Register To Vote In Your State By Using This Postcard Form and … · 2019. 12. 23. · 1. Revised 03/01/2006. General Instructions. Who Can Use this Application. If you are a U.S

Register To Vote In Your State By Using This

Postcard Form and Guide

For U.S. Citizens

1 Revised 03/01/2006

General InstructionsWho Can Use this ApplicationIf 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:• RegistertovoteinyourState,• Reportachangeofnametoyourvoterregistration

office,• Reportachangeofaddresstoyourvoter

registrationoffice,or• Registerwithapoliticalparty.

ExceptionsPlease do not use this application if you live outside theUnitedStatesanditsterritoriesandhavenohome(legal)addressinthiscountry,or if you are in the militarystationedawayfromhome.UsetheFederalPostcardApplicationavailabletoyoufrommilitarybases,Americanembassies,orconsularoffices.

New Hampshire town and city clerks will accept this application only as a request for their own absentee votermail‑inregistrationform.North Dakotadoesnothavevoterregistration.Wyominglawdoesnotpermitmailregistration.

How to Find Out If You Are Eligible to Register to Vote in Your StateEachStatehasitsownlawsaboutwhomayregisterandvote.ChecktheinformationunderyourStateintheState Instructions. All States require that you be a United StatescitizenbybirthornaturalizationtoregistertovoteinfederalandStateelections.FederallawmakesitillegaltofalselyclaimU.S.citizenshiptoregistertovoteinanyfederal, State, or local election. You cannotberegisteredtovoteinmorethanoneplaceatatime.

How to Fill Out this ApplicationUse both the Application Instructions and State Instructionstoguideyouinfillingouttheapplication.• First,readtheApplicationInstructions.These

instructionswillgiveyouimportantinformationthatappliestoeveryoneusingthisapplication.

• Next,findyourStateundertheStateInstructions.UsetheseinstructionstofilloutBoxes6,7,and8.AlsorefertotheseinstructionsforinformationaboutvotereligibilityandanyoathrequiredforBox 9.

When to Register to VoteEachStatehasitsowndeadlineforregisteringtovote.CheckthedeadlineforyourStateonthelastpageofthis booklet.

How to Submit Your ApplicationMail your application to the address listed under your State in the State Instructions. Or, deliver the applicationinpersontoyourlocalvoterregistrationoffice.TheStatesthatarerequiredtoacceptthenationalformwillacceptcopiesoftheapplicationprintedfromthecomputerimageonregularpaperstock,signedbytheapplicant,andmailedinanenvelopewiththecorrectpostage.

First Time Voters Who Register by MailIfyouareregisteringtovoteforthefirsttimeinyourjurisdictionandaremailingthisregistrationapplication,Federallawrequiresyoutoshowproofofidentificationthefirsttimeyouvote.Proofofidentificationincludes:• Acurrentandvalidphotoidentificationor• Acurrentutilitybill,bankstatement,government

check,paycheckorgovernmentdocumentthatshowsyournameandaddress.

VotersmaybeexemptfromthisrequirementiftheysubmitaCOPYofthisidentificationwiththeirmailinvoterregistrationform.IfyouwishtosubmitaCOPY, pleasekeepthefollowinginmind:• Yourstatemayhaveadditionalidentification

requirementswhichmaymandateyoushowidentificationatthepollingplaceevenifyoumeettheFederalproofofidentification.

• Donotsubmitoriginaldocumentswiththisapplication, only COPIES.

If You Were Given this Application in a State Agency or Public OfficeIfyouhavebeengiventhisapplicationinaStateagencyorpublicoffice,itisyourchoicetousetheapplication. If you decide to use this application to registertovote,youcanfillitoutandleaveitwiththeStateagencyorpublicoffice.Theapplicationwillbesubmittedforyou.Or,youcantakeitwithyoutomailtotheaddresslistedunderyourStateintheStateInstructions.Youalsomaytakeitwith you to deliver in person to your local voter registrationoffice.Note:ThenameandlocationoftheStateagencyor public office where you received the application willremainconfidential.Itwillnotappearonyourapplication. Also, if you decide not to use this applicationtoregistertovote,thatdecisionwillremainconfidential.Itwillnotaffecttheserviceyoureceivefromtheagencyoroffice.

2

Box 1 — NamePutinthisboxyourfullnameinthisorder—Last,First,Middle.Donotusenicknamesorinitials.Note:Ifthisapplicationisforachangeofname,pleasetell us in Box A (on the bottom half of the form) your fullnamebeforeyouchangedit.

Box 2 — Home AddressPutinthisboxyourhomeaddress(legaladdress).Donotputyourmailingaddresshereifitisdifferentfromyourhomeaddress.Donotuseapostofficeboxorruralroutewithoutaboxnumber.Refertostate‑specificinstructionsforrulesregardinguseofroutenumbers.

Note:IfyouwereregisteredbeforebutthisisthefirsttimeyouareregisteringfromtheaddressinBox2,please tell us in Box B (on the bottom half of the form) theaddresswhereyouwereregisteredbefore.Pleasegiveusasmuchoftheaddressasyoucanremember.

Also Note: If you live in a rural area but do not have a street address, or if you have no address, please show whereyouliveusingthemapinBox C (at the bottom of the form).

Box 3 — Mailing AddressIfyougetyourmailatanaddressthatisdifferentfromtheaddressinBox2,putyourmailingaddressinthisbox.IfyouhavenoaddressinBox2,youmust write in Box3anaddresswhereyoucanbereachedbymail.

Box 4 — Date of BirthPutinthisboxyourdateofbirthinthisorder—Month,Day,Year.Be careful not to use today’s date!

Box 5 — Telephone NumberMostStatesaskforyourtelephonenumberincasethere are questions about your application. However, you do nothavetofillinthisbox.

Box 6 — ID NumberFederallawrequiresthatstatescollectfromeachregistrantanidentificationnumber.Youmustrefertoyourstate'sspecificinstructionsforitem6regardinginformationonwhatnumberisacceptableforyourstate. If you have neither a drivers license nor a social securitynumber,pleaseindicatethisontheformandanumberwillbeassignedtoyoubyyourstate.

Box 7 — Choice of PartyInsomeStates,youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection,caucus,orconvention.TofindoutifyourStaterequiresthis,seeitem7intheinstructionsunderyourState.

Ifyouwanttoregisterwithaparty,printintheboxthefullnameofthepartyofyourchoice.

If you do notwanttoregisterwithaparty,write“noparty”orleavetheboxblank.Donot write in the word “independent”ifyoumean“noparty,”becausethismightbeconfusedwiththenameofapoliticalpartyinyour State. Note: Ifyoudonotregisterwithaparty,youcanstillvoteingeneralelectionsandnonpartisan(nonparty)primaryelections.

