Fillable COOP Contact Information Form (Information is gathered as (Florida Division of Corporations)

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COOP Contact Information Form (Information is gathered as (Florida Division of Corporations)

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DS-DE Form 149 (Eff. 12/17) Rule 1S-9.005, Fla. Admin Code
COOP Contact Information Form
(Information is gathered as part of emergency response for continuity of operations planning as authorized by Section 252.365, Fla. Stat.,
and not otherwise subject to public disclosure.)
Election _____________________________________ Date of Election _____________
.
___________________________________________ County
Supervisor of Elections (SOE):
Name
Office phone
Cell phone
Election Day SOE staff contacts (person who will be available to accept Division of Elections’ (DOE) call):
Name
Office Phone
Cell Phone
Election Night Reporting SOE staff contact (person who will be available to accept Division of Elections’
(DOE) call):
Name
Office Phone
Cell Phone
Canvassing Board Members and Alternates:
Name
Title
Office phone
Cell phone
Alt:
Alt:
Attorney for Supervisor: County Attorney or Private Attorney
Name
Office Phone
Cell Phone
County Manager:
Name
Office Phone
Cell Phone
SOE’s Hotline/Phone Bank Telephone Number:
Florida Department of State (“DOS”) Election Day staff contact (name, phone, and email):
Florida Department of State Election Night (“Enight”) Staff Contact (name, phone and email):
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COOP Contact Information Form (Information is gathered as (Florida Division of Corporations)

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Completed 30 July 2020

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