Voter Registration Application
Prior to submitting the form, ensure reviewing all the specific state instructions. After you review all of the relevant instruction, make sure to answer all of the questions at the top of the form. The questions include if you are a citizen of the United States of America and whether you are 18 years of age or older on or before the upcoming election day. The answers to those questions will determine your eligibility to vote during the election day. If your answer is negative to any of the prior mentioned questions, you will not be able to register. Additional information will be provided for anyone eligible for registration before the age of 18
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Register To Vote In Your State By Using This
Postcard Form and Guide
For U.S. Citizens
General Instructions
Who Can Use this Application
If you are a U.S. citizen who lives or has an address
within the United States, you can use the application in
this booklet to:
•
•
•
• Register to vote in your State,
Report a change of name to your voter registration
office,
Report a change of address to your voter
registration office, or
Register with a political party.
Exceptions
Please do not use this application if you live outside
the United States and its territories and have no home
(legal) address in this country, or if you are in the
military stationed away from home. Use the Federal
Postcard Application available to you from military
bases, American embassies, or consular offices.
New Hampshire town and city clerks will accept this
application only as a request for their own absentee
voter mail‑in registration form.
North Dakota does not have voter registration.
Wyoming law does not permit mail registration.
How to Find Out If You Are Eligible to Register to
Vote in Your State
Each State has its own laws about who may register and
vote. Check the information under your State in the
State Instructions. All States require that you be a United
States citizen by birth or naturalization to register to vote
in federal and State elections. Federal law makes it illegal
to falsely claim U.S. citizenship to register to vote in any
federal, State, or local election. You cannot be registered
to vote in more than one place at a time.
How to Fill Out this Application
Use both the Application Instructions and State
Instructions to guide you in filling out the application.
•
• First, read the Application Instructions. These
instructions will give you important information
that applies to everyone using this application.
Next, find your State under the State Instructions.
Use these instructions to fill out Boxes 6, 7, and 8.
Also refer to these instructions for information about
voter eligibility and any oath required for Box 9.
When to Register to Vote
Each State has its own deadline for registering to vote.
Check the deadline for your State on the last page of
this booklet. How to Submit Your Application
Mail your application to the address listed under
your State in the State Instructions. Or, deliver the
application in person to your local voter registration
office. The States that are required to accept the
national form will accept copies of the application
printed from the computer image on regular paper
stock, signed by the applicant, and mailed in an
envelope with the correct postage.
First Time Voters Who Register by Mail
If you are registering to vote for the first time in
your jurisdiction and are mailing this registration
application, Federal law requires you to show proof
of identification the first time you vote. Proof of
identification includes:
•
•
A current and valid photo identification or
A current utility bill, bank statement, government
check, paycheck or government document that
shows your name and address.
Voters may be exempt from this requirement if they
submit a COPY of this identification with their mail in
voter registration form. If you wish to submit a COPY,
please keep the following in mind:
•
• Your state may have additional identification
requirements which may mandate you show
identification at the polling place even if you meet
the Federal proof of identification.
Do not submit original documents with this
application, only COPIES.
If You Were Given this Application in a State
Agency or Public Office
If you have been given this application in a State
agency or public office, it is your choice to use the
application. If you decide to use this application to
register to vote, you can fill it out and leave it with
the State agency or public office. The application
will be submitted for you. Or, you can take it with
you to mail to the address listed under your State
in the State Instructions. You also may take it
with you to deliver in person to your local voter
registration office.
Note: The name and location of the State agency
or public office where you received the application
will remain confidential. It will not appear on your
application. Also, if you decide not to use this
application to register to vote, that decision will
remain confidential. It will not affect the service you
receive from the agency or office.
Revised 03/01/2006 1
Application Instructions
Before filling out the body of the form, please answer the questions on the top of the form as to whether you are a
United States citizen and whether you will be 18 years old on or before Election Day. If you answer no to either of these
questions, you may not use this form to register to vote. However, state specific instructions may provide additional
information on eligibility to register to vote prior to age 18.
Box 1 — Name
Put in this box your full name in this order — Last,
First, Middle. Do not use nicknames or initials.
Note: If this application is for a change of name, please
tell us in Box A (on the bottom half of the form) your
full name before you changed it.
Box 2 — Home Address
Put in this box your home address (legal address). Do
not put your mailing address here if it is different from
your home address. Do not use a post office box or
rural route without a box number. Refer to state‑specific
instructions for rules regarding use of route numbers.
Note: If you were registered before but this is the first
time you are registering from the address in Box 2,
please tell us in Box B (on the bottom half of the form)
the address where you were registered before. Please
give us as much of the address as you can remember.
Also Note: If you live in a rural area but do not have a
street address, or if you have no address, please show
where you live using the map in Box C (at the bottom
of the form).
Box 3 — Mailing Address
If you get your mail at an address that is different from
the address in Box 2, put your mailing address in this
box. If you have no address in Box 2, you must write in
Box 3 an address where you can be reached by mail.
Box 4 — Date of Birth
Put in this box your date of birth in this order —
Month, Day, Year. Be careful not to use today’s date!
Box 5 — Telephone Number
Most States ask for your telephone number in case
there are questions about your application. However,
you do not have to fill in this box.