Box 8 — Race or Ethnic GroupAfewStatesaskforyourraceorethnicgroup,inordertoadministertheFederalVotingRightsAct.TofindoutifyourStateasksforthisinformation,seeitem8intheinstructionsunderyourState.Ifso,putinBox8thechoicethatbestdescribesyoufromthelistbelow:• AmericanIndianorAlaskanNative• AsianorPacificIslander• Black,not of HispanicOrigin• Hispanic• Multi‑racial• White,not ofHispanicOrigin• Other

Box 9 — SignatureReviewtheinformationinitem9intheinstructionsunderyourState.Beforeyousignormakeyourmark,makesurethat:

(1)YoumeetyourState’srequirements,and(2)YouunderstandallofBox9.

Finally,signyourfullnameormakeyourmark,andprinttoday’sdateinthisorder—Month,Day,Year.Iftheapplicantisunabletosign,putinBox D the name,address,andtelephonenumber(optional)oftheperson who helped the applicant.

Application InstructionsBeforefillingoutthebodyoftheform,pleaseanswerthequestionsonthetopoftheformastowhetheryouareaUnitedStatescitizenandwhetheryouwillbe18yearsoldonorbeforeElectionDay.Ifyouanswernotoeitherofthesequestions,youmaynotusethisformtoregistertovote.However,statespecificinstructionsmayprovideadditionalinformationoneligibilitytoregistertovotepriortoage18.

Revised 03/01/2006

Voter Registration ApplicationBefore completing this form, review the General, Application, and State specific instructions.

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

Last Name First Name Middle Name(s)

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?

BStreet (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 landmarksnear where you live, and write the name of the landmark.

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.

Example

Public School ●

● Grocery Store

Rout

e #2

XWoodchuck Road

NORTH

Are you a citizen of the United States of America? Will you be 18 years old on or before election day? 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.

1Last Name First Name Middle Name(s)

2Home Address Apt. or Lot # City/Town State Zip Code

3Address Where You Get Your Mail If Different From Above City/Town State Zip Code

4Date of Birth

Month Day Year

5Telephone Number (optional)

6

ID Number - (See item 6 in the instructions for your state)

7Choice of Party (see item 7 in the instructions foy 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 eligibility 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.

FIRST CLASS STAMP

NECESSARY FOR

MAILING

FOR OFFICIAL USE ONLY

Voter Registration ApplicationBefore completing this form, review the General, Application, and State specific instructions.

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?

AMr.Mrs.MissMs.

Last Name First Name Middle Name(s) (Circle one)

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?

BStreet (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 landmarksnear where you live, and write the name of the landmark.

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.

Are you a citizen of the United States of America? Yes NoWill you be 18 years old on or before election day? Yes NoIf 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(Circle one)

Mr. Mrs. Miss Ms.

Last Name First Name Middle Name(s) (Circle one)

Jr Sr II III IV

2Home Address Apt. or Lot # City/Town State Zip Code

3Address Where You Get Your Mail If Different From Above City/Town State Zip Code

4Date of Birth

Month Day Year

5Telephone Number (optional)

6

ID Number - (See item 6 in the instructions for your state)

7Choice of Party (see item 7 in the instructions foy 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 eligibility 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.

Example

Public School ●

● Grocery Store

Rout

e #2

XWoodchuck Road

NORTH

FIRST CLASS STAMP

NECESSARY FOR

MAILING

FOR OFFICIAL USE ONLY

3

State Instructions

AlabamaUpdated: 03-01-2006

Registration Deadline — Voter registrationisclosedduringthetendaysprecedinganelection.Applicationsmustbepostmarkedor delivered by the eleventh day prior to the election.

6. ID Number. Your social security numberisrequested(byauthorityoftheAlabamaSupremeCourt,17‑4‑122).7. Choice of Party. Optional: You donothavetoregisterwithapartyif you want to take part in that party’sprimaryelection,caucus, or convention. 8. Race or Ethnic Group. You arerequiredtofillinthisbox;however, your application will not be rejected if you fail to do so. See the list of choices under the ApplicationInstructionsforBox8(onpage2).9. Signature.ToregisterinAlabamayoumust:•beacitizenoftheUnitedStates•bearesidentofAlabamaandyourcountyatthetimeofregistration•be18yearsoldbeforeanyelection•nothavebeenconvictedofafelonypunishablebyimprisonmentinthepenitentiary (or have had your civil andpoliticalrightsrestored)•notcurrentlybedeclaredmentallyincompetentthroughacompetencyhearing•swearoraffirmto“supportanddefend the Constitution of the U.S.andtheStateofAlabamaand further disavow any belief or affiliationwithanygroupwhichadvocates the overthrow of the governmentsoftheU.S.ortheStateofAlabamabyunlawfulmeans

andthattheinformationcontainedhereinistrue,sohelpmeGod”

Mailing address: Office of the Secretary of State P.O.Box5616 Montgomery,AL36103‑5616

AlaskaUpdated: 03-01-2006

Registration Deadline — 30daysbefore the election.

6. ID Number. Youmustprovideoneofthefollowingidentificationnumbers;AlaskaDriver'sLicenseorAlaskaStateIdentificationCardNumber.IfyoudonothaveanAlaskaDriver'sLicenseorAlaskaStateIdentificationCard,youmustprovidethelastfourdigitsofyourSocialSecurityNumber.Ifyoudonothaveanyoftheseidentificationnumbers,pleasewrite"NONE"ontheform.Auniqueidentifyingnumberwillbeassignedtoyouforvoterregistrationpurposes.Thisinformationiskeptconfidential.Havingthisinformationassistsinmaintainingyourvoterrecordandmayassistinverifyingyouridentity (Title 15 of the Alaska Statutes).7. Choice of Party. You do not have to declare a party affiliation whenregisteringtovote.Ifyoudo not choose a party, you will beregisteredasUndeclared.Alaskahasaclosedprimaryelectionsystem.Eachrecognizedpolitical party has a separate ballot listingonlycandidatesfromthatpoliticalparty.Votersregisteredasamemberofapoliticalpartymayonlyvotethatparty'sballot.Votersregisteredasundeclaredornon‑partisanmaychooseone

ballotfromtheballotsavailable.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinAlaskayoumust:•beacitizenoftheUnitedStates•beatleast18yearsoldwithin90daysofcompletingthisregistration•bearesidentofAlaska•notbeaconvictedfelon(unlessunconditionallydischarged)•notberegisteredtovoteinanother State

Mailing address: DivisionofElections State of Alaska POBox110017 Juneau,AK99811‑0017

ArizonaUpdated: 03-01-2006


6. ID Number.YourcompletedvoterregistrationformmustcontainthenumberofyourArizona driver license, or non‑operatingidentificationlicense issued pursuant to A.R.S. §28‑3165,ifthelicenseiscurrentand valid. If you do not have a current and valid Arizona driverlicenseornon‑operatingidentificationlicense,youmustincludethelastfourdigitsofyoursocialsecuritynumberifone has been issued to you. If you do not have a current and valid driverlicenseornon‑operatingidentificationlicenseorasocialsecuritynumber,pleasewrite“NONE”ontheform.AuniqueidentifyingnumberwillbeassignedbytheSecretaryofState.

