Voter Information Guide Opt-Out / Opt-In Form NOTE: Your Voter Information Guide mailing may already be in progress. If you submit this request less than 65 days before a scheduled election it will not take effect until the next election. You can still access an electronic copy of your Voter Information Guide online starting 29 days before each election. See the Online Accessible Voter Information Guide page for details. What can I do with this form? Stop receiving your Voter Information Guide by mail, including the enclosed Sample Ballot (Opt-Out) Start receiving mail delivery of your Voter Information Guide if you previously received it electronically (Opt-In) Full Name Enter the full name with which you registered to vote Email Address Example: [email protected] Residence Address Example: 1313 Mockingbird Lane, Mockingbird Heights, CA 98765 Mailing Address - OPTIONAL Include only if different from residence address Identification Number In order for us to verify your identity, you must provide one of the following: * California Driver's License number * California Identification Card number * The last four digits of your Social Security number (SSN) Identification Type Which type of ID number did you provide? —Please choose an option—California Driver's License numberCalifornia Identification Card numberLast four digits of Social Security number Delivery Options I no longer want to receive my Voter Information Guide by mail (Opt-Out) Indicates a voter wants to receive an electronic guide by email. They will not receive a paper guide in the mail. Please send my Voter Information Guide by mail again (Opt-In) Indicates a voter wants to receive a paper guide in the mail. They will not receive an electronic guide by email. Δ