Box 6 — ID Number
Federal law requires that states collect from each
registrant an identification number. You must refer to
your state's specific instructions for item 6 regarding
information on what number is acceptable for your
state. If you have neither a drivers license nor a social
security number, please indicate this on the form and a
number will be assigned to you by your state. Box 7 — Choice of Party
In some States, you must register with a party if you
want to take part in that party’s primary election,
caucus, or convention. To find out if your State requires
this, see item 7 in the instructions under your State.
If you want to register with a party, print in the box the
full name of the party of your choice.
If you do not want to register with a party, write “no
party” or leave the box blank. Do not write in the word
“independent” if you mean “no party,” because this
might be confused with the name of a political party in
your State.
Note: If you do not register with a party, you can still
vote in general elections and nonpartisan (nonparty)
primary elections.
Box 8 — Race or Ethnic Group
A few States ask for your race or ethnic group, in order
to administer the Federal Voting Rights Act. To find
out if your State asks for this information, see item 8
in the instructions under your State. If so, put in Box 8
the choice that best describes you from the list below:
•
•
•
•
•
•
•
American Indian or Alaskan Native
Asian or Pacific Islander
Black, not of Hispanic Origin
Hispanic
Multi‑racial
White, not of Hispanic Origin
Other
Box 9 — Signature
Review the information in item 9 in the instructions
under your State. Before you sign or make your mark,
make sure that:
(1) You meet your State’s requirements, and
(2) You understand all of Box 9.
Finally, sign your full name or make your mark, and
print today’s date in this order — Month, Day, Year.
If the applicant is unable to sign, put in Box D the
name, address, and telephone number (optional) of the
person who helped the applicant.
2 Revised 03/01/2006
Voter Registration Application
Before completing this form, review the General, Application, and State specific instructions.
Are you a citizen of the United States of America? Yes
No
Will you be 18 years old on or before election day? Yes
No
If you checked "No" in response to either of these questions, do not complete form.(Please see state-specific instructions for rules regarding eligibility to register prior to age 18.)
This space for office use only.
1 Mr.
Mrs. Miss
Ms. Last Name
First Name Middle Name(s)
Jr
Sr II
III
IV
2 Home Address Apt. or Lot #City/Town StateZip Code
3 Address Where You Get Your Mail If Different From Above City/Town StateZip Code
4
Date of Birth
Month Day Year
5
Telephone Number (optional)
6
ID Number - (See item 6 in the instructions for your state)
7
Choice of Party (see item 7 in the instructions for your State) 8
Race or Ethnic Group (see item 8 in the instructions for your State)
■
■
■
●●
■
■
■
9
I have reviewed my state's instructions and I swear/affirm that:
I am a United States citizen
I meet the elig ibility requirements of my state and
subscribe to any oath required.
The information I have provided is true to the best of my
knowledge under penalty of perjury. If I have provided false
information, I may be fined, imprisoned, or (if not a U.S.
citizen) deported from or refused entry to the United States. Please sign full name (or put mark)
Date: Month Day Year
If you are registering to vote for the first time: please refer to the application instructions for information on submitting
copies of valid identification documents with this form.
Please fill out the sections below if they apply to you.
If this application is for a change of name, what was your name before you changed it?
A Mr.
Mrs. Miss
Ms. Last Name
First NameMiddle Name(s)
Jr
Sr II
III
IV
If you were registered before but this is the first time you are registering from the address in Box 2 , what was your address where you were registered before?
B Street (or route and box number)Apt. or Lot #City/Town/County State Zip Code
If you live in a rural area but do not have a street number, or if you have no address, please show on the map where you live.
C
Write in the names of the crossroads (or streets) nearest to where you live.
Draw an X to show where you live.
Use a dot to show any schools, churches, stores, or other landmarks
near where you live, and write the name of the landmark.
Example
Woodchuck Road
Route #2 Public School Grocery Store X
NORTH
If the applicant is unable to sign, who helped the applicant fill out this application? Give name, address and phone number (phone number optional).
D
Mail this application to the address provided for your State.
FOR OFFICIAL USE ONLY
FIRST CLASS STAMP
NECESSARY FOR
MAILING
Voter Registration Application
Before completing this form, review the General, Application, and State specific instructions.
Are you a citizen of the United States of America? Yes No
Will you be 18 years old on or before election day? Yes No
If you checked "No" in response to either of these questions, do not complete form.
(Please see state-specific instructions for rules regarding eligibility to register prior to age 18.)
This space for office use only.
1 Mr.
Mrs. Miss
Ms. Last Name
First Name Middle Name(s)
Jr
Sr II
III
IV
2 Home Address Apt. or Lot # City/TownStateZip Code
3 Address Where You Get Your Mail If Different From Above City/Town StateZip Code
4
Date of Birth
Month Day Year
5
Telephone Number (optional)
6
ID Number - (See item 6 in the instructions for your state)
7 8
Race or Ethnic Group (see item 8 in the instructions for your State)
Q
Q
Q
O O
½
Q
Q
Q
9
I have reviewed my state's instructions and I swear/affirm that:
I am a United States citizen
I meet the elig ibility requirements of my state and
subscribe to any oath required.
