County Voter Info Guide Delivery Preference Request

Please fill in your information below / 請在下方填寫您的資訊 / Por favor complete su información a continuación / Mangyaring punan nang iyong impormasyon ang nasa ibaba / Xin điền vào thông tin của quý vị bên dưới / 下記に、情報を入力して下さい / 귀하의 정보를 아래에 기입해 주십시오 / សូមបំពេញព័ត៌មានរបស់អ្នកនៅខាងក្រោម។ / कृपया नीचे अपनी जानकारी भरें

First Name

Middle Name

Last Name

Birthdate

CA Drivers License/ID

(If none, enter 'none')

Last 4 Digits of SSN

(If none, enter 'none')

Residence Address

Residence Address 2

City

Zip Code

How would you like to receive your Sample Ballot & County Voter Information Guide (CVIG)?

Electronic CVIG by Email (Paperless) Paper CVIG by Mail