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MISSISSIPPI NOTICE OF ELECTION/REVOCATION OF COVERAGE UNDER MISSISSIPPI CODE SECTION 71-3-79 The undersigned certifies that he/she is a(n): Sole Proprietor Partner Officer LLC member Company name
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How to fill out an NC Election Revocation of WC?

01
Obtain the necessary forms: Start by acquiring the NC Election Revocation of WC form. You can obtain this form from your local election office or download it from their website.
02
Read the instructions: Carefully read the instructions provided on the form. Familiarize yourself with the requirements and any specific guidelines mentioned.
03
Complete personal information: Begin filling out the form by providing your personal information. This may include your full name, address, date of birth, and voter registration number.
04
Specify the election: Indicate the specific election you wish to revoke your voter registration for. This may include the date, type of election, and any other relevant details required.
05
Provide reasons for revocation: In the designated section, clearly state the reasons why you are revoking your voter registration. Be concise and specific in your explanations.
06
Sign and date the form: Once you have completed all the necessary information, sign and date the form as required. This validates your submission.
07
Submit the form: Return the completed form to the address stated on the form. Ensure that you follow any additional submission instructions mentioned.
08
Keep a copy for your records: Make a copy of the completed form for your personal records. This can be useful as proof of revocation if required in the future.

Who needs an NC Election Revocation of WC?

01
Individuals who have previously registered to vote in North Carolina and now wish to revoke their voter registration.
02
Voters who have moved to another state or jurisdiction and no longer qualify or intend to vote in North Carolina elections.
03
Those who have personal reasons motivating them to revoke their voter registration, such as a change in political affiliation or a decision to abstain from participating in elections.
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