Address Change/ Voter Registration Card Replacement Request

Address Change/ Voter Registration Card Replacement Request

Lake County registered voters may use this form to request a change of address within Lake County OR request a replacement voter registration card.

If you have moved from another county, or are making a party or name change within Lake County, you may use the Online Voter Registration Form to request these services.

Please Note: All fields marked with an asterisk (*) must be completed.

Please provide the following information, thank you!

* Email:

Voter ID Number:

* Name:

* Date of Birth:

Phone Number:
Former Residence Address:
Former Mailing Address:

Former City:

Zip Code:

* New Residence Address:
* New Mailing Address:

* New City:	* Zip Code:

Emogene W. Stegall
315 W. Main St, Rm. 144
Tavares, FL 32778
Phone : (352) 343-9734; Fax : (352) 343-3605
Email: elections@co.lake.fl.us