4

State Instructions7. Choice of Party. If you are registeredinapoliticalpartywhichhasqualifiedforballotrecognition,youwillbepermittedtovotetheprimaryelectionballotforthatparty.Ifyouareregisteredasanindependent, no party preference orasamemberofapartywhichisnotqualifiedforballotrecognition,youmayselectandvoteoneprimaryelectionballotforoneoftherecognizedpoliticalparties.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinArizonayoumust:•beacitizenoftheUnitedStates•bearesidentofArizonaandyourcountyatleast29daysprecedingthenextelection•be18yearsoldonorbeforethenextgeneralelection•nothavebeenconvictedoftreason or a felony (or have had yourcivilrightsrestored)•notcurrentlybedeclaredanincapacitated person by a court of law

Mailing address: Secretary of State/Elections 1700W.Washington,7thFloor Phoenix,AZ85007‑2888

ArkansasUpdated: 03-01-2006


6. ID Number. Yourcompletedvoterregistrationformmustcontain your state issued driver's licensenumberornonoperatingidentificationnumber.Ifyoudo not have a driver's license or nonoperatingidentification,youmustincludethelastfourdigits

ofyoursocialsecuritynumber.Ifyou do not have a driver's license oranonoperatingidentificationorasocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.7. Choice of Party. Optional. You donothavetoregisterwithapartyif you want to take part in that party’sprimaryelection,caucus,orconvention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinArkansasyoumust:•beacitizenoftheUnitedStates•liveinArkansasattheaddressinBox2ontheapplication•beatleast18yearsoldbeforethenextelection•notbeaconvictedfelon(orhavecompletelydischargedyoursentenceorbeenpardoned)•notclaimtherighttovoteinanyother jurisdiction•notpreviouslybeadjudgedmentallyincompetentbyacourtofcompetentjurisdiction

Mailing address: Secretary of State Voter Services P.O.Box8111 LittleRock,AR72203‑8111

CaliforniaUpdated: 03-01-2006

Registration Deadline — 15 days before the election.

6. ID Number. Whenyouregistertovote,youmustprovideyourCalifornia driver’s license or Californiaidentificationcardnumber,ifyouhaveone.Ifyoudo not have a driver’s license or

IDcard,youmustprovidethelastfourdigitsofyourSocialSecurityNumber(SSN).Ifyoudonotincludethisinformation,you will be required to provide identificationwhenyouvote.7. Choice of Party. Please enter thenameofthepoliticalpartywithwhichyouwishtoregister.Ifyoudonotwishtoregisterwithanyparty,enter“DeclinetoState”inthe space provided. California law allows voters who “declinetostate”anaffiliationwithaqualifiedpoliticalpartyorwhoaffiliatewithanonqualifiedpoliticalpartytovoteintheprimaryelectionofanyqualifiedpoliticalpartythatfilesanoticewiththeSecretaryofStateallowingthemtodoso.Youcancall1‑800‑345‑VOTEor visit www.ss.ca.gov to learn whichpoliticalpartiesareallowingnonaffiliated voters to participate in theirprimaryelection.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinCaliforniayoumust:•beacitizenoftheUnitedStates•bearesidentofCalifornia•beatleast18yearsofageatthetimeofthenextelection•notbeimprisonedoronparolefor the conviction of a felony•notcurrentlybejudgedmentallyincompetentbyacourtoflawSignatureisrequired.Ifyoumeettherequirementslistedabove,pleasesignanddatetheregistrationcardinthespaceprovided.

Mailing address:Secretary of State ElectionsDivision 1500 11th Street Sacramento,CA95814

5

State Instructions

ColoradoUpdated: 03-28-2008

Registration Deadline — 29days before the election. If the applicationisreceivedinthemailswithoutapostmark,itmustbereceived within 5 days of the close ofregistration.

6. ID Number. Yourcompletedvoterregistrationformmustcontainyour state issued driver's license numberoridentificationnumber.If you do not have a driver's license orstateissuedidentification,youmustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou do not have a driver's license orastateissuedidentificationorasocialsecuritynumber,pleasewrite"NONE"ontheform.Auniqueidentifyingnumberwillbeassignedby the State.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinColoradoyoumust:•beacitizenoftheUnitedStates•bearesidentofColorado30daysprior to the election •be18yearsoldonorbeforeelection day•notbeconfinedasaprisonerorservinganypartofasentenceundermandate

Mailing address: Colorado Secretary of State 1700Broadway,Suite270 Denver,Colorado80290

Connecticut Updated: 03-01-2006

Registration Deadline —14daysbefore the election.

6. ID Number. Connecticut Driver'sLicenseNumber,orifnone,thelastfourdigitsofyourSocialSecurityNumber.7. Choice of Party.Thisisoptional,butyoumustregisterwith a party if you want to take partinthatparty’sprimaryelection, caucus, or convention. 8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinConnecticutyoumust:•beacitizenoftheUnitedStates•bearesidentofConnecticut and of the town in which you wish to vote •be17yearsold.Youcanvotewhenyouturn18•havecompletedconfinementandparole if previously convicted of a felony,andhavehadyourvotingrightsrestoredbyRegistrarsofVoters.•notcurrentlybedeclaredmentallyincompetenttovotebyacourtoflaw

Mailing address: Secretary of State ElectionsDivision 30TrinityStreet Hartford,CT06106

Delaware Updated: 03-28-2008

Registration Deadline —The4thSaturdaybeforeaprimaryorgeneralelection,and10daysbefore a special election.

