Candidate Petition

Notes:

All information on this form becomes a public record upon receipt by the Supervisor of Elections
It is a crime to knowingly sign more than one petition for a candidate. [Section 104.185, Florida Statues]
If all requested information on this form is not completed, the form will not be valid as a Candidate Petition form.

First Name: *

The first name that appears on your voter registration card

Middle Name:

The middle name that appears on your voter registration card

Last Name: *

The last name that appears on your voter registration card

Suffix:

Date of Birth (Or fill out voter registration number below):

Voter Registration Number (Or fill date of birth above):

E-mail:

Cell Phone:

Street Address: *

City: *

County: *

Zip Code: *

Absentee Voting

Check here if you would like to receive information about Absentee Voting

Instructions

Please fill out this form to obtain your printable form. This form will then need to be mailed to the below address below:

PO Box 1028
Deerfield Beach, FL, 33441

Click here for a BLANK copy of the petition to send to friends and family