• as of
  • Democrats:
  • Republicans:
  • Others:
  • Total:

  Election Worker Information Request

   Please complete this form and click SEND if you are interested in serving as an Election Worker.
   If you have any trouble with your electronic request, please call our office for assistance,
   Thank You.


First Name
Middle Name or Initial
Last Name
Florida Voter Registration Number (if known)
Phone Number
Street Address
Zip Code
Mailing Address (if different)
Your Email Address
Are you currently registered to vote in Clay County?