6. ID Number.Yourcompletedvoterregistrationformmustcontain your state issued driver's licensenumberornonoperatingidentificationnumber.Ifyoudo not have a driver's license or nonoperatingidentification,youmustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou do not have a driver's license oranonoperatingidentificationorasocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinDelawareyoumust:•beacitizenoftheUnitedStates•beapermanentresidentofDelaware•beatleast18yearsoldonthedateofthenextgeneralelection•felonsareeligibletovoteifcertainrequirementsaremet:finesandsentencecompletedatleastfiveyearspriortoapplicationdate;felonyconvictionscannotbedisqualifyingfelonies,whicharemurder,sexualoffenses,orcrimesagainstpublicadministrationinvolvingbriberyorimproperinfluence or abuse of office.•notbementallyincompetent

Mailing address: CommissionerofElections 111S.WestSt.,Suite10 Dover,DE19904

6

State Instructions

District of Columbia Updated: 10-29-2003


6. ID Number.Federallawnowrequiresthatallvoterregistrationapplicationsmustincludeeitherthe applicant’s driver’s license numberorthelastfourdigitsof the applicant’s social security numberinordertobeprocessed.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterintheDistrictofColumbiayoumust:•beacitizenoftheUnitedStates•beaDistrictofColumbiaresidentatleast30daysprecedingthenextelection•beatleast18yearsoldonorprecedingthenextelection•notbeinjailforafelonyconviction•nothavebeenjudged“mentallyincompetent”byacourtoflaw•notclaimtherighttovoteanywhereoutsideD.C.

Mailing address: DistrictofColumbiaBoardofElections & Ethics 4414thStreet,NW,Suite250 Washington,DC20001‑2745

Florida Updated: 09-12-2006


6. ID Number. If you have one, youmustprovideyourFloridadriver'slicensenumberorFloridaidentificationcardnumber.IfyoudonothaveaFloridadriver'slicenseoridentificationcard,youmustprovidethelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group. You arerequestedtofillinthisbox.See the list of choices under the ApplicationInstructionsforBox8(onpage2).9. Signature.ToregisterinFloridayoumust:•beacitizenoftheUnitedStates•bealegalresidentofboththeStateofFloridaandofthecountyinwhichyouseektoberegistered•be18yearsold(youmaypre‑registerifyouare17)•notnowbeadjudicatedmentallyincapacitatedwithrespecttovotinginFloridaoranyotherState•nothavebeenconvictedofafelonywithoutyourcivilrightshavingbeenrestored pursuant to law•notclaimtherighttovoteinanother county or state•swearoraffirmthefollowing:“IwillprotectanddefendtheConstitution of the United States and the Constitution of the State of Florida,thatIamqualifiedtoregisteras an elector under the Constitution andlawsoftheStateofFlorida,andthatIamacitizenoftheUnitedStatesandalegalresidentofFlorida”

Mailing address: StateofFlorida DepartmentofState DivisionofElections TheR.A.GrayBuilding 500SouthBronoughSt,Rm316 Tallahassee,Florida32399‑0250

GeorgiaUpdated: 03-28-2008

Registration Deadline — ThefifthMondaybeforeanygeneralprimary,generalelection,orpresidentialpreferenceprimary,orregularlyscheduledspecialelectionpursuanttotheGeorgiaElectionCode. In the event that a special election is scheduled on a date other that those dates prescribed bytheGeorgiaElectionCode,registrationwouldcloseonthe5thdayafterthecall.

6. ID Number.FederallawrequiresyoutoprovideyourfullGADriversLicensenumberorGAStateissuedIDnumber.IfyoudonothaveaGADriversLicenseorGAIDyoumustprovidethelast4digitsofyourSocialSecuritynumber.ProvidingyourfullSocialSecuritynumberis optional. Your Social Security numberwillbekeptconfidentialandmaybeusedforcomparisonwithotherstateagencydatabasesforvoterregistrationidentificationpurposes. If you do not possess aGADriversLicenseorSocialSecuritynumber,auniqueidentifierwill be provided for you.7. Choice of Party. You do not havetoregisterwithapartytotakepartinthatparty’sprimary,caucusor convention.8. Race or Ethnic Group. You arerequestedtofillinthisbox.See the list of choices under the ApplicationInstructionsforBox8(onpage2).9. Signature.ToregisterinGeorgiayoumust:•beacitizenoftheUnitedStates•bealegalresidentofGeorgiaandof the county in which you want to vote

7

State Instructions•be18yearsoldwithinsixmonthsafterthedayofregistration,andbe18yearsoldtovote•notbeservingasentenceforhavingbeenconvictedofafelony•nothavebeenjudiciallydeterminedtobementallyincompetent,unlessthedisabilityhasbeenremoved

Mailing address:ElectionsDivision Office of the Secretary of State 1104WestTower 2MartinLutherKing,Jr.Dr.SE Atlanta,GA30334‑1505

HawaiiUpdated: 03-01-2006


6. ID Number. Your full social securitynumberisrequired.Itis used to prevent fraudulent registrationandvoting.Failuretofurnishthisinformationwill prevent acceptance of this application (Hawaii Revised Statutes,Section11‑15).7. Choice of Party.A“choiceofparty” is not required for voter registration.8. Race or Ethnic Group. Race or ethnicgroupinformationisnotrequiredforvoterregistration.9. Signature.ToregisterinHawaiiyoumust:•beacitizenoftheUnitedStates•bearesidentoftheStateofHawaii•beatleast16yearsold(youmustbe18yearsoldbyelectiondayinordertovote)

•notbeincarceratedforafelonyconviction•notbeadjudicatedbyacourtas“noncomposmentis”

Mailing address:Office of Elections State of Hawaii 802LehuaAvenue PearlCity,HI96782

IdahoUpdated: 03-01-2006

Registration Deadline — 25 days before the election.6. ID Number. Enter your driver's licensenumber.Ifyouhavenodriver'slicense,enterthelast4digitsofyoursocialsecuritynumber.7. Choice of Party. You do not have toregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinIdahoyoumust:•beacitizenoftheUnitedStates•haveresidedinIdahoandinthecountyfor30dayspriortothedayof election•beatleast18yearsold•nothavebeenconvictedofafelony,andwithouthavingbeenrestoredtotherightsofcitizenship,orconfinedinprisononconvictionofacriminaloffense

Mailing address:Secretary of State P.O.Box83720 StateCapitolBldg. Boise,ID83720‑0080

IllinoisUpdated: 03-01-2006

Registration Deadline —28daysprior to each election.

