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Voter Registration in Escambia County
as of 02/01/2012

Affiliation	Voters
Republican	87,342	44.0%
Democrat	74,975	37.7%
No Party Affiliation	30,523	15.4%
Minor Parties	5,832	2.9%
Total	198,672

Our Mission:

"To ensure all qualified citizens are free to exercise their fundamental right to vote in open, impartial and secure elections."

Absentee Ballot Request Form

I would like to request an absentee ballot for the following election(s)

Name

Registration Number

Birthdate

Daytime Phone

Email

Escambia County Residence Address

Mailing Address
This mailing address is to be used only for the absentee ballot

Choose One if Applicable Military Overseas
Military Domestic
Military Dependent Overseas
Military Dependent Domestic
Civilian Overseas

Absentee ballots can be requested only by the voter, the voter's immediate family, or legal guardian. If the requester is someone other than the voter, the requester must provide the following additional information.

Requester's Name

Requester's Birthdate

Requester's Drivers License

Requester's Address

Relationship to Voter

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 send electronic mail to this entity. Instead, contact this office by phone or in writing.

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