VOTE-BY-MAIL Duplication Observer Affidavit
Sections 101.5614(4)(a) and (8), Florida Statute
Note: A physically present candidate or their authorized designee, and one authorized representative of a political party and a political committee, respectively, may observe the duplication of vote-by-mail ballots after signing this affidavit and submitting it to the Broward County Supervisor of Elections.
I hereby swear or affirm that:
Disclaimer
I understand that any person who willfully affirms falsely to any affirmation in connection with elections, any person who perpetrates any fraud in connection with any vote to be cast in any election, and any person who releases any information about votes cast for or against any candidate or ballot measure or any results of any election before the closing of the polls in Broward County on election day in violation of Sections 101.5614(4)(a) and (8), Florida Statutes, can be convicted of a felony of the third degree and fined up to $5,000 and imprisoned for up to 5 years. I understand that my failure to sign this affidavit means that I may not observe the duplication of vote-by-mail ballots.
By signing your name electronically on the last field in the form, you are agreeing that your electronic signature is the legal equivalent of your manual signature on this form.