Fillable Cancellation of Permanent Mail Ballot Status (San Bernadino County Registrar of Voters)

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Cancellation of Permanent Mail Ballot Status (San Bernadino County Registrar of Voters)

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Cancellation of Permanent Mail Ballot Status
1. Fill Out Your Personal Information
Name: __________________________________________________ Date of Birth: _______________
Last Name First Name
Residence Address: __________________________________________________________________
2. Sign and Date Your Application
I want to STOP receiving my ballot in the mail for all elections.
I certify under Penalty of Perjury under the laws of the State of California that the information I have
provided is true and correct.
Signature: _________________________________________________ Date: ____________________
3. Return Your Application
By Mail or In Person: San Bernardino County Registrar of Voters
777 E. Rialto Avenue, San Bernardino, CA 92415
By Fax: (909) 386-8388
By E-Mail: Scan or take a picture of your application and email it to
mailballots@sbcountyelections.com
Registrar of Voters
Bob Page
Registrar of Voters
777 East Rialto Avenue, San Bernardino, CA 92415 | Phone: 909.387.8300 Fax: 909.387.2022
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Cancellation of Permanent Mail Ballot Status (San Bernadino County Registrar of Voters)

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Completed 17 August 2021

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