Augusta, GA · Richmond County

No notary required

Voter Registration Cancellation/Removal Form

This form requests removal of a voter from Georgia’s voter registration list and is completed by the voter or a relative of a deceased voter.

What this form is

Use this form to request cancellation of a Georgia voter registration because the voter moved out of state, no longer wishes to be registered, or is deceased. It asks for the voter’s name, former Georgia address, former county, date of birth, reason for removal, and signature and date. If the voter is deceased, the form also asks for the date of death and the signer’s relationship to the voter.

Who needs it

A voter requesting cancellation, or a relative requesting removal for a deceased voter, can complete and sign this form.

How to submit it

Mail, fax, or email the form to the voter’s Georgia County Elections office, or send it to the Georgia Secretary of State. The form lists the Secretary of State’s email, fax number, and mailing address.

About notarization

This document is signed without a notary; it includes a swear-or-affirm statement, and the signer signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Voter Registration Cancellation/Removal Form.

  2. 2

    Complete The Form

    Select a reason for removal and provide the requested voter information.

  3. 3

    Sign And Date

    The voter or, for a deceased voter, a relative must sign and date the form.

  4. 4

    Send The Form

    Mail, fax, or email it to the voter’s Georgia County Elections office, or send it to the Georgia Secretary of State.

Frequently asked questions

Do I need a notary for the Voter Registration Cancellation/Removal Form?
No. The form includes a swear-or-affirm statement and requires the signer to sign and date it, but it does not require a notary.
Who can sign the cancellation form?
The form must be signed by the voter or, if the voter is deceased, a relative of the deceased voter.
How do I submit the Voter Registration Cancellation/Removal Form?
Mail, fax, or email it to the voter’s Georgia County Elections office, or send it to the Georgia Secretary of State using the contact information listed on the form.
What information does the form request?
It asks for the voter’s name, former Georgia address and county, date of birth, reason for cancellation, and the signer’s signature and date. For a deceased voter, it also asks for the date of death and the signer’s relationship.

Need something notarized?

This Voter Registration Cancellation/Removal Form doesn’t need a notary — but if you have another Augusta form that does, a commissioned online notary can help.