City of Los Angeles
City Clerk Election Division
Download Poll Worker PDF Application
Frequently Asked Questions
Registration Form
POLL WORKER & POLLING PLACE
ONLINE APPLICATION
I am interested in being a...
Inspector (and/or)
Clerk
I can provide a polling place
Business
Residence
Are you a registered voter in L.A. County?
OR (please answer both)
Are you a legal permanent resident?
Yes
No
Yes
No
First Name
*
(Legal or as Registered)
Mr.
Ms.
Mrs.
Miss
Last Name
*
(Legal or as Registered)
Middle Initial
Date Of Birth
*
mm/dd/yyyy
Address
*
(Legal or as Registered)
Apartment
City
*
Zip Code
*
Daytime Phone Number
*
e.g. 111-222-3333
Cell Phone Number
Email Address
If you speak a second language, please select one
Armenian
Chinese
Hindi
Farsi
Japanese
Spanish
Korean
Russian
Tagalog
Thai
Vietnamese
Other
Have you been a poll worker before?
Yes
No
*
indicates a required field Questions? Call (866) 899-VOTE (8683)
