State of Delaware - Search and Services/Information
Office of the State Election Commissioner
>>
Vote Delaware
Sunday, January 20, 2019 8:20 AM
Voter Registration Cancellation Request
Voter Registration Cancellation Request - Close Relative
* - required
1. Your name
(Required)
(Name of requestor)
Last name
*
First name
*
Middle name
Suffix
JR
SR
I
II
III
IV
V
VI
VII
VIII
IX
X
2. Cancellation reason
(Required)
I am the
Mother
Father
Sibling
Spouse
Child
of the below named registrant. Please cancel his/her voter registration because:
He/she no longer lives in Delaware.
Other reasons.
Please specify your reason
*
:
3. Registrant name
(Required)
(Name of registered voter whose registration will be canceled.)
Last name
*
First name
*
Middle name
Suffix
JR
SR
I
II
III
IV
V
VI
VII
VIII
IX
X
4. Identification
(Required)
Voter ID (If known)
Date of birth
*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
5. Contact information
(How we contact the registrant if we have a question.)
Telephone Number
(Include international prefixes. No DSN number.)
+
(
)
Email Address
Re-Type Email Address
6. Delaware registration address
(Required)
(Address where registered in Delaware.)
House No
*
Street Name
*
Apt. No./Lot No.
Development/Apartment Complex
City, Town or Village
*
County
*
State
Zip Code
*
New Castle
Kent
Sussex
DE
8. Validation
Office of the State Election Commissioner
|
Tel No: 302.739.4277
|
Fax No: 302.739.6794
|
Email: coe_vote@state.de.us
