Supervisor of Elections • Hamilton County • State of Florida
Request to Inspect Ballot Materials
and Corresponding Comparison Signatures
Pursuant to Florida Statutes 101.572(2), only a candidate, a political party official, a political committee official or an authorized designee thereof, are permitted to review or inspect ballot materials.
Note: The use of cell phones, photography, and ink pens are prohibited inside the designated review areas.
Date of Birth: ________________________ Voter ID Number: ________________________________________
Residential Address: ____________________________________________________________________________
Phone Number: ____________________________________ Email Address: _____________________________
Organization Information (select one)
I am a:
____ Candidate1 for the office of: ________________________________________________________
____ Political party2 official of the political party: ___________________________________________
____ Poliitical commitee3 official of the committee: __________________________________________
I am an authorized designee of:
____ Candidate1: _______________________ for the office of: _______________________________
____ Political party2 official: _______________________ of the party: _________________________
____ Political committee3
official: _______________________________ of the commitee: _________________________
Please attach documentation establishing your credentials.
I, ____________________________________________, attest that the information above it true and accurate.
I am requesting to inspect ballot materials and corresponding voter signatures for the 2022 General election at the following observation period(s):
___ Friday, November 4, 8:30 a.m. – 9 a.m.
___ Tuesday, November 8, 8:30 a.m. – 9 a.m.
___ Thursday, November 10, 4:30 p.m. – 5 p.m.
___ Friday, November 18, 4:30 p.m. – 5p.m.
We must receive your request no later than noon on the day before the inspection period will occur. This gives us time to staff the inspection period. If you do not show up within 15 minutes after the start of the inspection period, we will cancel the request. If you miss a requested inspection period, it cancels any future requests you may have made.
Please submit completed form to: [email protected] OR
Hamilton County Supervisor of Elections, 1153 US Hwy 41 NW, Suite 1, Jasper, FL 32052
1Must be a qualified candidate in the election
2Must be a registered political party in Florida
3Must be a registered political committee in Florida
101.572(2), F.S. - updated 9/2022
TO BE COMPLETED BY ELECTIONS OFFICE PERSONNEL:
Date Request Received: __________
Notify all candidates of date/time of inspection.
SOE Approval: ____________ Date: ________