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Pima Arizona Form 1128: What You Should Know

Type of Voter, if Applicable. Date Registrant Registered. Residence Address where person intends to vote in the upcoming election. (Do not include driver's license number for persons listed above.) (Designate N, S, E, W if used). Type of Voter, if Applicable. Date Registrant Registered. Residence Address where person intends to vote at the election, if applicable. (Do not include driver's license or state issued photo ID number, where applicable. (Designate N, S, E, W if used). If registrant changes residence or intends to travel out of range of address, complete here.) (Must verify voter is listed on voter registration board and valid residence address.) If you have questions about the registration, please fill out your information to complete and submit your form. Delia Law is an independent, not-for-profit organization that provides free support and advice in legal and non-legal matters regarding the United States, federal government, state departments and agencies, as well as individual taxpayers and businesses in the state of California. Call us now. California Department of Health Services Online Fax: (888) 635 – 4226 Fax: (888) 636 4226 For questions about your insurance benefits or to update personal information, please call their toll-free help line at 1‑800-642­-4888. They offer answers and support for all types of insurance questions. Information on the California Child Abuse & Neglect Reporting System (CANSSM), which is the national information system for the state of California: CANSSM: Get Your Child Back Child Abuse & Neglect Helpline Call to get help now California Secretary of State The number is 1-800-252­-8683 (Voter Information) Online: Registration. Online: Ballot. Online: Ballot Request. For voter registration issues: Call our Voter Information Service at (800) 352­-VOTE (8683) (Monday−Friday, 12-5 p.m.). For polling place concerns: Call your county elections office to discuss your concerns. Online: Voter Registration. California Environmental Health, Healthy Homes and Water Program — San Diego County San Diego County has a unique opportunity to get the word out to Californians on the Healthiest Home initiative (HOW) and the Healthy Homes and Water Program (HELP).

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