Respond to Address Confirmation Request

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 letter within 30 days. If you use this online form, you do not need to mail the notice back to our office.

HAVE YOU MOVED OUT OF FLORIDA?
If you no longer live in Florida and wish to cancel your Florida Voter Registration, check the appropriate box on the notice you were mailed, sign and
return the letter to our office.

Items denoted with an (*) are required.

Notice was mailed to (Name & Address)

Are you the voter named on the address confirmation?

Yes No

FL Voter ID Number

Date of Birth

FL Driver's License, FL ID Card, or last four digits of Social Security Number

Phone Number

Has legal residence changed (residence address listed on letter)

Yes No

Provide your legal Florida residence address (if changed)

Additional Comments

Official websites use .gov

Secure .gov websites use HTTPS

An official government websiteHere's how you know.

Official websites use .gov

Secure .gov websites use HTTPS

An official government website
Here's how you know.