Form Center

2. If you received a jury notice from the State of Connecticut but have moved out of Greenwich, please print, SIGN, and mail this Voter Registry List Removal Form to our office. We can not accept emails to remove someone from the voter list. You can also use this form if you wish to be removed from the voter rolls for any other reason. Mail the printed and SIGNED copy of this form to: Registrars of Voters 101 Field Point Road Greenwich, CT 06830
4. Once you complete this form and mail it in, you will no longer be able to vote in Greenwich without re-registering.
6. Statement Requesting Removal of Voter Registration
   I hereby apply to have my name removed from the Voter Registry List and Party Enrollment List, if applicable. Below is my address as listed on the voter list.
8. Full Name *
10. Address in Greenwich*
12. Date of Birth*
    Date of Birth
14. Please sign below after printing. This form will not be accepted if it is not signed.
Leave This Blank:


15. Print Only

* indicates a required field