DS-DE 151 3/20
REQUEST TO DESTROY UNUSED ELECTION MATERIALS (101.545, F.S.)
SECTION 1 REQUEST (SUBMIT FORM TO DIVELECTIONS@DOS.MYFLORIDA.COM)
Name
Title
Jurisdiction
Address
Email Address
Name of Election(s)
Date of Election(s)
Volume of materials
to be disposed
Confirm materials are
unused
Confirm election has
concluded
Signature
Date Submitted
SECTION 2 REVIEW
Request must be submitted by the County Supervisor of Elections or municipal clerk that conducted
election (or deputy thereof).
Request must state which election(s) materials are to be disposed.
Request must list the approximate volume of materials to be disposed.
Request must be for unused materials only.
Request must be submitted after election has concluded.
Initial Review: _______________________________________________ Date: __________
Executive Assistant
Second Review: _______________________________________________ Date: __________
Assistant Division Director
SECTION 3 APPROVAL
The request to destroy unused ballots and other unused election materials from the election(s) listed
above is approved pursuant to section 101.545, Florida Statutes.
Approval: ______________________________________________ Date: __________
Division Director