Election Voter Complaint Form :: California Secretary of State

If you have a Election Voter Complaint to file, please complete the form below and submit it to the Secretary of State, Elections Division staff.

All fields marked with an asterisk (*) are required.

Complainant Information

Full Name *

Street Address (Include Apt # if applicable)

You have 50 characters left.

City

You have 30 characters left.

State

You have 20 characters left.

Daytime Phone Number (include area code) *

Evening Phone Number (include area code)

Email Address *

Confirm Email Address *

Name(s)

You have 100 characters left.

Organization(s)

You have 300 characters left.

Position(s) of person(s) (if applicable)

You have 300 characters left.

Date(s) of alleged event(s)

You have 100 characters left.

Time(s) of alleged event(s)

You have 100 characters left.

Location(s) of alleged event(s)

You have 500 characters left.

Name and phone numbers of witnesses or other victims (if applicable)

You have 500 characters left.

Describe your complaint *

You have 5000 characters left.

Full Name *

You have 50 characters left.

Date