Sample Ballot Pamphlet Opt-Out/Opt-In

NOTE: Your Sample Ballot Pamphlet mailing may already be in progress. If you are submitting this request less than 65 days prior to a scheduled election it will not take effect until the next election. Sample Ballot Pamphlets are available online approximately 30 days before each election.

What can I do with this form?

  • Stop receiving you Sample Ballot Pamphlet by mail (Opt-Out)
  • Start receiving mail delivery of your Sample Ballot Pamphlet, if you previously received it electronically (Opt-In)
 
Enter the full name with which you registered to vote
   
Example: myaddress@mydomain.com
 
Example: 1313 Mockingbird Lane, Mockingbird Heights, CA 98765
Optional
Include only if different from residence address
 
In order for us to verify your identity, you must provide one of the following:
  • California Drivers License number
  • California Identification Card number
  • The last four digits of your Social Security (SS) number

Which type of ID number did you provide?

I'll receive the Pamphlet electronically via my e-mail address.


I previously opted out of receiving my Sample Ballot Pamphlet by mail, but I would like to start receiving it again.
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