To whom it may concern:
I, ______________________________ (full name, as registered to vote), would like to cancel my voter registration. Please cancel my registration, as authorized by California Elections Code section 2201(a).
__________________________________________________
Print Full Legal Name (as used to register to vote)
__________________________________________________
Complete Residence Address (as used to register to vote)
__________________________________________________
Mailing Address (if different from above)
Confidential Information: (Optional) Please provide the following information to ensure that your voter file record can be accurately identified:
- Date of Birth:
- California Driver License Number or California Identification Card Number:
___________________________ | |
Signature | Date |
Cal. Code Regs. Tit. 2, § 20063
Note: Authority cited: Section 12172.5, Government Code; and Sections 10 and 2270, Elections Code. Reference: Sections 2201, 2263, 2265, 2266, 2267, 2268 and 2270, Elections Code.