APPLICATION FOR VOTER LIST
Date Requested: _________________________
NAME: ________________________________________________________________________
ADDRESS: ______________________________________________________________________
TELEPHONE: ____________________________________________________________________
E-MAIL: ________________________________________________________________________
I would like the list of registered voters for:
City Wide (not available via e-mail) Representative District #_________
Senatorial District #_________ City Council Ward #_____________
Other: ___________________ Check here if you would like voter
history included (1996 to 2012)
*All reports will include active voters only, unless otherwise specified by the applicant
Format:
CD\ROM-DISC (Provided in Pipe Delimited Text Format)
E-MAIL (Please provide e-mail address above) List will be in Alpha order / Street List (Excel)
Price List: CD - $25.00 E-mail - $25.00
We must receive payment in full before your order is processed. Please mail this application and your
check or money order payable to “City Collector” to:
Providence City Hall
Board of Canvassers
25 Dorrance Street, Room 102
Providence, RI 02903
