Notification of Deceased Voter

San Francisco Residents Only

To notify the Department of Elections that a voter has passed away, complete and submit this form.

Information about deceased voter:
Information about person notifying the Department of Elections:

As a safeguard against errors, the Department will verify the information provided about the deceased voter against public health records. If the information cannot be verified, the Department will mail a notice of cancellation to the address of the deceased voter.

The Department of Elections appreciates your contacting us to update this record.

By clicking “Submit,” I declare under penalty of perjury under the laws of the State of California that the information on this form is true and correct.