Public Records Request Form
Non-Commercial Purpose Public Records Request Form
Request for Voter Data
The form must be completed in its entirety and returned to:
or
Mohave County Voter Registration
P.O. Box 7000
700 W. Beale Street
Kingman AZ 86402-7000
Voter data must be sought for an authorized use.
Precinct registers and other lists and information derived from registration forms may be used only for the following purposes:
- Relating to a political or political party activity
- A political campaign or election
- For revising voting district boundaries
- For any other purpose specifically authorized by law
Any person in possession of a precinct register or list, in whole or part, or any reproduction of a precinct register or list, shall not permit the register or list to be used, bought, sold or otherwise transferred for any purpose except for uses authorized.
Voter data will not be used for a commercial purpose. These records may not be used for a commercial purpose as defined in A.R.S. § 39-121.03. The sale of registers, lists and information derived from registration forms to a candidate or a registered political committee for a use specifically authorized by this subsection does not constitute use for a commercial purpose.
Internet posting is prohibited. A person in possession of information derived from voter registration forms or precinct registers shall not distribute, post or otherwise provide access to any portion of that information through the internet.
Violation of any of these provisions, as set forth in A.R.S. § 16-168 (E) AND (F) is guilty of a Class 6 Felony.
Payment is required in advance. Payment can be made in exact cash or check delivered to the Mohave County Recorder’s Office, 700 W. Beale St. Kingman, AZ 86401 or PO Box 7000, Kingman, AZ 86402.
Cost for voter data is as follows:
- Up to 124,999 records: $93.75 plus $.0005 per record
- 125,000 to 249,000 records: $156.25 plus $.000375 per record
- 250,000 to 499,000 records: $203.13 plus $.00025 per record
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