.
NVRA V
OTER REGISTRATION AGENCIES
(DESIGNATED BY NVRA AND S. 97.058, F.S.)
QUARTERLY ACTIVITIES REPORT FORM
Reporting Periods: Due dates for the 1
st
, 2
nd
, 3
rd
and 4
th
calendar quarterly reports are April 15, July 15, October 15, and
January 15 for the preceding 3-month calendar period, respectively.
DS-DE 131 (eff. 01/2012)(Rule 1S-2.048)
1. Voter Registration Agency: ______________________ 2. Coordinator Name: ___________________________
3. Check reporting quarter: Q1___Q2___Q3___Q4___ 4. Indicate calendar year of reporting quarter: ______
Please provide data for your agency, by county.
1. How many clients declined to register or update his or her voter registration record?
Alachua Gilchrist Manatee Suwannee
Baker Glades Monroe Taylor
Bay Gulf Marion Union
Bradford Hamilton Martin Volusia
Brevard Hardee Nassau Wakulla
Broward Hendry Okaloosa Walton
Calhoun Hernando Okeechobee Washington
Charlotte Highlands Orange
Citrus Hillsborough Osceola
Clay Holmes Palm Beach
Collier Indian River Pasco
Columbia Jackson Pinellas
Dade Jefferson Polk
DeSoto Lafayette Putnam
Dixie Lake Santa Rosa
Duval Lee Sarasota
Escambia Leon Seminole
Flagler Levy St. Johns
Franklin Liberty St. Lucie
Gadsden Madison Sumter
2. How many clients sought new or renewal of agency services or assistance or made
an address change with an agency in each category: (please answer 2a. – 2 f.)
2a. In Person
Alachua Gilchrist Manatee Suwannee
Baker Glades Monroe Taylor
Bay Gulf Marion Union
Bradford Hamilton Martin Volusia
Brevard Hardee Nassau Wakulla
Broward Hendry Okaloosa Walton
Calhoun Hernando Okeechobee Washington
Charlotte Highlands Orange
Citrus Hillsborough Osceola
Clay Holmes Palm Beach
Collier Indian River Pasco
Columbia Jackson Pinellas