6. ID Number. Your driver’s licensenumberisrequiredtoregistertovote.Ifyoudonothavea driver’s license, at least the last fourdigitsofyoursocialsecuritynumberarerequired.Ifyouhaveneither,pleasewrite“NONE”ontheform.AuniqueidentifierwillbeassignedtoyoubytheState.7. Choice of Party.Partyregistrationor preference is not required for voterregistration.However,whenyouapplyforaprimaryballot,youmustindicateyourpartypreferencefor that election.8. Race or Ethnic Group.Leaveblank.9. Signature.Asignatureisrequired.Ifsignatureismissingfromregistrationform,youwillbenotifiedyourregistrationisincomplete.ToregisterinIllinoisyoumust:•beacitizenoftheUnitedStates•bearesidentofIllinoisandofyourelectionprecinctatleast30daysbeforethenextelection•beatleast18yearsoldonorbeforethenextelection•notbeinjailforafelonyconviction •notclaimtherighttovoteanywhere else

Mailing address: StateBoardofElections 1020S.SpringStreet Springfield,IL62704

8

State Instructions

IndianaUpdated: 03-01-2006


6. ID Number.YourstatevoterIDnumberisyourtendigitIndianaissueddriver'slicensenumber.Ifyoudo not possess an Indiana driver's license then provide the last four digitsofyoursocialsecuritynumber.Pleaseindicatewhichnumberwasprovided.(IndianaCode3‑7‑13‑13)7. Choice of Party.Leaveblank.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinIndianayoumust:•beacitizenoftheUnitedStates•haveresidedintheprecinctatleast30daysbeforethenextelection•beatleast18yearsofageonthedayofthenextgeneralelection•notcurrentlybeinjailforacriminalconviction

Mailing address: ElectionDivision Office of the Secretary of State 302WestWashingtonStreet, RoomE‑204 Indianapolis,IN46204‑2743

IowaUpdated: 03-28-2008

Registration Deadline — Must be deliveredby5p.m.10daysbeforetheelection,ifitisastateprimaryorgeneralelection;11daysbeforeallothers.*Registrationformswhicharepostmarked15ormoredaysbeforeanelectionareconsideredontimeevenifreceivedafterthedeadline.

*Ifyoufailtomeetthevoterregistrationdeadlinesaboveyoucanregisterandvotebyfollowingtheguidelinesforelectiondayregistration.Youcanfindtheseon the Iowa Secretary of State’s website: http://www.sos.state.ia.us/pdfs/elections/EDRbrochure.pdf.

6. ID Number.YourIDnumberisyourIowadriver'slicensenumber(orIowanon‑driveridentificationnumber)ifyouhaveone,ifnotthenthelastfourdigitsofyoursocialsecuritynumber.TheIDnumberyouprovidewillbeverifiedwiththeIowaDepartmentof Transportation or the Social SecurityAdministration.7. Choice of Party.Youmay,butdonothaveto,registerwithapartyin advance if you want to take part inthatparty’sprimaryelection.Youmaychangeordeclareapartyaffiliationatthepollsonprimaryelection day.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinIowayoumust:•beacitizenoftheUnitedStates•bearesidentofIowa•beatleast17‑1/2yearsold(youmustbe18tovote)•nothavebeenconvictedofafelony(orhavehadyourrightsrestored)•notcurrentlybejudgedbyacourttobe"incompetenttovote"•notclaimtherighttovoteinmorethanoneplace•giveupyourrighttovoteinanyother place

Mailing address: ElectionsDivision Office of the Secretary of State LucasBuilding‑1stFloor 321E.12thStreet DesMoines,IA50319

KansasUpdated: 03-01-2006

Registration Deadline — Postmarkedordelivered15daysbefore the election.

6. ID Number.Yourcompletedvoterregistrationformmustcontain your state issued driver's licensenumberornondriver's identificationcardnumber.Ifyoudo not have a driver's license or nondriver'sidentificationcard, you mustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou do not have a driver's license or a nondriver'sidentificationcard orsocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.Thenumberyou provide will be used for administrativepurposesonlyandwill not be disclosed to the public. (KSA25‑2309).7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention. 8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinKansasyoumust:•beacitizenoftheUnitedStates•bearesidentofKansas•be18bythenextelection•havecompletedthetermsofyoursentenceifconvictedofafelony;apersonservingasentenceforafelonyconvictionisineligibletovote•notclaimtherighttovoteinanyother location or under any other name•notbeexcludedfromvotingformentalincompetencebyacourtofcompetentjurisdiction

9

State InstructionsMailing address:

Secretary of State 1stFloor,MemorialHall 120SW10thAve. Topeka,KS66612‑1594

KentuckyUpdated: 03-01-2006


6. ID Number. Your full social securitynumberisrequired.Itisusedforadministrativepurposesonly and is not released to the public(KRS116.155).Nopersonshallbedeniedtherighttoregisterbecause of failure to include social securitynumber.7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention. 8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinKentuckyyoumust:•beacitizenoftheUnitedStates•bearesidentofKentucky•bearesidentofthecountyforatleast28dayspriortotheelectiondate•be18yearsofageonorbeforethenextgeneralelection•notbeaconvictedfelonorifyouhave been convicted of a felony, yourcivilrightsmusthavebeenrestoredbyexecutivepardon•nothavebeenjudged“mentallyincompetent”inacourtoflaw•notclaimtherighttovoteanywhere outside Kentucky

Mailing address: StateBoardofElections 140WalnutStreet Frankfort,KY40601‑3240

LouisianaUpdated: 03-01-2006


6. ID Number. YoumustprovideyourLouisianadriver'slicensenumber,ifissued.Ifnotissued,youmustprovideatleastthelastfourdigitsofyoursocialsecuritynumber,ifissued.Thefullsocialsecuritynumbermaybeprovidedonavoluntarybasis.NeithertheregistrarnortheDepartmentof State shall disclose the social securitynumberofaregisteredvoter or circulate the social securitynumbersofregisteredvotersoncommerciallists(R.S.18:104and154;42U.S.C.405).7. Choice of Party. If you do not list a party affiliation, you cannot vote in the Presidential Preference Primaryandpartycommitteeelections. Political party affiliation is not required for any other election.8. Race or Ethnic Group. You arerequestedtofillinthisbox.See the list of choices under the ApplicationInstructionsforBox8(onpage2).9. Signature.ToregisterinLouisianayoumust:•beacitizenoftheUnitedStates•bearesidentofLouisiana.Residenceaddressmustbeaddresswhereyouclaimhomesteadexemption,ifany.•beatleast17yearsold,andbe18yearsoldpriortothenextelectionto vote •notcurrentlybeunderanorderofimprisonmentforconvictionofa felony•notcurrentlybeunderajudgmentofinterdictionformentalincompetence

Mailing address: Secretary of State Attention:VoterRegistration P.O.Box94125 BatonRouge,LA70804‑9125

MaineUpdated: 03-01-2006

Registration Deadline —Delivered10 business days before the election (oravotermayregisterin-person up toandincludingelectionday).

