Martin County, FL Supervisor of Elections

Vote by Mail ballots cannot be forwarded
Vote by Mail ballots are mailed approximately 30 days prior to each election
Please complete the “Mail Ballot to:” portion if you would like the ballot sent to an address other than your Martin County registration address

Vote by Mail ballots requested:	Status:
11/02/2010 - General Election	Civilian Overseas Military/Dependent Overseas Military/Dependent Stateside Not Applicable

( * Denotes a required field)

* Are you making this request for someone in your immediate family?

Yes Myself

Voter Information

* Voter's First Name:	Voter's Middle Initial:	* Voter's Last Name:

* Voter's Birth Date (mm/dd/yyyy):

* Martin County Residence Address (No PO Box):

Voter's Apt, Lot, or Unit Number:

* Voter's City:	* Voter's ZIP Code:

Voter's email address:	Voter's Daytime Phone:

Mail Ballot to: (if different from above)

Address, PO Box, Rural Route:	Apartment, Lot, or Unit Number:

City:	State	ZIP Code:

If you are making this request for someone in your immediate family, you must give the following information about yourself:

* Requester's First Name:	* Requester's Last Name:

* Requester's Street Address:

* Requester's City:	* Requester's State:	* Requester's ZIP Code:

* Requester's Relationship to voter:	Requester's Daytime Phone Number:

Requester's Drivers License Number: (if available)