Supervisor of Elections’ (SOE) Transmittal Form‐
Third‐Party Voter Registration Organization (3PVRO) Noncompliance
County: Total applications:
Entity/person’s
name:
Entity/person
registered as
3PVRO:
□Yes □ No
If yes, 3PVRO ID No:
Delivery
method:
If mailed, enter postmark
date (please provide copy of
envelope):
If hand‐delivered or no
postmark, enter date
received by SOE:
Name of the person submitting the
applications at SOE office (if available):
SOE’s Explanatory Statement About 3PVRO’s Noncompliance
1. Include reasons cited by 3PVRO for noncompliance or alternatively, if available, attach cover letter or written document(s)
from the 3PVRO. Also, complete the entries on page 2 of this form and use continuation pages, as necessary.
2. In those circumstances in which an application with a 3PVRO ID number is returned without a cover letter or without a date‐
delivered mark reflecting it was collected by a 3PVRO, and the application is received after book closing or 10 days after the voter
signed the application, include what efforts the supervisor’s office took to contact the applicant/registered voter and confirm
whether he or she returned the application to the 3PVRO. See subsection (8)(c), Rule 1S‐2.042, F.A.C.
Name of Person Completing Form: Date Submitted:
Note: Please submit this form to the Division of Elections only after applications have been processed.
Attach copies of applications with form.
DS‐DE 148 (Eff. 07/2016) Page 1
