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

Respond to Address Confirmation Request

  White Card


   You were mailed an Address Confirmation Request so that the Supervisor of Election can verify that we have your correct address. 
   Please complete the form below or return the card within 30 days. If you use this online form, you do not need to mail the notice
   back to our office.


   If you no longer live in Florida and wish to cancel your Florida Voter Registration, check the appropriate box on the card you were
   mailed, sign and return the card to our office.
   Items denoted with an (*) are required.



Response Form

White Card - Address Confirmation Request

You will use this form if you received a white card in the mail.

Card was mailed to (Name & Address)
Are you the voter named on the white card?
FL Voter ID Number
Date of Birth
Phone Number
Your Email
Has legal residence changed (listed on white card)
Provide your legal Florida residence address (if changed)
Additional Comments


Your Name
Your Email
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