Sample Ballot Pamphlet – Opt Out/Opt In

Inquire about the availability of documents in alternate formats.

Your sample ballot booklet mailing may already be in process. When selecting your options, (opt out/in) may not take affect until the next scheduled election. Sample ballot booklets are available online 30 days before each election.

Complete and submit this form to either:

  • Stop receiving your sample ballot booklet by mail, OR
  • Start receiving mail delivery of your sample ballot booklet, if you previously had it stopped

(* = Required field)

Registered Name:
 
 


Residence Address:

Mailing Address: (if different from above)

Sample Ballot Pamphlet Options:

Digital Signature (Please enter either your California ID number or the last four digits of your Social Security number.)

OR