Transcription of Washington State Voter Registration Cancellation Form
1 Washington State Voter Registration Cancellation Form06/2015instructionsYou may voluntarily cancel your Washington State Voter Registration by completing this form and returning it to your county elections department. The signature you submit on this form will be compared to the signature in your Washington State Voter Registration record before it is cancelled. For more information: Voter Registration Services (800) 448-4881 informationlast name first middledate of birth (mm/dd/yyyy)residential addresscity ZIPvoter Registration number (if known) email address (optional)phone number (optional)sign & datesignature of Voter dateWashington State County Elections DepartmentsFill and return this form to your county elections County210 W Broadway, Ste 200 Ritzville, WA 99169 P (509) 659-3249 F (509)
2 659-3254 CountyPO Box 129 Asotin, WA 99402 P (509) 243-2084 F (509) 243-2087 CountyPO Box 470 Prosser, WA 99350 P (509) 736-3085 F (509) 786-5482 County350 Orondo Ave Ste. 306 Wenatchee, WA 98801 P (509) 667-6808 F (509) 667-6818 @ County223 E 4th St, Ste 1 Port Angeles, WA 98362 P (360) 417-2221 F (360) 417-2312 CountyPO Box 8815 Vancouver, WA 98666-8815 P (360) 397-2345 F (360) 397-2394 County341 E Main St, Ste 3 Dayton, WA 99328 P (509) 382-4541 F (509) 382-4830 County207 4th Ave N, Rm 107 Kelso, WA 98626-4124 P (360) 577-3005 F (360) 442-7879 CountyPO Box 456 Waterville, WA 98858 P (509) 745-8527 F (509) 745-8812 County350 E Delaware Ave, Ste 2 Republic, WA 99166 P (509) 775-5225 ext 1139 F (509)
3 775-5208 CountyPO Box 1451 Pasco, WA 99301 P (509) 545-3538 F (509) 543-2995 CountyPO Box 278 Pomeroy, WA 99347-0278 P (509) 843-1411 F (509) 843-3941 CountyPO Box 37 Ephrata, WA 98823 P (509) 754-2011 ext 2777 elections@ Harbor County100 W Broadway, Ste 2 Montesano, WA 98563 P (360) 964-1556 F (360) 249-3330 emailballot@ CountyPO Box 1410 Coupeville, WA 98239 P (360) 679-7366 F (360) 678-2326 CountyPO Box 563 Port Townsend, WA 98368-0563 P (360) 385-9119 F (360) 385-9228 County919 SW Grady Way Renton, WA 98057 P (206) 296-8683 F (206) 296-0108 County619 Division St, MS 31 Port Orchard, WA 98366 P (360) 337-7128 F (360) 337-5769 County205 S Columbus, Room 203 Goldendale, WA 98620 P (509) 773-4001 F (509) 773-4244 County205 S Columbus, Stop 2 Goldendale, WA 98620 P (509) 773-4001 F (509) 773-4244 CountyPO Box 29 Chehalis, WA 98532-0029 P (360) 740-1278 F (360) 740-1421 elections@ CountyPO Box 28 Davenport, WA 9 9122- 0 028 (509) 725-4971 (509) 725-0820 CountyPO Box 400 Shelton, WA 98584 P (360) 427-9670 ext 470 F (360) 427-1753 CountyPO Box 1010 Okanogan, WA 98840 -1010 P (509)
4 422-7240 F (509) 422-7163 CountyPO Box 97 South Bend, WA 98586-0097 P (360) 875-9317 F (360) 875-9333 Oreille CountyPO Box 5015 Newport, WA 99156 P (509) 447- 6472 F (509) 447-2475 County 2501 S 35th St, Ste C Tacoma, WA 98409 P (253) 798-VOTE F (253) 798-2761 Juan CountyPO Box 638 Friday Harbor, WA 98250-0638 P (360) 378-3357 F (360) 378-8856 CountyPO Box 1306 Mount Vernon, WA 98273 -1306 P (360) 416-1702 F (360) 419-3462 scelections@ CountyElections Department PO Box 790 Stevenson, WA 98648-0790 P (509) 427-3730 F (509) 427-3740 County3000 Rockefeller Ave MS 505 Everett, WA 98201-4060 P (425) 388-3444 F (425) 259-2777 County1033 W Gardner Ave Spokane, WA 99260 P (509) 477-2320 F (509) 477-6607 elections@ County215 S Oak St, Rm 106 Colville, WA 99114-2836 P (509) 684-7514 F (509) 684-7568 County2000 Lakeridge Dr SW Olympia, WA 98502-6090 P (360) 786-5408 F (360) 786-5223 CountyPO Box 543 Cathlamet, WA 98612 P (360) 795-3219 F (360) 795-0824 tischerd@ Walla CountyPO Box 2176 Walla Walla, WA 99362-0356 P (509) 524-2530 F (509)
5 524-2552 elections@ CountyPO Box 369 Bellingham, WA 98227-0369 P (360) 778-5102 F (360) 778-5101 elections@ CountyPO Box 191 C o l fa x , WA 9 9111 P (509) 397-5284 F (509) 397-5281 elections@ Count yPO Box 12570 Yakima, WA 98909-2570 P (509) 574-1340 F (509) 574-1341
