David H. Stafford
Escambia County
Supervisor of Elections

Respond to White Card - Address Confirmation Request

You were mailed an Address Confirmation Request so that the Supervisor of Elections 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 also mail the notice back to our office.

MOVED OUT OF FLORIDA?

  • If you no longer live in Florida and wish to cancel your Florida Voter Registration, please STOP HERE! Check the appropriate box on the card you were mailed, sign and return the card to our office.

If you have changed your name, please click here to be taken to the FL Voter Registration Form. This form must be completed and returned to our office in order to process a name change.

Items denoted with an (*) are required.


Card Was Mailed To?

Maximum of 9 Characters allowed. Will be printed on card below the Voter ID and Name Block. IE ID: [123456789]
Are you the voter named on the white card?

Date of Birth

Is your residence address the same as your mailing address?

Provide Your Legal Florida Residence Address

The address you provide here must be within the state of Florida.

Provide Your Mailing Address

Check this box if the person does not live at this address.
By choosing to provide your email address, it will be added to your voter record and therefore may be included in public records requests.
17
MAR 2020

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