The information I have provided is true to the best of my
knowledge under penalty of perjury. If I have provided false
information, I may be fined, imprisoned, or (if not a U.S.
citizen) deported from or refused entry to the United States. Please sign full name (or put mark)
Date: Month Day Year
If you are registering to vote for the first time: please refer to the application instructions for information on submitting
copies of valid identification documents with this form.
Please fill out the sections below if they apply to you.
If this application is for a change of name, what was your name before you changed it?
A Mr.
Mrs. Miss
Ms. Last Name
First NameMiddle Name(s)
Jr
Sr II
III
IV
If you were registered before but this is the first time you are registering from the address in Box 2 , what was your address where you were registered before?
B Street (or route and box number)Apt. or Lot # City/Town/County State Zip Code
If you live in a rural area but do not have a street number, or if you have no address, please show on the map where you live.
C
Write in the names of the crossroads (or streets) nearest to where you live.
Draw an X to show where you live.
Use a dot to show any schools, churches, stores, or other landmarks
near where you live, and write the name of the landmark.
Example
Woodchuck Road
Route #2 Public School Grocery Store X
NORTH
If the applicant is unable to sign, who helped the applicant fill out this application? Give name, address and phone number (pho
ne number optional).
D
Mail this application to the address provided for your State.
Choice of Party (see item 7 in the instructions for your State)
FOR OFFICIAL USE ONLY
FIRST CLASS STAMP
NECESSARY FOR
MAILING
•
• •
•
•
State Instructions
Alabama
Updated: 03-01-2006
Registration Deadline — Voter
registration is closed during the
ten days preceding an election.
Applications must be postmarked
or delivered by the eleventh day
prior to the election.
6. ID Number. Your social security
number is requested (by authority
of the Alabama Supreme Court,
17‑4‑122).
7. Choice of Party. Optional: You
do not have to register with a party
if you want to take part in that
party’s primary election, caucus,
or convention.
8. Race or Ethnic Group . You
are required to �ll in this box;
however, your application will
not be rejected if you fail to do so.
See the list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in
Alabama you must:
Alaska
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
one of the following identi�cation
numbers; Alaska Driver's License
or Alaska State Identi�cation Card
Number. If you do not have an
Alaska Driver's License or Alaska
State Identi�cation Card, you must
provide the last four digits of your
Social Security Number. If you do
not have any of these identi�cation
numbers, please write "NONE"
on the form. A unique identifying
number will be assigned to you for
voter registration purposes. �is
information is kept con�dential.
Having this information assists
in maintaining your voter record
and may assist in verifying your
identity (Title 15 of the Alaska
Statutes).
7. Choice of Party. You do not
have to declare a party a�liation
when registering to vote. If you
do not choose a party, you will
be registered as Undeclared.
Alaska has a closed primary
election system. Each recognized
political party has a separate ballot
listing only candidates from that
political party. Voters registered
as a member of a political party
may only vote that party's ballot.
Voters registered as undeclared
or non‑partisan may choose one ballot
from the ballots available.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Alaska
you must:
Updated: 03-01-2006
Registration Deadline — 29 days
before the election.
6. ID Number. Your completed
voter registration form must
contain the number of your
Arizona driver license, or
non‑operating identi�cation
license issued pursuant to A.R.S.
§ 28‑3165, if the license is current
and valid. If you do not have
a current and valid Arizona
driver license or non‑operating
identi�cation license, you must
include the last four digits of
your social security number if
one has been issued to you. If you
do not have a current and valid
driver license or non‑operating
identi�cation license or a social
security number, please write
“NONE” on the form. A unique
identifying number will be
assigned by the Secretary of State.
3
• • •
•
• • • •
•
• •
•
•
State Instructions
7. Choice of Party. If you are
registered in a political party which
has quali�ed for ballot recognition,
you will be permitted to vote the
primary election ballot for that
party. If you are registered as an
independent, no party preference
or as a member of a party which is
not quali�ed for ballot recognition,
you may select and vote one
primary election ballot for one of
the recognized political parties.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Arizona you must:
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nonoperating
identi�cation number. If you
do not have a driver's license or
nonoperating identi�cation, you
must include the last four digits of
your social security number. If
you do not have a driver's license
or a nonoperating identi�cation
or a social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State.
7. Choice of Party. Optional. You
do not have to register with a party
if you want to take part in that
party’s primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Arkansas you must:
California
Updated: 03-01-2006
Registration Deadline — 15 days
before the election.
6. ID Number. When you register
to vote, you must provide your
California driver’s license or
California identi�cation card
number, if you have one. If you
do not have a driver’s license or ID
card, you must provide the
last four digits of your Social
Security Number (SSN). If you
do not include this information,
you will be required to provide
identi�cation when you vote.
7. Choice of Party. Please enter
the name of the political party with
which you wish to register. If you
do not wish to register with any
party, enter “Decline to State” in
the space provided.
California law allows voters who
“decline to state” an a�liation with
a quali�ed political party or who
a�liate with a nonquali�ed political
party to vote in the primary election
of any quali�ed political party that
�les a notice with the Secretary
of State allowing them to do so.
You can call 1‑800‑345‑VOTE
or visit www.sos.ca.gov to learn
which political parties are allowing
nona�liated voters to participate in
their primary election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
California you must:
State Instructions
Colorado
Updated: 03-28-2008
Registration Deadline — 29
days before the election. If the
application is received in the mails
without a postmark, it must be
received within 5 days of the close
of registration.
