Registered Voters as of 07/26/2015 REP:233,836 DEM:362,050 Other:247,302 Total:843,188

Vote by Mail (Absentee) Ballot Request Form

If you are a member of the military or a military dependent and are living outside Palm Beach County (stateside or overseas), or are a civilian voter living overseas, please use the Military/Overseas Absentee Ballot Request Form.

Under Florida law, all qualified voters are permitted to vote by mail (absentee). This request is valid for one(1) registered voter only.

Please complete the form below to request a vote by mail ballot. If you have any questions about this form, please call us at (561) 656-6200

To track the status of your vote by mail ballot request from the time you submit it until the voted ballot is returned to our office, go to our free Online Ballot tracking system and follow the easy directions.

Notice: Information provided on this form is exempt from public disclosure except that it is available upon request to canvassing boards, election officials, political parties, registered political committees and committes of continuous existence, and candidates facing opposition in an upcoming election for political purposes only (§ 101.62(3) F.S.)

(* Denotes a required field)

Voter's Information:
*  Voter's First Name:
Voter's Middle Name:
*  Voter's Last Name:
*  Voter's Birth Date (mm/dd/yyyy):
*  Palm Beach County Residence Address (No PO Box):
Voter's Apt, Lot, or Unit Number:
*  Voter's City:
*  Voter's ZIP Code:
Check if this is a change of your Palm Beach County residence address.

Effective January 1, 2014, Florida law requires voters who request their absentee ballot be mailed to an address other than the voter's address on file in the Florida Voter Registration System, to make the request in writing and sign it.
F.S. 101.62(1)b. – “…if the ballot is requested to be mailed to an address other than the elector’s address on file in the Florida Voter Registration System, the request must be made in writing and SIGNED BY THE ELECTOR.” To download this form,
click here:

Mail the Completed Form To:
Palm Beach County Supervisor of Elections
PO Box 22309
West Palm Beach FL 33416-2309

Voter ID Number (if available):
Voter's E-mail Address:
Voter's Daytime Phone:
Requester's Information:
You may only request absentee ballots for yourself and your immediate family, which is defined as your spouse, child, parent, grandparent, sibling, spouse's child, parent, grandparent, sibling, or legal guardian. If making this request for someone other than yourself, F.S. 101.62 requires you to provide the following information about yourself:
Requester's Name:
Requester's Address:


Requester's Driver's License Number (if available):
Requester's Relationship to Voter:
 
 
Absentee Ballots Requested:
One request is sufficient to receive an absentee ballot for all elections through the end of the calendar year of the second ensuing regularly scheduled general election.
 

PURSUANT TO FLORIDA STATUTE 101.62, REQUEST FOR ABSENTEE BALLOTS MUST BE RECEIVED BY 5 P.M. ON THE SIXTH DAY PRIOR TO THE ELECTION.