6. ID Number. Youmustlistyour valid Maine driver's license number.Ifyoudon'thaveavalidMaine driver's license, then you mustprovidethelastfourdigitsofyourSocialSecurityNumber.Voters who don't have either of theseformsofIDmustwrite"NONE"inthisspace.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention (unlessotherwisepermittedbyapoliticalparty).8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMaineyoumust:•beacitizenoftheUnitedStates•bearesidentofMaineandthemunicipalityinwhichyouwant to vote •beatleast17yearsold(youmustbe18yearsoldtovote)

Mailing address:ElectionsDivision BureauofCorporations, ElectionsandCommissions 101 State House Station Augusta,ME04333‑0101

10

State Instructions

MarylandUpdated: 06-26-2008

Registration Deadline —9:00p.m.21daysbeforetheelection.

6. ID Number. If you have a current, valid Maryland driver’s license or a Motor Vehicle Administrationidentificationcard,youmustenterthedriver’slicenseoridentificationnumber.Ifyoudonot have a current, valid Maryland driver’s license or Motor Vehicle Administrationidentificationcard,youmustenteratleastthelast4digitsofyoursocialsecuritynumber.However,pleasenote,the disclosure of your full Social Securitynumberisvoluntary.Thestatutoryauthorityallowingelectionofficials to request your full Social SecuritynumberisElectionLawArticle,Section3‑202,AnnotatedCodeofMaryland.Thenumberwillbeusedonlyforregistrationandotheradministrativepurposes.Itwillbekeptconfidential.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMarylandyoumust:•beaU.S.citizen•beaMarylandresident•beatleast18yearsoldbythenextgeneralelection•notbeunderguardianshipformentaldisability•nothavebeenconvictedofbuyingorsellingvotes•nothavebeenconvictedofafelony, or if you have, you have completedservingacourtorderedsentenceofimprisonment,

includinganytermofparoleorprobation for the conviction.

Mailing address:StateBoardofElections P.O.Box6486 Annapolis,MD21401‑0486

MassachusettsUpdated: 03-01-2006


6. ID Number.Federallawrequires that you provide your driver’slicensenumbertoregisterto vote. If you do not have a current and valid Massachusetts’ driver’slicensethenyoumustprovidethelastfour(4)digitsofyoursocialsecuritynumber.Ifyouhaveneither,youmustwrite“NONE”intheboxandauniqueidentifyingnumberwillbeassignedtoyou.7. Choice of Party. If you do notdesignateapartyofpoliticaldesignationinthisbox,youwillberegisteredasunenrolled.Unenrolledvotersmayparticipateinpartyprimaries.However,anunenrolledvotermustenrollinaparty on the day of the Presidential PreferencePrimaryinordertoparticipateinthatprimary.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMassachusettsyoumust:•beacitizenoftheUnitedStates•bearesidentofMassachusetts•be18yearsoldonorbeforethenextelection•nothavebeenconvictedofcorrupt practices in respect to elections

•notbeunderguardianshipwithrespecttovoting•notbecurrentlyincarceratedfora felony conviction

Mailing address: SecretaryoftheCommonwealth ElectionsDivision,Room1705 One Ashburton Place Boston,MA02108

MichiganUpdated: 03-01-2006


6. ID Number. Yourcompletedvoterregistrationformmustcontain your state issued driver's licensenumberorstateissuedpersonalidentificationcardnumber.Ifyoudonothaveadriver's license or state issued personalidentificationcard,youmustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyoudo not have a driver's license or a stateissuedpersonalidentificationcardorasocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.7. Choice of Party. A"choiceofparty"isnotrequiredforvoterregistration.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMichiganyoumust:•beacitizenoftheUnitedStates•be18yearsoldbythenextelection •bearesidentofMichiganandatleasta30dayresidentofyourcityor township by election day•notbeconfinedinajailafterbeingconvictedandsentenced

11

State InstructionsNotice: Michiganlawrequiresthatthesameaddressbeusedforvoterregistrationanddriverlicensepurposes.Therefore,iftheresidenceaddressyouprovideonthisformdiffersfromtheaddressshownon a driver license or personal identificationcardissuedbytheStateofMichigan,theSecretaryofStatewillautomaticallychangeyour driver license or personal identificationcardaddresstomatchthe residence address entered on thisform.Ifanaddresschangeismade,theSecretaryofStatewillmailyouanaddressupdatestickerfor your driver license or personal identificationcard.Caution:Ifyouregisterbymail,youmustvoteinpersonatyourassignedprecinctthefirsttimeyouvote, unless you are:

•disabledasdefinedbystatelaw; •60yearsofageorolder;or •temporarilyresidingoverseas.

Mailing address: MichiganDepartmentofState BureauofElections P.O.Box20126 Lansing,MI48901‑0726

MinnesotaUpdated: 12-31-2008

Registration Deadline — Deliveredby5:00p.m.21daysbefore the election (there is also electiondayregistrationatpollingplaces).

6. ID Number. You are required to provide your Minnesota driver’s licenseorstateIDnumbertoregistertoVote.Ifyoudonothavea Minnesota driver’s license or state IDthenyouwillhavetoprovide

thelastfourdigitsofyoursocialsecuritynumber.Ifyouhaveneither,pleasewrite“none”ontheform.7. Choice of Party. Leaveblank.8. Race or Ethnic Group. Leaveblank.9. Signature. ToregisterinMinnesotayoumust:•beacitizenoftheUnitedStates•bearesidentofMinnesotafor20daysbeforethenextelection•maintainresidenceattheaddressgivenontheregistrationform•beatleast18yearsoldonelection day •ifpreviouslyconvictedofafelony,yourfelonysentencehasexpiredorbeencompleted,oryouhavebeendischargedfromthesentence•notbeunderacourt‑orderedguardianshipinwhichtherighttovote has been revoked•notbefoundbyacourttobelegallyincompetenttovote.

Mailing address:Secretary of State 60EmpireDrive,Suite100 St.Paul,MN55103‑1855

MississippiUpdated: 05-07-2010


6. ID Number. You are required to provide your current and valid driver'slicensenumberor,ifyoudon’thaveone,thelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party. Mississippi doesnothavepartyregistration.Therefore,youdonothavetoregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.

8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinMississippiyoumust:•beacitizenoftheUnitedStates•havelivedinMississippiandinyourcounty(andcity,ifapplicable)30daysbeforetheelectioninwhich you want to vote•be18yearsoldbythetimeofthegeneralelectioninwhichyouwantto vote•havenotbeenconvictedofmurder,rape,bribery,theft,arson,obtainingmoneyorgoodsunderfalsepretense,perjury,forgery,embezzlement,armedrobbery,extortion,felonybadcheck,felonyshoplifting,larceny,receivingstolenproperty,robbery,timberlarceny,unlawfultakingofamotorvehicle,statutoryrape,carjacking,orbigamy,orhavehadyourrightsrestored as required by law•nothavebeendeclaredmentallyincompetentbyacourtNote:Statelawchangedbyfederalcourtorderin1998andbystatelegislationin2000.Wenowaccepttheformasregistrationforvotingfor all state and federal offices.

