Changes to Your Voting Record

To request a change to your voting record, simply complete the following form, then print and return it to our office using the instructions provided on the printed form. Current State law requires your original signature appear on requests for certain changes to your voter registration.

Full Name:

Residential Address:

City:

Zip Code:

Date of Birth:

Phone Number:
(For Our Office to Contact You)

Please choose from one or more of the following corrections:

Add or correct phone number:

Remove phone number

Add mailing address:

Remove mailing address

Add or correct email address:

Remove email address

Add or correct apartment number (residential address):

Receive Voter Information Guide in the mail

Request Voter Notification Card (VNC)

Correct name spelling:

Change language preference

Changes to Your Voting Record

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