A petition supports ballot qualification. It is not a ballot, a donation, or a guarantee of qualification. Guide reviewed September 25, 2026.
THE PETITION, MADE SIMPLE
Print. Cut. Complete. Return.
A few minutes of care now can prevent an incomplete petition later.
ONE SHEET. TWO SEPARATE PETITIONS.↙
✂
Cut on the center line. Keep each complete form intact. Give the other half to a different eligible voter.
Print from the original PDF—not this preview or a screenshot.
01
Check that you’re eligible.
Check your registration and confirm that you are eligible to sign for Florida’s 6th Congressional District. A county name alone does not establish eligibility; several counties are only partly within the district.
Use U.S. Letter paper (8½ × 11 inches), single-sided, at actual size / 100%. The PDF already has two forms. Don’t choose another “two pages per sheet” setting. Check that every border and field is visible.
03
Cut it in half.
Follow the marked center cut line. Each half is a complete petition. Use only one half yourself; do not sign both. Keep the candidate name, fields, and form notes attached.
04
Fill in your voter information.
Print your name as it appears on your voter information card. Add your residential address, city, county, state, and ZIP. Provide your date of birth or voter-registration number—not a Social Security number.
Already filled in: Adam James Chancery · Republican · Representative in Congress, District 6. Leave those entries unchanged.
05
Sign and date it yourself.
Use an original ink signature and personally enter the date signed in the form’s MM/DD/YY format. Your signature is checked against your voter record. Do not sign for someone else or knowingly sign twice for Adam.
06
Deliver the original in person.
Choose the county where you are registered below. Call to confirm its submission arrangements and office hours, then bring the signed paper original to that county’s Supervisor of Elections. A scan or electronic signature does not replace it.
Bring your original to the elections office in the county where you’re registered—not simply the nearest office.
Current District 6 boundaries include Flagler and Putnam counties, and parts of Lake, Marion, St. Johns, and Volusia. Confirm your address and eligibility with elections officials; these current boundaries and county procedures are not a guarantee of the rules for 2028. Official district boundaries.
Your choice stays on this page. No address or voter information is collected.
Flagler CountySupervisor of Elections+
IN-PERSON DROP-OFF
Flagler Elections
1769 E. Moody Boulevard Building 2, Suite 101 Bunnell, FL 32110
Call to confirm office hours, candidate-petition intake, and fee arrangements. Bring the complete signed original to the office in Building 2, Suite 101.
The county requires advance payment unless an approved undue-burden exemption applies. No exemption or prepaid account is assumed here.
Your visit
In person: printing and travel expenses vary. The verification charge is part of the candidate process, not automatically an expense each signer must pay. Confirm payment handling before visiting.
Call to confirm office hours, original-petition intake, and the candidate’s advance-payment arrangement. Bring your signed original. Only part of Lake County is in District 6.
Lake’s guidance calls for advance payment by campaign check unless an applicable approved exemption applies. This is not a charge for a voter to sign.
Your visit
In person: printing and travel expenses vary. Contact the office before visiting about candidate-verification payment handling; do not assume you need to pay it individually.
Call to confirm office hours and coordinate submission and candidate payment. Bring the original to the office. Only part of Marion County is in District 6.
The county requires an initial advance deposit unless an approved undue-burden exemption applies. Payment arrangements belong to the candidate process.
Your visit
In person: printing and travel expenses vary. Confirm candidate-verification arrangements before making the trip; the listed fee is not automatically due from every signer.
Call before visiting to confirm hours, the intake process, and candidate-verification payment arrangements. Bring the signed paper original, not a copy, to Suite 900.
Advance payment is required unless an approved undue-burden exemption applies; the county recommends campaign checks. This is part of the candidate process.
Your visit
In person: printing and travel expenses vary. Ask the office how candidate-verification payment is handled before visiting; do not assume each signer pays separately.
Call for office hours, original-petition drop-off instructions, and the current verification amount. Bring the original to Suite 101. Only part of St. Johns County is within District 6.
$0.10per signature, or actual cost if lower — confirm locally
St. Johns requires advance payment under Florida law. Its cited candidate page does not specify a separate per-signature rate, so confirm the amount and payment handling with the office.
Your visit
In person: printing and travel expenses vary. The candidate’s verification charge is separate; no prepaid arrangement is represented here. Call before visiting.
Call to confirm office hours, in-person submission arrangements, and candidate-verification payment handling. Bring your signed original. Only part of Volusia County is within District 6.
Volusia’s March 25, 2026 fee schedule lists this candidate-petition charge. It is not a donation, a price to vote, or a purchase on this site.
Your visit
In person: printing and travel expenses vary. Candidate-verification fees are separate and not automatically a charge each signer must pay. Confirm arrangements before visiting.
Call your county’s office to confirm opening hours, accessibility, and where staff accept original candidate petitions. Bring your complete, signed, dated paper original. Printing and travel expenses depend on your arrangements; this site does not collect a delivery fee.
Signing and verification are different.
The verification charge is paid through the candidate’s petition process, generally in advance. It is not automatically a signer’s expense. Do not assume fees are prepaid or that you must pay individually. Confirm payment handling with the office before visiting. This website collects no fees.
Office addresses, county guidance, and district coverage reviewed September 25, 2026. Rates, boundaries, and submission procedures can change before 2028. Registered in another county? Find your official elections office.
A FEW GOOD QUESTIONS
Before you pick up a pen.
Simple answers. Official sources when the details matter.
Does signing mean I have voted for Adam?+
No. This is a petition to help place a candidate’s name on the ballot. It is not a ballot and does not cast your vote in a primary or general election.
Can I sign both halves or submit another copy?+
No. Both halves are for the same candidate. Each is intended for a different eligible voter. Do not knowingly sign more than one petition for Adam. If you think you made an error or already signed, ask the elections office before completing another.
Can I fill it out or return it online?+
No online signing or upload is offered here. Print the PDF, complete the form, sign and date it yourself, and return the original paper. An emailed scan or electronic signature is not a substitute.
What if I’m registered outside Volusia County?+
The return guide covers all six counties currently included in District 6: Flagler, Lake, Marion, Putnam, St. Johns, and Volusia. Choose your county of registration and confirm eligibility with its elections office. Parts of several listed counties are outside the district, and 2028 requirements need confirmation.
They have not been confirmed on this site. The current guide links official sources and will need updating when 2028 requirements are confirmed. Earlier-cycle deadlines and congressional exceptions must not be treated as the rules for 2028.
Is Adam already qualified for the ballot?+
No claim of ballot qualification is made here. Adam is seeking candidacy for U.S. Representative, Florida District 6, in 2028 and collecting candidate petitions. Qualification is a separate official process.
ROOTED HERE. LOOKING FORWARD.
Start with one signature.
Check your eligibility. Follow the guide. Return your original.