Mailing address:Secretary of State P.O.Box136 Jackson,MS39205‑0136

Local county addresses: Youalsomayreturncompleted

applications to the county circuitclerk/registrarwhereyoureside.Acompletelistofcountycircuitclerk/registrarsis available on Mississippi’s websiteatwww.sos.ms.gov.

12

State Instructions

MissouriUpdated: 09-12-2006


6. ID Number. Yourcompletedvoterregistrationformmustcontain your state issued driver's licensenumber.Yourcompletedvoterregistrationformmustalsoincludethelastfourdigitsofyoursocialsecuritynumber.(Section115.155,RSMo).Ifyoudo not have a driver's license or asocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.Anyelectronicmedia,printoutsormailinglabelsprovidedunderthissection shall not include telephone numbersandsocialsecuritynumbersofvoters.(Section115.157,RSMo).7. Choice of Party. You do not have toregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention. 8. Race or Ethnic Group. Leaveblank.9. Signature. To vote in Missouri youmust:•isangmamamayanngEstadosUnidos •beacitizenoftheUnitedStates•bearesidentofMissouri•beatleast17‑1/2yearsofage(youmustbe18tovote)•notbeonprobationorparoleafterconvictionofafelony,untilfinallydischargedfromsuchprobation or parole•notbeconvictedofafelonyormisdemeanorconnectedwiththerightofsuffrage•notbeadjudgedincapacitatedbyany court of law

•notbeconfinedunderasentenceofimprisonment

Mailing address:Secretary of State P.O.Box1767 JeffersonCity,MO65102‑1767

MontanaUpdated: 03-01-2006


6. ID Number. Youmustprovideyour Montana driver's license number.Ifyoudo not have a Montanadriver'slicensenumberthenyoumustlisttheLASTFOURDIGITSOFYOURSOCIALSECURITYNUMBER.Ifyouhave neither a driver's license, nor asocialsecuritynumber,pleasewrite“NONE”ontheform.ThestateofMontanawillassigntoyouauniqueidentifyingnumber.7. Choice of Party. Montana does notrequirepartyregistrationtoparticipate in any election.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMontanayoumust:•beacitizenoftheUnitedStates•beatleast18yearsoldonorbefore the election•bearesidentofMontanaandofthe county in which you want to voteforatleast30daysbeforethenextelection•notbeinapenalinstitutionforafelony conviction•notcurrentlybedeterminedbyacourttobeofunsoundmind•meetthesequalificationsbythenextelectiondayifyoudonotcurrentlymeetthem

Mailing address:Secretary of State’s Office P.O.Box202801 State Capitol Helena,MT59620‑2801

NebraskaUpdated: 03-01-2006

Registration Deadline —ThethirdFridaybeforetheelection (ordeliveredby6p.m.onthesecondFridaybeforetheelection).

6. ID Number. YoumustprovideyourNebraskadriver'slicensenumber.Ifyoudo not have a Nebraskadriver'slicensenumberthenyoumustlistthelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinNebraskayoumust:•beacitizenoftheUnitedStates•bearesidentofNebraska•beatleast18yearsofageorwillbe18yearsofageonorbeforethefirstTuesdayafterthefirstMondayofNovember•nothavebeenconvictedofafelony, or if convicted, have had yourcivilrightsrestored•nothavebeenofficiallyfoundtobementallyincompetent

Mailing address: NebraskaSecretaryofState Suite2300,StateCapitolBldg. Lincoln,NE68509‑4608

13

State Instructions

NevadaUpdated: 05-07-2010

Registration Deadline — Thedeadlineformail‑inregistrationisthefifthSaturdaybeforeanyprimaryorgeneralelection.Inpersonregistrationremainsavailableuntil9:00p.m.onthethirdTuesdayprecedinganyprimaryorgeneralelection.YoumayregistertovoteinpersononlybyappearingattheofficeoftheCountyClerk/RegistrarofVoters.

6. ID Number. You must supply a Nevada’sDriver’sLicenseNumberorNevadaIDCardNumberif you have been issued one. If you do not haveaDriver’sLicenseNumberorNevadaIDCardNumber,youmustsupplythelastfourdigitsofyourSocialSecurityNumber.Ifyou do not have a Social Security Number,pleasecontactyourCountyClerk/RegistrarofVoterstobeassignedauniqueidentifier.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention. If youregisterwithaminorpoliticalparty,orasaNonpartisanyouwillreceiveaNonpartisanBallotforthePrimaryElection.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinNevadayoumust:•beacitizenoftheUnitedStates•haveattainedtheageof18yearsonthedateofthenextelection•havecontinuouslyresidedintheStateofNevada,inyourcounty,atleast 30 days and in your precinct atleast10daysbeforethenextelection

•haveyourcivilrightsrestoredifyou were convicted of a felony•notbedeterminedbyacourtoflawtobementallyincompetent•claimnootherplaceasyourlegalresidence

Mailing address: Secretary of State ElectionsDivision 101NorthCarsonStreet Suite 3 CarsonCity,NV89701‑4786

Applicationsmaybereturnedtothe Secretary of State’s office at the address above, but to avoid possible delays, you are advised toreturnyourcompletedvoterregistrationapplicationsdirectlytoyour local county election official.

Local county addresses: Tomeetregistrationdeadlines,especiallyduringthetwoweeksbeforethecloseofthemail‑inregistrationdeadline,returncompletedapplicationstoyour respective County Clerk/RegistrarofVoters.AcompletelistofCountyClerk/RegistrarofVotersandregistrationdeadlinesisavailableonNevada’swebsite:www.nvsos.gov.

New Hampshire Updated: 03-01-2006

Registration Deadline —NewHampshiretownandcityclerkswill accept this application only as a request for their own absentee votermail‑inregistrationform,whichmustbereceivedbyyourcity or town clerk by 10 days before the election.

NewHampshiretownandcityclerks will accept this application only as a request for their own absenteevotermail‑inregistrationform.YouneedtofillinonlyBox1andBox2or3.

Theapplicationshouldbemailedto your town or city clerk at your zipcode.Theseaddressesarelisted on the Secretary of State web site at http://www.state.nh.us/sos/clerks.htm

Itshouldbemailedinplentyoftimeforyourtownorcityclerktomailyoutheirownformandforyoutoreturnthatformtothemby10 days before the election.

