Election Officer Availability Form

June 7, 2022
Statewide Direct Primary Election

The Election Officer Availability Form is for Election Officers to indicate whether of not they are available to work for the upcoming election. Responses are for this election only, unless you select "Remove my name I no longer want to be an election officer". This will remove your name from our list of election officer but will not affect your voter registration. 

All fields with an asterisk (*) are required.
_____________________________________

Availability for this Election *

Select one of the following

_____________________________________

Mailing Response Number

Your Mailing Response Number is located on the Availability Postcard or Availability Email our office sent you.

_____________________________________

Name as Registered *

_____________________________________

Date of Birth *

_____________________________________

Residence Address *

_____________________________________

Mailing Address

If different from Residence Address.

_____________________________________

Email Address *

_____________________________________

Please Note: 
You must be a Registered Voter to serve as an Election Officer.
If you need to register or check to see if you are registered, you can use the following links.

Register to Vote Online

visit http://registertovote.ca.gov/

Check your Voter Registration 

visit https://voterstatus.sos.ca.gov/

_____________________________________

Authorization *