Voter Certificate Request Form

Voter Certificate Request Form

Please fill out this form completely to request a certificate of your voter record.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState

Zip Code
I will provide the following identification:*

Utah State Driver License or Utah State ID NumberLast 4 digits of my Social Security Number
Last Four Digits of Social Security Number
Utah Driver License or Utah ID Card Number
Email*
We'll send your voter certificate to this email.
Signature*

Clear
Contact Us

www.slco.vote | vote@saltlakecounty.gov | (385) 468-7400
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