6. ID Number. Your completed
voter registration form must contain
your state issued driver's license
number or identi�cation number.
If you do not have a driver's license
or state issued identi�cation, you
must include the last four digits
of your social security number. If
you do not have a driver's license
or a state issued identi�cation or a
social security number, please write
"NONE" on the form. A unique
identifying number will be assigned
by the State.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Colorado you must:
Connecticut
Updated: 03-01-2006
Registration Deadline — 14 days
before the election.
6. ID Number. Connecticut
Driver's License Number, or if
none, the last four digits of your
Social Security Number.
7. Choice of Party. �is is
optional, but you must register
with a party if you want to take
part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Connecticut you must:
Delaware
Updated: 02-07-2012
Registration Deadline — �e
4th Saturday before a primary
or general election, and 10 days
before a special election. 6. ID Number.
Your completed
voter registration form must
contain your state issued driver's
license number or nonoperating
identi�cation number. If you
do not have a driver's license or
nonoperating identi�cation, you
must include the last four digits
of your social security number. If
you do not have a driver's license
or a nonoperating identi�cation
or a social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Delaware you must:
State Instructions
District of Columbia
Updated: 10-29-2003
Registration Deadline — 30 days
before the election.
6. ID Number. Federal law now
requires that all voter registration
applications must include either
the applicant’s driver’s license
number or the last four digits
of the applicant’s social security
number in order to be processed.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in the
District of Columbia you must:
Updated: 11-30-2011
Registration Deadline — 29 days
before the election.
6. ID Number. If you have one,
you must provide your Florida driver's
license number or Florida
identi�cation card number. If you do
not have a Florida driver's license or
identi�cation card, you must provide
the last four digits of your social
security number. If you have not
been issued any of these numbers,
you must write the word “NONE.”
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. You are
requested, but not required, to �ll
in this box. See the list of choices
under the Application Instructions
for Box 8 (on page 2).
9. Signature. To register in Florida
you must:
Updated: 03-28-2008
Registration Deadline — �e
��h Monday before any general
primary, general election, or
presidential preference primary, or
regularly scheduled special election
pursuant to the Georgia Election
Code. In the event that a special
election is scheduled on a date
other that those dates prescribed
by the Georgia Election Code,
registration would close on the 5th
day a�er the call.
6. ID Number. Federal law requires
you to provide your full GA Drivers
License number or GA State issued
ID number. If you do not have a GA
Drivers License or GA ID you must
provide the last 4 digits of your
Social Security number. Providing
your full Social Security number
is optional. Your Social Security
number will be kept con�dential
and may be used for comparison
with other state agency databases
for voter registration identi�cation
purposes. If you do not possess
a GA Drivers License or Social
Security number, a unique identi�er
will be provided for you.
7. Choice of Party. You do not
have to register with a party to take
part in that party’s primary, caucus
or convention.
8. Race or Ethnic Group. You
are requested to �ll in this box.
See the list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in
Georgia you must:
State Instructions
•
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. Your full social
security number is required. It
is used to prevent fraudulent
registration and voting. Failure
to furnish this information
will prevent acceptance of this
application (Hawaii Revised
Statutes, Section 11‑15).
7. Choice of Party. A “choice of
party” is not required for voter
registration.
8. Race or Ethnic Group. Race or
ethnic group information is not
required for voter registration.
9. Signature. To register in Hawaii
you must:
Idaho
Updated: 03-01-2006
Registration Deadline — 25 days
before the election.
6. ID Number. Enter your driver's
license number. If you have no
driver's license, enter the last 4 digits
of your social security number.
7. Choice of Party. You do not have
to register with a party if you want
to take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Idaho
you must:
Updated: 08-14-2012
Registration Deadline — 28 days
prior to each election.
6. ID Number. Your driver’s
license number is required to
register to vote. If you do not have
a driver’s license, at least the last
four digits of your social security
number are required. If you have
neither, please write “NONE” on
the form. A unique identi�er will
be assigned to you by the State.
7. Choice of Party. Party registration
or preference is not required for
voter registration. However, when
you apply for a primary ballot, you
must indicate your party preference
for that election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. A signature is
required. If signature is missing
from registration form, you will
be noti�ed your registration is
incomplete.
To register in Illinois you must:
Indiana
Updated: 03-01-2006
Registration Deadline — 29 days
before the election.
6. ID Number. Your state voter ID
number is your ten digit Indiana
issued driver's license number. If you
do not possess an Indiana driver's
license then provide the last four
digits of your social security number.
Please indicate which number was
provided. (Indiana Code 3‑7‑13‑13)
7. Choice of Party. Leave blank.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Indiana
you must:
•
Iowa
Updated: 03-28-2008
Registration Deadline — Must be
delivered by 5 p.m. 10 days before
the election, if it is a state primary
or general election; 11 days before
all others.* Registration forms
whic
h are postmarked 15 or
more days before an election are
considered on time even if received
a�er the deadline. *If
you fail
to meet the voter
registration deadlines above you
can register and vote by following
the guidelines for election day
registration. You can �nd these
on the Iowa Secretary of State’s
website: www.sos.state.ia.us/pdfs/
elections/EDRbrochure.pdf .
