Voter Assistance Request Form

If you need assistance with voter registration or voting, please complete the form and someone will contact you back to make arrangements on the service you are requesting.

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If you need assistance with voter registration or voting, please complete this form.

A Multnomah County staff member will contact you to make arrangements on the service you are requesting.

Contact Information
Preferred Contact Method Options
Best time to contact you using your preferred contact method
Location
I need assistance at...
**We can provide assistant at your residence or any location that is convenient for you.
Service Request
Select all services that apply to your needs
If the service you need was not listed above, you can provide details here.
Comments/Notes
Last reviewed January 12, 2023

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