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Election Dates
Federal Elections Deadlines - Florida
Registration Ballot Request Ballot Return

Within U.S. Return by Mail:


Request Mail Ballot: Received by Received by March 15, 2016
Presidential Postmarked by
March 9, 2016 Outside U.S. Return by Mail:
Primary March 15, February 16,
Request Email/Online or Fax Ballot: Postmarked by* March 15, 2016
2016 2016
Received by March 15, 2016 Outside U.S. Return by Fax:
Received by March 15, 2016

Request Mail Ballot: Received by


State Primary Postmarked by August 24, 2016
Received by August 30, 2016
August 30, 2016 August 1, 2016 Request Email/Online or Fax Ballot:
Received by August 30, 2016

Within U.S. Return by Mail:


Received by November 8, 2016
Request Mail Ballot: Received by
Outside U.S. Return by Mail:
General Election Postmarked by November 2, 2016
Postmarked by* November 8,
November 8, 2016 October 11, 2016 Request Email/Online or Fax Ballot:
2016
Received by November 8, 2016
Outside U.S. Return by Fax:
Received by November 8, 2016

Recommended Mailing Dates for Voted Ballots in 2016


From Iraq, Afghanistan, Deployed Naval
4 weeks before the election
Vessels
From Other Overseas Military Installations 3 weeks before the election
4 weeks before the election (depending on foreign mail
From Other Overseas locations
service)
From Within the United States 1 week before the election
Federal Write-In Absentee Ballot 4 weeks before the election
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Instructions for Florida


Thank you for using the FVAP online assistant. Please review, print, sign and submit your completed PDF package
to your local election official at the address provided below.

Mailing Instructions
Step 1: Review your personalized FPCA PDF package before printing.

Step 2: Print and Sign your FPCA.

Step 3: Select and download the envelope template (Standard U.S. (#10 envelope 4 1/8in. by 9 1/2in.) or European
standard C4 (229mm by 324mm), depending on your envelope printer setting).

Step 4: Send your election materials: This PDF package includes items to send to your election official as well as
reference material. Please send your FPCA and the documents marked for sending.

Where to Send
Mail:

Mail your FPCA: Once your FPCA is complete, mail your FPCA directly to your election official.

Mail the absentee ballot request form to your local election official at the following address:
Osceola Supervisor of Elections
2509 E Irlo Bronson Mem Hwy
Kissimmee , FL 34744 USA

If you need to contact your election office by telephone, the number is (407) 742-6000

Email:

E-Mail your FPCA: Scan the signed FPCA into your computer. Be sure to also include the Electronic Transmission
Sheet. Email this package directly to your election official. You may also use the DoD Electronic Transmission
Service (ETS)* to email your FPCA. Information about ETS can be found in the Important Information section or
online at FVAP.gov.

Email to maryjane@voteosceola.com

Fax:

Fax your FPCA: Fax your FPCA directly to your election official. Be sure to also include the Electronic Transmission
Sheet. You may use the DoD Electronic Transmission Service (ETS)* to fax your FPCA toll-free. Instructions for ETS
are in the Important Information section or online at FVAP.gov.

Fax the ballot request form to: (407) 742-6001

If you are using the FPCA to register to vote, you must mail the form. If you are already registered and are
using the FPCA to request an absentee ballot, you can mail, email or fax your signed form to your
election official.

To find out the status of your FPCA, contact your election official. Your election official will contact you if your FPCA
is not accepted.
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* DISCLAIMER: The Federal Voting Assistance Program (FVAP) provides an Electronic Transmission Service to assist
you with transmitting your election materials. FVAP does not guarantee the acceptance or processing of your
materials by your election official. As a user of this service, we encourage you to contact your election official directly
to verify whether your information was received timely.

