Online Change of Mailing Address Application
Santa Cruz County California

IMPORTANT: You must enter the requested information in ALL THE FIELDS below.
VOTER INFORMATION WILL BE USED FOR OFFICIAL PURPOSES ONLY
You MUST be registered to Vote in Santa Cruz County. Click here to re-register. You must re-register every time you move your place of residence. A card will be printed by the state and mailed to you for your signature.

This application must be received by the Santa Cruz County Elections Department in person, by mail, by FAX or by clicking SUBMIT below. If there's a problem submitting over the internet, please printout and fax or mail to:

SANTA CRUZ COUNTY ELECTIONS DEPARTMENT
701 OCEAN ST RM 210
SANTA CRUZ CA 95060-4076
831-454-2060 / FAX: 831-454-2445

Returning this application to anyone other than your elections official may cause delay that could interfere with your right to vote.
* * * PRESS TAB TO ADVANCE TO NEXT FIELD * * *
1. Name:
                      First Middle Name or Initial Last
2. DATE OF BIRTH

                      mm/dd/yyyy		 3 E-MAIL: (Optional for confirmation)
4 ADDRESS WHERE YOU LIVE (Do not use P.O. Box Number or other mailing address. If you have moved to a new residence, Please Click Here to register)

Number and Street

City, State Zip Code
5. TELEPHONE NUMBER: Daytime (Optional)      Evening (Optional
6. NEW MAILING ADDRESS

Number and Street or P.O. Box Number

City, State Zip Code
7. CERTIFICATION. " By submitting this application, I certify under the laws of the State of California that the name and residence address and information I have provided on this application are true and correct.
8. Only the registered voter himself or herself may apply for a change of mailing address. An application for a change of address made by a person other than the registered voter is a criminal offense.
WARNING: It is illegal to register to vote if you are not eligible or to fraudulently register other persons. Punishable by up to three years in prison. Commercial use of voter registration information is a misdemeanor. Report suspected misuse to the Secretary of State's Voter Protection Hotline: (800) 345-8683.