An official government website. Here's how you know ➞

  • Meet Janet
  • Committees
  • Community
  • Forms
  • News
  • Notices
    • Accessibility Policy
    • Canvassing Board
    • Election Advertisements
    • Election Audit Results
    • Employment Application
    • Potential Ineligible Voters
    • Privacy Policy
    • Public Records Fee Schedule
  • Contact
×
Janet H.Adkins Nassau County Supervisor Of Elections
Janet H.Adkins Nassau County Supervisor Of Elections

— A Public Office is a Public Trust —

  • Voters
    • Accessible Ballot
    • Check My Provisional Ballot Status
    • Check My Voter & Ballot Status
    • Elected Officials
    • Maps & Districts
    • Military & Overseas Voters
    • Precinct Wait Times
    • Register to Vote
    • Report Fraud
    • Rights & Responsibilities
    • Sign Up for Ballot Notifications
    • Update My Voter Information
    • Voter Guides
    • Voter Registration Agencies
    • Where Do I Vote?
  • Candidates
    • Announced Candidates and Committees
    • Candidate Dashboard
    • Candidate FAQs
    • Forms & Publications
    • Offices Up for Election
    • Request to Review Ballot Materials
  • Elections
    • Constitutional Amendments
    • Early Voting
    • Election Day
    • Election Night Results
    • Election Security
    • Election Workers
    • Initiative Petitions
    • Political Parties
    • Sample Ballot
    • Secure Ballot Intake Stations (Drop Boxes)
    • Upcoming Elections
    • Vote By Mail
    • Vote By Mail Request Form
    • Vote by Mail Counts
    • Voter Turnout
  • Research
    • Common Violations
    • Division of Elections Advisory Opinions
    • Election Data Archives
    • Election Laws
    • Florida Constitution
    • Voting Equipment
Forms

Forms

Home / Forms

ridados.gov/media/701775/dsde37.pdf

  • Affidavit for Vote by Mail Ballot Delivery, DS-DE 162
  • Affidavit for Vote by Mail Ballot Delivery, DS-DE 162 (Spanish)
  • Election Worker I-9 Form
  • Poll Watcher Designation Form, DS-DE 125
  • Poll Watcher Designation Form, DS-DE 125 (Spanish)
  • Provisional Ballot Cure Affidavit, DOC 3002
  • Public Records Exemption Form, DOC 14004


  • Request for Removal Form, DOC 19009
  • Statewide Vote by Mail Ballot Request Form, DS-DE 160
  • Statewide Vote by Mail Ballot Request Form, DS-DE 160 (Spanish)
  • Vote by Mail Cure Affidavit, DOC 18012a
  • Voter Data Request Form, DOC 4057
  • Voter Registration Application


Janet H. Adkins - Supervisor of Elections

Official Election Mail will contain the following symbol.

Official Election Mail Logo
Address

James S. Page Governmental Complex

96135 Nassau Place, Suite 3

Yulee, FL 32097

Contact

Hours: 8:00 AM to 5:00 PM, Monday through Friday

Phone: 904-491-7500

Toll Free: 1-866-260-4301

Fax: 904-432-1400

Email: [email protected]

Social

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


Privacy Policy | Terms of Service | Disclaimer | Cookie Policy

Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

ADA SITE
Share by: