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  1. Know Your Vote
  2. The purpose of this application is to obtain your voting history. Information submitted in this application will be used solely for this purpose. If you are not a resident of Chesterfield Township please contact your local Clerk.
  3. By checking the box, I agree and certify that my printed signature is my signature and I agree to conduct this transaction electronically.*
  4. Type Legal Name

  5. Date of Signature

  6. Additional questions or concerns can be directed to the Clerk's Office at (586) 949-0400 opt. 5 or by email at
  7. Leave This Blank:

  8. This field is not part of the form submission.