State Instructions
6. ID Number. Your ID number is
your Iowa driver's license number
(or Iowa non‑driver identi�cation
number) if you have one, if not
then the last four digits of your
social security number. �e ID
number you provide will be
veri�ed with the Iowa Department
of Transportation or the Social
Security Administration.
7. Choice of Party. You may, but
do not have to, register with a party
in advance if you want to take part
in that party’s primary election.
You may change or declare a party
a�liation at the polls on primary
election day.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Iowa
you must:
Updated: 03-01-2006
Registration Deadline —
Postmarked or delivered 15 days
before the election.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nondriver's
identi�cation card number. If you
do not have a driver's license or
nondriver's identi�cation card, you
must include the last four digits
of your social security number. If
you do not have a driver's license
or a nondriver's identi�cation card
or social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State. �e number
you provide will be used for
administrative purposes only and
will not be disclosed to the public.
(KSA 25‑2309).
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Kansas
you must:
State Instructions
Mailing address: Secretary of State
1st Floor, Memorial Hall
120 SW 10th Ave.
Topeka, KS 66612‑1594
Kentucky
Updated: 03-01-2006
Registration Deadline — 29 days
before the election.
6. ID Number. Your full social
security number is required. It is
used for administrative purposes
only and is not released to the
public (KRS 116.155). No person
shall be denied the right to register
because of failure to include social
security number.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Kentucky you must:
Louisiana
Updated: 08-14-2012
Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
your Louisiana driver’s license
number or Louisiana special
identi�cation card number, if
issued. If not issued, you must
provide at least the last four digits
of your social security number,
if issued. �e full social security
number may be provided on a
voluntary basis. If the applicant
has neither a Louisiana driver’s
license, a Louisiana special
identi�cation card, or a social
security number, the applicant
shall attach one of the following
items to his application: (a) a
copy of a current and valid photo
identi�cation; or (b) a copy of a
current utility bill, bank statement,
government check, paycheck, or
other government document that
shows the name and address of
applicant. Neither the registrar
nor the Department of State
shall disclose the social security
number of a registered voter
or circulate the social security
numbers of registered voters on
commercial lists (R.S. 18:104 and
154; 42 U.S.C. § 405).
7. Choice of Party. If you do not
list a party a�liation, you cannot
vote in the Presidential Preference
Primary and party committee
elections. Political party a�liation
is not required for any other
election.
8. Race or Ethnic Group. You
are requested to �ll in this box.
See the list of choices under the
Application Instructions for Box 8
(on page 2). 9. Signature.
To register in
Louisiana you must:
Updated: 08-14-2012
Registration Deadline — Delivered
21 business days before the election
(or a voter may register in-person up
to and including election day).
6. ID Number. You must list
your valid Maine driver's license
number. If you don't have a valid
Maine driver's license, then you
must provide the last four digits
of your Social Security Number.
Voters who don't have either of
these forms of ID must write
"NONE" in this space.
9
State Instructions
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention
(unless otherwise permitted by a
political party).
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Maine
you must:
Updated: 06-26-2008
Registration Deadline — 9:00
p.m. 21 days before the election.
6. ID Number. If you have a
current, valid Maryland driver’s
license or a Motor Vehicle
Administration identi�cation card,
you must enter the driver’s license
or identi�cation number. If you do
not have a current, valid Maryland
driver’s license or Motor Vehicle
Administration identi�cation
card, you must enter at least the
last 4 digits of your social security
number. However, please note,
the disclosure of your full Social
Security number is voluntary. �e
statutory authority allowing election
o�cials to request your full Social
Security number is Election Law
Article, Section 3‑202, Annotated
Code of Maryland. �e number will be
used only for registration and
other administrative purposes. It
will be kept con�dential.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Maryland you must:
Massachusetts
Updated: 03-01-2006
Registration Deadline — 20 days
before the election.
6. ID Number. Federal law requires
that you provide your driver’s
license number to register to vote.
If you do not have a current and
valid Massachusetts’ driver’s license
then you must provide the last four
(4) digits of your social security
number. If you have neither, you
must write “NONE” in the box and
a unique identifying number will be
assigned to you. 7. Choice of Party. If you do
not
designate a party of political
designation in this box, you
will be registered as unenrolled.
Unenrolled voters may participate
in party primaries. However, an
unenrolled voter must enroll in a
party on the day of the Presidential
Preference Primary in order to
participate in that primary.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Massachusetts you must:
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or state issued
personal identi�cation card
number. If you do not have a
driver's license or state issued
personal identi�cation card, you
must include the last four digits of
your social security number. If you
10
State Instructions
do not have a driver's license or a
state issued personal identi�cation
card or a social security number,
please write "NONE" on the form.
A unique identifying number will
be assigned by the State.
7. Choice of Party. A "choice of
party" is not required for voter
registration.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Michigan you must:
•
•
Minnesota
Updated: 12-31-2008
Registration Deadline —
Delivered by 5:00 p.m. 21 days
before the election (there is also
election day registration at polling
places).
6. ID Number. You are required
to provide your Minnesota driver’s
license or state ID number to
register to Vote. If you do not have
a Minnesota driver’s license or state
ID then you will have to provide
the last four digits of your social
security number. If you have neither,
please write “none” on the form.
