Change of Voter Registration Status Form
Election System of the Virgin Islands Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021 Crystal Gade, St. Thomas, V.I. (340) 774-3107 P.O. Box 1499 Kingshill St. Croix U.S. Virgin Islands 00851 / P.O. Box 6038 St. Thomas U. S. Virgin Islands 00801 CHANGE OF VOTER REGISTRATION CARD / STATUS TERRITORY OF THE VIRGIN ISLANDS DISTRICT OF ____________________ I, _____________________________________ HEREBY REQUEST A CHANGE OF MY VOTER REGISTRATION CARD / STATUS. TYPE OF CHANGE (Please check below) Change of name Change of Party / Membership Request Change of Address Physical or Mailing Other NAME CHANGE Present Name on registration card: _________________________________________ New name to be recorded: ________________________________________________ Legal documents proof of change: __________________________________________ PARTY AFFILIATION Present party affiliation (please check one): __Democrat __Republican __ICM __Independent __Other New Party affiliation (please check one): __Democrat __Republican __ICM __Independent __Other ADDRESS Present Address: _________ …
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Election System of the Virgin Islands Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021 Crystal Gade, St. Thomas, V.I. (340) 774-3107 P.O. Box 1499 Kingshill St. Croix U.S. Virgin Islands 00851 / P.O. Box 6038 St. Thomas U. S. Virgin Islands 00801 CHANGE OF VOTER REGISTRATION CARD / STATUS TERRITORY OF THE VIRGIN ISLANDS DISTRICT OF ____________________ I, _____________________________________ HEREBY REQUEST A CHANGE OF MY VOTER REGISTRATION CARD / STATUS. TYPE OF CHANGE (Please check below) Change of name Change of Party / Membership Request Change of Address Physical or Mailing Other NAME CHANGE Present Name on registration card: _________________________________________ New name to be recorded: ________________________________________________ Legal documents proof of change: __________________________________________ PARTY AFFILIATION Present party affiliation (please check one): __Democrat __Republican __ICM __Independent __Other New Party affiliation (please check one): __Democrat __Republican __ICM __Independent __Other ADDRESS Present Address: ________________________________________________________ Previous Address:_______________________________________________________ Present Mailing Address: __________________________________________________ Previous Mailing Address: _________________________________________________ _______________________ __________________________ Date Signature of Elector OFFICIAL USE ONLY Verified by: ____________________________________ Date:_________________ ______________________________________________________________________ Election Officials SUBSCRIBED AND SWORN to before me on this ___________day of________________ 19____ . _______________________ Notary Public ELECTION SYSTEMS OF THE VIRGIN ISLANDS FORM 0015/98