Do NOT use all uppercase. Only use proper upper and lower case.
Before you upload your face photo, please enter information in the first section in the order they are numbered.
If you are filling out this form for multiple people from one computer, please Click Here to reset everything before starting another.
2. Man or Woman*
8. Current Home County*
9. Pick the Declaration that applies to you
When the fields above are filled out and you have picked the declaration, then click the image box below to choose your photo of your face with a white background, no glasses, straight on headshot.
You must click confirm after centering your face in the box that will appear. (Please use GIF JPEG or PNG image format)
Fill out at least one out of the address, phone, or email for each witness
Witness 1 State where signing*
Witness 2 State where signing*
Voter Revocation & Notice to Secretary of State
Lookup County Clerk information (click here) - Use the
Search By Your Address field on the lookup page to
find the name and address of the clerk in the area you last registered in and copy and paste the information in
the appropriate fields below. The final letters will be added to your ticket by the recorder for you to print once
the registered label numbers are verified by the recorder.
Note: Please make sure you have entered all the information above (except the registered label fields) and you have clicked the Save Information button.
When you create or view your service desk ticket by clicking the button at the bottom of this page, you will have access to download, preview, and print your documents.