7. Choice of Party. Leave blank.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Minnesota you must:
Updated: 05-07-2010
Registration Deadline — 30 days
before the election.
6. ID Number. You are required
to provide your current and valid
driver's license number or, if you
don’t have one, the last four digits
of your social security number.
7. Choice of Party. Mississippi
does not have party registration.
�erefore, you do not have to
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Mississippi you must:
State Instructions
Note: State law changed by federal
court order in 1998 and by state
legislation in 2000. We now accept
the form as registration for voting
for all state and federal o�ces.
Mailing address: Secretary of State
P.O. Box 136
Jackson, MS 39205‑0136
Local county addresses:
You also may return completed
applications to the county circuit
clerk/registrar where you reside.
A complete list of county circuit
clerk/registrars is available on
Mississippi’s website at www.sos.
ms.gov .
Missouri
Updated: 09-12-2006
Registration Deadline — 28 days
before the election.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number. Your completed
voter registration form must
also include the last four digits
of your social security number.
(Section 115.155, RSMo). If you
do not have a driver's license or
a social security number, please
write "NONE" on the form. A
unique identifying number will
be assigned by the State. Any
electronic media, printouts or
mailing labels provided under this
section shall not include telephone
numbers and social security
numbers of voters. (Section
115.157, RSMo).
7. Choice of Party. You do not have
to register with a party if you want
to take part in that party’s primary
election, caucus, or convention. 8. Race or Ethnic Group. Leave
blank.
9. Signature. To vote in Missouri
you
must:
Montana
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
your Montana driver's license
number. If you do not have a
Montana driver's license number
then you must list the LAST FOUR
DIGITS OF YOUR SOCIAL
SECURITY NUMBER. If you
have neither a driver's license, nor
a social security number, please
write “NONE” on the form. �e
state of Montana will assign to you
a unique identifying number.
7. Choice of Party. Montana does
not require party registration to
participate in any election.
8. Race or Ethnic Group. Leave
blank. 9. Signature.
To register in
Montana you must:
•
•
Updated: 03-01-2006
Registration Deadline — �e
third Friday before the election
(or delivered by 6 p.m. on the
second Friday before the election).
6. ID Number. You must provide
your Nebraska driver's license
number. If you do not have a
Nebraska driver's license number
then you must list the last four
digits of your social security
number.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Nebraska you must:
State Instructions
•
•
•
Mailing address: Nebraska Secretary of State
Suite 2300, State Capitol Bldg.
Lincoln, NE 68509‑4608
Nevada
Updated: 05-07-2010
Registration Deadline — �e
deadline for mail‑in registration
is the ��h Saturday before any
primary or general election.
In person registration remains
available until 9:00 p.m. on the
third Tuesday preceding any
primary or general election. You
may register to vote in person only
by appearing at the o�ce of the
County Clerk/Registrar of Voters.
6. ID Number. You must supply a
Nevada’s Driver’s License Number
or Nevada ID Card Number if you
have been issued one. If you do not
have a Driver’s License Number
or Nevada ID Card Number, you
must supply the last four digits of
your Social Security Number. If
you do not have a Social Security
Number, please contact your
County Clerk/Registrar of Voters
to be assigned a unique identi�er.
7. Choice of Party. You must
register with a party if you
want to take part in that party’s
primary election, caucus, or
convention. If you register with
a minor political party, or as a
Nonpartisan you will receive a
Nonpartisan Ballot for the
Primary Election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Nevada
you must:
Updated: 03-01-2006
Registration Deadline — New
Hampshire town and city clerks
will accept this application only as
a request for their own absentee
voter mail‑in registration form,
which must be received by your
city or town clerk by 10 days before
the election.
New Hampshire town and city clerks
will accept this application only as a
request for their own absentee voter
mail‑in registration form. You need
to �ll in only Box 1 and Box 2 or 3.
�e application should be mailed
to your town or city clerk at your
zip code. �ese addresses are
listed on the Secretary of State
web site at www.state.nh.us/sos/
clerks.htm
It should be mailed in plenty of
time for your town or city clerk to
mail you their own form and for
you to return that form to them by
10 days before the election.
New Jersey
Updated: 03-28-2008
Registration Deadline — 21 days
before the election.
6. ID Number. �e last four digits
of your Social Security number OR
your New Jersey Driver's License
number is required for voter
registration. If you do not possess
either of these identi�cations,
please write "NONE" on the form.
�e State will assign a number that
will serve to identify you for voter
registration purposes.
13
7. Choice of Party.
State Instructions
New Jersey's
voter registration form does not
provide a check‑o� for political
party a�liation. A newly registered
voter or voter who has never voted
in a political party primary election
can declare party a�liation at
the polling place on the day of a
primary election. In New Jersey, a
primary election is only held for
the Democratic and Republican
parties. A voter may also �le a
political party declaration form to
become a member of a political
party. If a declared voter wished
to change party a�liation he or
she must �le a declaration form 50
days before the primary election,
in order to vote.
8. Race or Ethnic Group. Leave
blank.
9. Signature . To register in New
Jersey you must:
Registration Deadline —
Updated: 03-01-2006
28 days
before the election. 6. ID Number.
Your full social
security number is required.
