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Voter Registration and Data Request Form

  1. Complete and submit this form to request voter data. Voter Registration Data copies are $.10 per page. There is NO CHARGE for Email of List. Our goal is to process all requests as soon as possible. PLEASE ALLOW UP TO FIVE (5) BUSINESS DAYS FOR ALL INFORMATION REQUESTS TO BE PROCESSED. 

  2. I, the undersigned, hereby request:*
  3. Voter History

    Please check all election dates you would like information from:

    NOTE: If you do not select an election you will receive every current registered voter.

  4. Voter Status*
  5. Party*
  6. Precinct

    Please specify which precincts (if any):

  7. Municipality

    Please specify which municipality (if any):

  8. Sort by:
  9. Criteria

    Please select the criteria below that you want us to use when processing your request.

  10. Leave This Blank:

  11. This field is not part of the form submission.