Clark County Clerk

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Election Voter Registration Records Request

Full Name
Organization (option if applicable)
Mailing Address
Phone Number
Email Address
Preferred Delivery Method
Records to be requested (Please provide as much detail as possible.)
If request is to be filled via the Statewide Voter Registration System (SVRS), an additional form is required to be filled out as required by state law. Application for County Voter Registration Computerized Data, VRG-24, is required to be filled out before records can be released from SVRS.
Attach Document (PDF, JPG, PNG, GIF, TIFF Only)


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