Get the free Address Confidentiality Exemption Request Form Revised 04-2012

Print Form VOTER INFORMATION EXEMPTION FORM DUVAL COUNTY, FLORIDA Please mail to our office or Jerry Holland, Supervisor of Elections 105 E. Monroe St., Jacksonville, FL fax to 904-630-1894 Questions?

How to fill out address confidentiality exemption request

How to fill out address confidentiality exemption request:

1. Start by gathering the necessary documents: Obtain a copy of the address confidentiality program application form and the exemption request form. Review the instructions provided along with the forms.
2. Fill out the personal information section: Provide your full name, current address, phone number, and email address. Make sure to fill in this information accurately and legibly.
3. Specify the reason for the exemption request: In the exemption request form, clearly explain why you are seeking an exemption from the address confidentiality program. State your concerns regarding the disclosure of your address and provide any supporting evidence or documentation, if required.
4. Provide additional details, if necessary: If there are any further details that you believe are relevant to your exemption request, include them in the designated section. This could include information about past incidents or ongoing threats that justify your need for address confidentiality.
5. Sign and date the form: At the bottom of the exemption request form, sign and date it. By doing so, you acknowledge that the information provided is true and accurate to the best of your knowledge.

Who needs address confidentiality exemption request:

1. Individuals facing threats or harassment: Those who have been subjected to threats, harassment, stalking, or any form of abuse might need to request an exemption from the address confidentiality program. This provides an added layer of protection by withholding their address from public record.
2. Survivors of domestic violence: Victims of domestic violence often require address confidentiality due to the potential risks involved. By obtaining an exemption, their addresses can be kept private, reducing the chances of their abusers locating them.
3. Individuals at risk of harm: Certain professions or circumstances may expose individuals to potential harm. This can include law enforcement officers, judges, or witnesses involved in sensitive cases. In such situations, an address confidentiality exemption can help ensure their safety and security.

It is important to note that specific eligibility criteria may vary depending on the jurisdiction and the address confidentiality program in place. It is advisable to consult the relevant authorities or legal professionals to determine the requirements and procedures specific to your situation.

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What is address confidentiality exemption request?

It is a request made by individuals who wish to keep their address confidential for safety or privacy reasons.

Who is required to file address confidentiality exemption request?

Individuals who are at risk or fear for their safety and wish to keep their address confidential are required to file this request.

How to fill out address confidentiality exemption request?

The request can usually be filled out online or in-person at the appropriate government agency. It typically requires personal information and details on why confidentiality is needed.

What is the purpose of address confidentiality exemption request?

The purpose is to provide a level of protection and privacy for individuals who feel at risk by keeping their address confidential from public records.

What information must be reported on address confidentiality exemption request?

Typically, personal information such as name, contact information, the reason for the request, and any supporting documentation are required.