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  Vote by Mail Removal Request Form​

You can send this form(click here) by mail to the below address, fax to the below number, or email to middlesexvotes@co.middlesex.nj.us


I do not wish to receive a Vote by Mail Ballot for all future elections.
 
 
Voters Name (Print)                                                                                                                                    
 
 
Voters Signature                                                                                                                                          
 
 
Address                                                                                                                                                       
 
 
City                                                                                                                                                            
 
 
Phone Number (optional)      

                                                                                                                                                                  ​

 

 
Please be advised you may always re-apply for a Vote by Mail Ballot after requesting to be removed.

Middlesex County Clerk's Office
75 Bayard Street, PO Box 1110 
NEW BRUNSWICK, NJ 08903

Phone: 732-745-4202 | FAX: 732-745-2170 
www.middlesexcountynj.com​

 

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