�is registration card containing
your social security number will
become part of the permanent voter
registration records of your locality,
which are open to inspection
by the public in the o�ce of the
county clerk. However, your social
security number and date of birth
will remain con�dential and will
not be disclosed to the public.
Computerized listings of limited
voter registration information
(without social security number
or birth date) are available to the
general public, and are furnished
upon request to incumbent election
o�ceholders, candidates, political
parties, courts and non‑pro�t
organizations promoting voter
participation and registration, for
political purposes only (§1‑5‑19B,
NMSA 1978).
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in New
Mexico you must:
Updated: 03-01-2006
Registration Deadline — 25 days
before the election.
6. ID Number. Federal law requires
that you provide your driver’s
license number to register to vote.
If you do not have a driver’s license
then you will have to provide at least
the last four digits of your social
security number. If you have neither,
please write “NONE” on the form.
A unique identifying number will be
assigned to you by your State.
7. Choice of Party. You must
enroll with a party if you want
to vote in that party’s primary
election or caucus.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in New
York you must:
State Instructions
North Carolina
Updated: 03-01-2006
Registration Deadline —
Postmarked 25 days before
the election or received in the
elections o�ce or designated voter
registration agency site by 5:00 p.m.
25 days before the election.
6. ID Number. Provide your North
Carolina driver’s license number,
or North Carolina Department
of Motor Vehicles ID number. If
you do not have a driver's license,
then list the last four digits of your
social security number.
7. Choice of Party. You must
register with a party to vote in that
party’s primary unless that party
allows una�liated voters to vote
in its primary. If you indicate a
political party that is not a quali�ed
party, or indicate no party, you will
be listed as “Una�liated”.
8. Race or Ethnic Group. You are
required to �ll in this box. However,
your application will not be rejected
if you fail to do so. See the list of
choices under the Application
Instructions for Box 8 (on page 2).
9. Signature. To register in North
Carolina you must:
North Dakota
Updated: 03-01-2006
North Dakota does not have voter
registration.
Ohio
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. Your social security
number is requested. Providing
this number is voluntary. �is
information allows the Board of
Elections to verify your registration if
necessary (O.R.C. 3503.14). [Federal
law requires that you provide your
driver’s license number to register
to vote. If you do not have a driver’s
license then you will have to provide
at least the last four digits of your
social security number. If you don’t
have either number you will have to
write “NONE” on the form and the
State will assign you a number.]
7. Choice of Party. You do not
register with a party if you want to
take part in that party’s primary
election. Party a�liation is established
by voting at a primary election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Ohio
you must:
Updated: 10-29-2003
Registration Deadline — 25 days
before the election.
6. ID Number. �e last four digits
of your social security number
are required. (Oklahoma Title 26,
Section 4‑112) In addition, your
Oklahoma driver’s license number
is requested.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Oklahoma you must:
•
• be
a citizen of the United States
and a resident of the State of
Oklahoma
State Instructions
Oregon
Updated: 03-01-2006
Registration Deadline — 21 days
before the election.
6. ID Number. Federal law requires
that you provide your driver’s
license number to register to vote.
If you do not have a driver’s license
then you will have to provide at
least the last four digits of your
social security number. If you have
neither, you will need to write
“NONE” on the form. A unique
identifying number will instead be
assigned to you by your State.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election.
8. Race or Ethnic Group . Leave
blank.
9. Signature. To register in Oregon
you must:
Pennsylvania
Updated: 03-01-2006
Registration Deadline — 30 days
before an election or primary.
6. ID Number. You must supply
a Driver's License Number, if you
have one. If you do not have a
Driver's License Number, you must
supply the last four digits of your social
Security Number. If you do
not have a Social Security Number,
please write “NONE” in the box.
7. Choice of Party. You must register
with a party if you want to take part
in that party’s primary election.
8. Race or Ethnic Group. You
are requested to �ll in this box.
See the list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in
Pennsylvania you must:
be a citizen of the United States
at least one month before the next
election be a resident of Pennsylvania and
your election district at least 30
days before the election be at least 18 years of age on the
day of the next election
•
•
•
Mailing address:
O�ce of the Secretary of
the Commonwealth
210 North O�ce Bldg.
Harrisburg, PA 17120‑0029
Rhode Island
Updated: 03-28-2008
Registration Deadline — 30 days
before the election.
6. ID Number. �e applicant
shall be required to provide his/
her Rhode Island driver's license
number if the applicant has been
issued a current and valid Rhode
Island driver's license. In the case
of an applicant who has not been
issued a current and valid driver's
license he/she must provide the
last four (4) digits of his/her social
security number. An applicant,
who has neither, will be assigned a
unique identifying number by the
State of Rhode Island. 7. Choice of Party.
In Rhode Island,
a person must register with a party
if he/she wishes to take part in that
party's primary election. A person
who fails to register with a party at
the time of registration may, if he/
she chooses, register with a party
on the day of that party's primary
and take part in that party's primary
election. If a person does not
register with a party, he/she can still
vote in general elections and non‑
partisan primary elections.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Rhode
Island you must:
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. Your full social
security number is required. It is
required by the South Carolina
Code of Laws and is used for
internal purposes only. Social
security number does not appear
on any report produced by the
State Election Commission nor
is it released to any unauthorized
16
State Instructions
individual. (South Carolina Title
7‑5‑170)
7. Choice of Party. You do not have
to register with a party if you want
to take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. You are
required to �ll in this box. Your
application may be rejected if you
fail to do so. See the list of choices
under the Application Instructions
for Box 8 (on page 2).
