California Code of Regulations
Title 2 - Administration
Division 7 - Secretary of State
Chapter 1 - Voter Registration
Article 4.5 - California New Motor Voter Program
Section 20063 - Cancellation Request Form

(a) In the event of an inadvertent registration, the inadvertent registrant may cancel his or her registration at any time pursuant to Elections Code section 2201(a) by submitting a written request to the county elections official in the county of registration substantially similar to the following:

To whom it may concern:

I, ______________________________ (full name, as registered to vote), would like to cancel my voter registration. Please cancel my registration, as authorized by California Elections Code section 2201(a).

__________________________________________________

Print Full Legal Name (as used to register to vote)

__________________________________________________

Complete Residence Address (as used to register to vote)

__________________________________________________

Mailing Address (if different from above)

Confidential Information: (Optional) Please provide the following information to ensure that your voter file record can be accurately identified:

- Date of Birth:

- California Driver License Number or California Identification Card Number:

(b) The Secretary of State shall translate the cancellation request form in subdivision (a) above into all languages required by the federal Voting Rights Act of 1965 (52 U.S.C. Sec. 10503).

(c) The cancellation request form in subsection (a) above shall be made available, in all federally required languages and in formats accessible to people with disabilities, on the websites of the Secretary of State and county elections officials and in printed form in county elections offices, and shall be mailed to individuals upon request.

(d) The cancellation request form in subsection (a) above shall contain the Secretary of State's toll-free voter assistance telephone number, as well as the phone numbers and addresses of county elections officials.