If you do not receive your requested ballot at least thirty days prior to the election, you should use the Federal
Write-In Absentee Ballot (FWAB).
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Official Election Materials - Electronic Transmission Sheet (FPCA)


Transmission (Cover) Sheet from Absentee Voter to Election Official

To:
City/County Board of Elections: Osceola Supervisor of Elections
State: Florida
LEO Email: maryjane@voteosceola.com
Fax Number: (407) 742-6001

From:

Last Name: Mogollon


First Name: Oscar
Middle Name: Felipe
Telephone Number: (57)3102579918
Fax Number:
Email Address: oscarx2768@gmail.com

Additional Information:

If a VOTED BALLOT is being faxed or emailed, sign below:

"I understand that by faxing or emailing my voted ballot I am voluntarily waiving my right to a secret ballot"

Signature:_______________________________________________________ Date:________________________

Number of pages being transmitted, including this sheet: ________

Not all forms can be sent electronically. Please check the FVAP.gov website or the
Voting Assistance Guide to verify what forms can be electronically sent to your Local Election Official.

Fax to one of these numbers: 703-693-5527/DSN 223-5527 or 1-800-368-8683 or


Check www.fvap.gov for international fax numbers. Email to ets@fvap.gov

Voter Registration and Absentee Ballot Request For any questions about this form, consult the Voting
Assistance Guide available in hard copy or on
Federal Post Card Application (FPCA) FVAP.gov or your Voting Assistance Officer.

For absent Uniformed Service members, their families, and citizens residing outside the U.S. Please print in black ink.
I request an absentee ballot for all elections in which I am eligible to vote AND:
I am a member of the Uniformed Services or Merchant Marine on active duty OR
Classification I am an eligible spouse or dependent.
Make only 1 selection. I am an activated National Guard member on State orders.
(In most States, you must be 1
I am a U.S. citizen residing outside the United States, and I intend to return.
absent from your voting district
to use this form). I am a U.S. citizen residing outside the United States, and my return is not certain.
I am a U.S. citizen and have never resided in the United States.

Political party 2 Your State may require you to specify a political party to vote in primary elections:

Last name
Mogollon Suffix

Legal name 3 First name


Oscar Middle name
Felipe

Previous name (if applicable)

Identification State Drivers License or ID


Some States require your OR Social Security Number
4 9 7 6 5
full SSN. Check your States
pages in the Voting Assistance Birth date 0 7 / 0 8 / 1 9 9 1 Sex
M F Race Latino
Guide on FVAP.gov.
M M D D Y Y Y Y See instructions
Telephone ( 5 7 ) 3 1 0 2 5 7 9 9 1 8
Contact
information 5 Fax
Include international
prefixes. No DSN numbers. Email
oscarx2768@gmail.com

Rank from 1-3 in order of preference; be sure appropriate contact information is provided above.
Ballot receipt 6
I prefer to receive my ballot, as permitted by my State, by: 1 Email/Online 2 Mail Fax

Voting residence Street Address (not P.O. Box)


8624
PRIMROSE DR Apt. #
address

7 KISSIMMEE
City/Town/Village
Usually your last U.S.
residence or your legal U.S. County
Osceola State F L Zip Code 3 4 7 4 7 1 6 4 8
residence. See instructions.

Where to send my Calle 6C # 72B-45 Int. 10 Apt. 501 Bogot, Colombia


ballot
This is your current mailing 8
address and should be
different from above. If
required, place a forwarding
address in Box 9.

Additional Receive Ballot For: All elections for which I am eligible.


requirements
for your State
Such as: mail forwarding 9
address, additional email
address/phone number,
or other State required
information. See Voting
Assistance Guide.

Affirmation (REQUIRED): I swear or affirm, under penalty of perjury, that:


The information on this form is true, accurate, and complete to the best of my
knowledge. I understand that a material misstatement of fact in completion of this
document may constitute grounds for conviction of perjury.
Signature X
You must sign and send in.
I am a U.S. citizen, at least 18 years of age (or will be by the day of the election), Todays date
eligible to vote in the requested jurisdiction, and / /
M M D D Y Y Y Y
I am not disqualified to vote due to having been convicted of a felony or other Witness signature / date if required by your State.
disqualifying offense, nor have I been adjudicated mentally incompetent; or if so, my
voting rights have been reinstated; and Signature
-- WITNESS NOT REQUIRED --
I am not registering, requesting a ballot, or voting in any other jurisdiction in the Date
United States, except the jurisdiction cited in this voting form. -- WITNESS NOT REQUIRED --

This information is for official use only. Any unauthorized release may be punishable by law. PREVIOUS EDITIONS ARE OBSOLETE. Standard Form 76 (Rev. 08-2013), OMB No. 0704-0503

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