-mail Address

No permenent address?

Check here if you do not have a permanent address in this county and are living outside the county but intend to remain a permanent resident of this county. Leave the Current Residence Address (next field) blank.

Current County Residence Address

Previous County Residence Address

Mailing Address

Previous Mailing Address

Additional Comments