Election Officer Availability Form

Current Election

The Election Officer Availability Form is for returning Election Officers to indicate whether or not they are available to work for the upcoming election. Responses are for this election only, unless you select "Remove my name I no longer want to be an election officer." This will remove your name from our list of election officers but will not affect your voter registration.

All fields with an asterisk () are required.*
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Availability for this Election *

Select one of the following

YES, I am available to work this election

NO, I am NOT available to work this election

Remove my name, I no longer want to be an Election Officer

_____________________________________

Mailing Response Number

Your Mailing Response Number is located on the Availability Postcard or Availability Email our office sent you.

Mailing Response Number

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Name as Registered *

First Name

Middle Name

Last Name

_____________________________________

Date of Birth *

Birth Date

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Residence Address *

Number and Street

City

ZIP

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Mailing Address

If different from Residence Address.

Mailing Address Line 1

Mailing Address Line 2

City

State

ZIP

Country

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Email Address *

Email Address

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Please Note:
You must be a Registered Voter to serve as an Election Officer.
If you need to register or check to see if you are registered, you can use the following links.

Register to Vote Online

visit http://registertovote.ca.gov/

Check your Voter Registration

visit https://voterstatus.sos.ca.gov/

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Authorization *

To confirm your identity, please select one of the following

California Driver License or Identification Card Number

Last Four Digits of Social Security Number

Election Officer Availability Form

Current Election

All fields with an asterisk (*) are required._____________________________________

Availability for this Election *

_____________________________________

Mailing Response Number

_____________________________________

Name as Registered *

_____________________________________

Date of Birth *

_____________________________________

Residence Address *

_____________________________________

Mailing Address

_____________________________________

Email Address *

_____________________________________

_____________________________________

Authorization *

All fields with an asterisk () are required.*
_____________________________________