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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 
OO	
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
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