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City Clerk Election Division
Download Pollworker PDF Application
Frequently Asked Questions
Registration Form
I am interested in being a... Inspector Clerk Interpreter
I can provide a polling place Business Residence
Are you a registered voter in L.A. County? Yes No
First Name * (As Registered)
Last Name * (As Registered)
Middle Initial
Date Of Birth *    mm/dd/yyyy
Address * (As Registered)
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
Have you been a pollworker before? Yes No
* indicates a required field                                          Questions? Call (866) 899-VOTE (8683)
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