Richmond County, GA · Richmond County

No notary required

Voter Registration Cancellation/Removal Form

This form lets a voter or a relative of a deceased voter request removal from Georgia’s voter registration list.

At a glance

Issued by
City of Richmond County · Richmond County, Richmond County, Georgia
Notarization
Not required: file this form without a notary.
Official source
augustaga.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this form to request cancellation of a Georgia voter registration because the voter moved out of state, no longer wants to be registered, or is deceased. It asks for the voter’s name, former Georgia address, former county, date of birth, and the reason for removal; additional details are requested for deceased voters. The form states that it must be signed by the voter or a relative of a deceased voter.

Who needs it

A voter seeking cancellation or a relative requesting removal for a deceased voter completes and signs this form.

How to submit it

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

About notarization

This document is signed without a notary; the signer swears or affirms that the information is true and 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 the reason for removal and provide the requested voter information and any applicable details.

  3. 3

    Sign and Date

    The voter must sign, or a relative must sign if the voter is deceased; enter the date.

  4. 4

    Submit the Form

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

Frequently asked questions

Who can sign the Voter Registration Cancellation/Removal Form?
The form must be signed by the voter or, if the voter is deceased, a relative of the deceased voter.
What reasons can I select for removal?
The form lists three reasons: the voter moved out of state, no longer wishes to be registered, or is deceased. It requests the new state of residence or date of death when applicable.
Do I need a notary for the Voter Registration Cancellation/Removal Form?
No. The form has no notary block; the signer swears or affirms that the information is true and signs and dates it.
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 office using the contact details listed on the form.

Need something notarized?

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