Request a Mail Ballot

Active Registered Voters as of
Republicans:
Democrats:
NPAs
Minor:
Total:

My Registration Status

To request a ballot by mail, you may use the form below.

We also offer the Mail Ballot Request Form, which you can print, fill out and mail back to us.

A Spanish version of the request form is available here.

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Custodian of Public
Records Contact:

Lori Scott
2725 Judge Fran Jamieson Way
Bldg C., Suite 105
Viera, FL 32940
Phone: 321-633-2124
Fax: 321-633-2130
Email: Records@VoteBrevard.com

Titusville
400 South Street
Titusville, FL 32780
Phone: 321-264-6740
Fax: 321-264-6741

Viera

2725 Judge Fran Jamieson Way

Melbourne, FL 32940

Phone: 321-633-2124

Fax: 321-633-2130

Melbourne

1515 Sarno Road

Melbourne, FL 32935

Phone: 321-255-4455

Fax: 321-255-4401

Palm Bay

450 Cogan Drive SE

Palm Bay, FL 32909

Phone: 321-952-6328

Fax: 321-952-6332