Request to Cancel Voter Registration

Request to Cancel Voter Registration

Please fill out this form completely to cancel your voter registration.
This form is for voters who wish to be removed from the voter registration rolls within Salt Lake County.
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Voter's Utah Residential Address

Street Address

Apt./Suite/Unit #

CityState

Zip Code
Email
Optional
I will provide the following identification:
Last Four Digits of Social Security Number
Utah Driver License or Utah ID Card Number
By signing below, you are confirming you no longer desire to be a registered voter of Salt Lake County, Utah, and hereby swear or affirm that you wish to have your name removed from the voter registration rolls.
Signature
Contact Us

www.slco.vote | vote@saltlakecounty.gov | (385) 468-7400
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