9. Signature. To register in South
Carolina you must:
Updated: 03-01-2006
Registration Deadline — Received
15 days before the election. 6. ID Number.
Your driver’s license
number is requested. If you do not
have a valid driver's license, you
must provide the last four digits of
your social security number.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in South
Dakota you must:
Tennessee
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. Your full social
security number is required. Social
security number, if any, is required for
purposes of identi�cation and to avoid
duplicate registration (TCA 2.2.116).
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group. Optional. 9. Signature.
To register in
Tennessee you must:
Updated: 03-01-2006
Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
your driver’s license number to
register to vote. If you do not have a
driver’s license then you will have to
provide at least the last four digits of
your social security number. If you
have neither, please write “NONE”
on the form. A unique identifying
number will instead be assigned to
you by your State.
7. Choice of Party. You do not have
to register with a party if you want
to take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Texas
you must:
•
17
be a citizen of the United States
State Instructions
•
• be
a resident of the county
in which the application for
registration is made
Updated: 03-28-2008
Registration Deadline — 30 days
before the election for mail‑in
applications; 15 days before the
election for walk‑in registrations at
the county clerk’s o�ce.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nonoperating
identi�cation number. If you
do not have a driver's license or
nonoperating identi�cation, you
must include the last four digits
of your social security number. If
you do not have a driver's license
or a nonoperating identi�cation
or a social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State.
7. Choice of Party. Declaring a
party is not required in order to
register to vote. However, Utah's election law allows each political
party
to choose whom it will allow
to vote in its primary election. If
you do not a�liate with a party,
you may be restricted from voting
in the primary.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Utah
you must:
Vermont
Updated: 07-29-2008
Registration Deadline — Delivered
to the town clerk before 5:00 PM on
the Wednesday before the election.
6. ID Number. You must provide
your Vermont Driver's license
number, or if none, the last 4 digits
of your Social Security number.
If you do not have a Vermont
Driver's license or a Social Security
number, please write “NONE” on
the form. �e Secretary of State's
o�ce will assign you a unique
identifying number. 7. Choice of Party.
Vermont does
not require party registration to
participate in any election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Vermont you must:
Updated: 11-30-2011
Registration Deadline — Delivered
22 days before the election.
6. ID Number. Your full social
security number is required. Your
social security number will appear
on reports produced only for
o�cial use by voter registration
and election o�cials and, for jury
selection purposes, by courts.
18
State Instructions
Article II, §2, Constitution of
Virginia (1971).
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Virginia you must:
Updated: 10-29-2003
Registration Deadline — 30 days
before the election (or delivered
in‑person to the local voter
registration o�ce 15 days before
the election).
6. ID Number. You must provide
your driver's license number. If you
do not have a Washington driver's
license, you must provide the last
four digits of your Social Security
Number. Failure to provide this
information may prevent your
registration from being processed.
7. Choice of Party. You are not
required to designate your party
a�liation to register in Washington. 8. Race or Ethnic Group.
Leave
blank.
9. Signature. To register in
Washington you must:
West Virginia
Updated: 09-12-2006
Registration Deadline — 21 days
before the election.
6. ID Number. Enter your driver's
license number. If you do not have
a driver’s license number, enter the
last four numbers of your social
security number. If you do not
have a driver's license number
or a social security number, an
identi�cation number will be
assigned to you.
7. Choice of Party. You must register
with a party if you want to take part
in that party’s primary election,
caucus, or convention (unless you
request the ballot of a party which
allows independents to vote)
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in West
Virginia you must: • • • •
• be a citizen of the United States live
in West Virginia at the above
address be 18 years old, or to vote in
the primary be 17 years old and
turning 18 before the general
election not be under conviction,
probation, or parole for a felony,
treason or election bribery not have been judged “mentally
incompetent” in a court of
competent jurisdiction
Mailing address: Secretary of State
Building 1, Suite 157‑K
1900 Kanawha Blvd. East
Charleston, WV 25305‑0770
Wisconsin
Updated: 09-12-2006
Registration Deadline — Twenty
(20) days before the election
(or completed in the local voter
registration o�ce up to 5:00 pm. 1
day before the election, or completed
at the polling place on election day).
6. ID Number. Provide your driver's
license number, if you have no
current and valid driver’s license, the
last 4 digits of your social security
number or DOT‑issued ID card
number.
7. Choice of Party. Not required.
8. Race or Ethnic Group. Not
required.
9. Signature. To register in
Wisconsin you must:
• •
• not have been found by a court to
be incapable of understanding the
objective of the electoral process not make or bene�t from a bet or
wage depending on the result of an
election not have voted at any other location,
if registering on election day
Mailing address: State Elections Board
17 West Main Street, Suite 310
P.O. Box 2973
Madison, WI 53701‑2973
Wyoming
Updated: 03-01-2006
Wyoming by law, cannot accept
this form unless State law is
changed.
State Instructions
20
If you want to remove Voter Registration Application from this website please contact us providing the reasons together with this url: https://formsarchive.com/voter-registration-application/