This form is for California residents only!

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This form will send your information in an Email directly to the Nevada County Elections Office. Our staff will respond to your application within 3 business days.

Please fill in the boxes below and click the NEXT button at the bottom.  All boxes with a check mark are required.

This form will be sent by Email, which is not encrypted.  Privacy and security of your information is subject to the terms of our Web Policies.

If you have any questions regarding this form or anything regarding the Elections Office, please don't hesitate to call the Elections Office at 530-265-1298 or toll-free 1-888-395-1298.

Your Name

Your Name

Mailing Address (Street or PO Box)

Mailing Address (Street or PO Box)

Address Line 2 (Apt #, etc.)

Address Line 2 (Apt #, etc.)

City

City

ZIP code

ZIP code

Primary (daytime) Phone

Primary (daytime) Phone

This is just in case we have a question about your request.

How many Voter Registration Cards would you like sent to you?

How many Voter Registration Cards would you like sent to you?

Please check your entries and click the NEXT button to submit your request.