• Check Replacement Policy

    Paychecks are mailed out to workers after an election. If you have lost or not received your paycheck within 4 weeks of the Election Day, please fill out this affidavit. Once submitted, we can process a new check for you. Please allow time for a new check to be issued and mailed.
  • LOST / NOT RECEIVED CHECK AFFIDAVIT

    I swear or affirm that I have lost or have not received the check issued to me by the Lake County Supervisor of Elections.

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  • Agreement & Signature

    By submitting this affidavit, I affirm that the facts set forth are true and complete. I understand that if any false statements, omissions or other misrepresentations made on this affirmation may result in my immediate dismissal. In the event I obtain the original check referred to above, I shall immediately mail to the Lake County Supervisor of Elections, P.O. Box 457, Tavares, FL 32778.

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