Absentee Ballot Request Form

Indicates a required field.

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not use this form as it will send electronic mail to our office. Instead, contact this office by phone or in writing.

You can also print out a PDF version of this form in English or Spanish and mail it to our office.

Elections

08/12/2014 - Primary Election
11/04/2014 - General Election All Elections through 2016

Voter's Information

First Name	Middle Name	Last Name
Birth Date
Email Address	Confirm Email Address
Daytime Phone
Voter ID #	Driver License #
Absentee Type

Voter's Osceola County Residence Address

Address 1	Address 2
City	ZIP

Please mail the ballot to a different address.

Requester Information

Relationship to Voter

Dates to Remember

Memorial Day
May 27, 2013 @ 5:00 PM
Holiday - Office will be closed.
Independence Day
July 04, 2013 @ 5:00 PM
Holiday - Office will be closed.
Labor Day
September 02, 2013 @ 5:00 PM
Holiday - Office will be closed.
Veteran's Day
November 11, 2013 @ 5:00 PM
Holiday - Office will be closed.
Thanksgiving Day
November 28, 2013 @ 5:00 PM
Holiday - Office will be closed.
Thanksgiving Holiday
November 29, 2013 @ 5:00 PM
Holiday - Office will be closed.
Christmas Eve
December 24, 2013 @ 5:00 PM
Holiday - Office Closed
Christmas
December 25, 2013
Holiday - Office Closed

Vote Osceola