New Jersey Updated: 03-28-2008


6. ID Number. ThelastfourdigitsofyourSocialSecuritynumberORyourNewJerseyDriver'sLicensenumberisrequiredforvoterregistration.Ifyoudonotpossesseitheroftheseidentifications,pleasewrite"NONE"ontheform.TheStatewillassignanumberthatwill serve to identify you for voter registrationpurposes.7. Choice of Party. NewJersey'svoterregistrationformdoesnotprovideacheck‑offforpoliticalpartyaffiliation.Anewlyregisteredvoter or voter who has never voted inapoliticalpartyprimaryelectioncan declare party affiliation at thepollingplaceonthedayofaprimaryelection.InNewJersey,aprimaryelectionisonlyheldfortheDemocraticandRepublicanparties.Avotermayalsofilea

14

State Instructionspoliticalpartydeclarationformtobecomeamemberofapoliticalparty. If a declared voter wished tochangepartyaffiliationheorshemustfileadeclarationform50daysbeforetheprimaryelection,in order to vote.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinNewJerseyyoumust:•beacitizenoftheUnitedStates•beatleast18yearsofagebythetimeofthenextelection•bearesidentofthisStateandcounty at your address at least 30 daysbeforethenextelection•notbeservingasentenceoronparole or probation as the result of a conviction of any indictable offenseunderthelawsofthisoranother state or of the United States

Mailing address: NewJerseyDepartmentofLawand Public Safety DivisionofElections POBOX304 Trenton,NJ08625‑0304

New MexicoUpdated: 03-01-2006


6. ID Number. Your full social securitynumberisrequired.Thisregistrationcardcontainingyoursocialsecuritynumberwillbecomepartofthepermanentvoterregistrationrecordsofyour locality, which are open to inspection by the public in the office of the county clerk. However, your social security numberanddateofbirthwillremainconfidentialandwill

not be disclosed to the public. Computerizedlistingsoflimitedvoterregistrationinformation(withoutsocialsecuritynumberorbirthdate)areavailabletothegeneralpublic,andarefurnished upon request to incumbentelectionofficeholders,candidates, political parties, courts andnon‑profitorganizationspromotingvoterparticipationandregistration,forpoliticalpurposesonly(§1‑5‑19B,NMSA1978).7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group. Leaveblank.9. Signature.ToregisterinNewMexicoyoumust:•beacitizenoftheUnitedStates•bearesidentoftheStateofNewMexico•be18yearsofageatthetimeofthenextelection•nothavebeendeniedtherightto vote by a court of law by reason ofmentalincapacityand,ifIhave been convicted of a felony, I havecompletedallconditionsofprobation or parole, served the entirety of a sentence or have been grantedapardonbytheGovernor.

Mailing address: BureauofElections 325DonGaspar,Suite300 SantaFe,NM87503

New YorkUpdated: 03-01-2006


6. ID Number. Federallawrequiresthat you provide your driver’s

licensenumbertoregistertovote.If you do not have a driver’s license then you will have to provide at least thelastfourdigitsofyoursocialsecuritynumber.Ifyouhaveneither,pleasewrite“NONE”ontheform.AuniqueidentifyingnumberwillbeassignedtoyoubyyourState.7. Choice of Party. Youmustenroll with a party if you want tovoteinthatparty’sprimaryelection or caucus.8. Race or Ethnic Group. Leaveblank.9. Signature.ToregisterinNewYorkyoumust:•beacitizenoftheUnitedStates•bearesidentofthecounty,oroftheCityofNewYork,atleast30days before an election•be18yearsoldbyDecember31oftheyearinwhichyoufilethisform(Note:Youmustbe18yearsoldbythedateofthegeneral,primary,orotherelectioninwhichyouwanttovote)•notbeinjailoronparoleforafelony conviction•notcurrentlybejudgedincompetentbyorderofacourtofcompetentjudicialauthority•notclaimtherighttovoteelsewhere

Mailing address: NYSBoardofElections 40SteubenStreet Albany,NY12207‑2108

North Carolina Updated: 03-01-2006

Registration Deadline — Postmarked25daysbeforethe election or received in the electionsofficeordesignatedvoterregistrationagencysiteby5:00p.m.25daysbeforetheelection.

15

State Instructions6. ID Number. ProvideyourNorthCarolinadriver’slicensenumber,orNorthCarolinaDepartmentofMotorVehiclesIDnumber.Ifyou do not have a driver's license, thenlistthelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party.Youmustregisterwithapartytovoteinthatparty’sprimaryunlessthatpartyallows unaffiliated voters to vote initsprimary.Ifyouindicateapoliticalpartythatisnotaqualifiedparty, or indicate no party, you will belistedas“Unaffiliated”.8. Race or Ethnic Group. You arerequiredtofillinthisbox.However, your application will not be rejected if you fail to do so. See the list of choices under the ApplicationInstructionsforBox8(onpage2).9. Signature. ToregisterinNorthCarolinayoumust:•beacitizenoftheUnitedStates•bearesidentofNorthCarolinaand the county in which you live for at least 30 days prior to the election•be18yearsofagebythedayofthenextgeneralelection•haveyourrightsofcitizenshiprestored if you have been convicted of a felony•notberegisteredorvoteinanyother county or state

Mailing address: StateBoardofElections P.O.Box27255 Raleigh,NC27611‑7255

North DakotaUpdated: 03-01-2006

NorthDakotadoesnothavevoterregistration.

Ohio Updated: 03-01-2006


6. ID Number. Your social security numberisrequested.Providingthisnumberisvoluntary.ThisinformationallowstheBoardofElectionstoverifyyourregistrationifnecessary(O.R.C.3503.14).[Federallaw requires that you provide your driver’slicensenumbertoregisterto vote. If you do not have a driver’s license then you will have to provide atleastthelastfourdigitsofyoursocialsecuritynumber.Ifyoudon’thaveeithernumberyouwillhavetowrite“NONE”ontheformandtheStatewillassignyouanumber.]7. Choice of Party. You do not registerwithapartyifyouwanttotakepartinthatparty’sprimaryelection. Party affiliation is established byvotingataprimaryelection.8. Race or Ethnic Group. Leaveblank.9. Signature. ToregisterinOhioyoumust:•beacitizenoftheUnitedStates•bearesidentofOhio•be18yearsoldonorbeforeelectionday.Ifyouwillbe18onorbeforethedayofthegeneralelection,youmayvoteintheprimaryelectionforcandidatesonly.•notbeconvictedofafelonyandcurrently incarcerated•notbefoundincompetentbyacourtforpurposesofvoting

Mailing address: Secretary of State of Ohio ElectionsDivision 180E.BroadStreet—15thFloor Columbus,OH43215

OklahomaUpdated: 10-29-2003


6. ID Number.Thelastfourdigitsofyoursocialsecuritynumberarerequired.(OklahomaTitle26,Section4‑112)Inaddition,yourOklahomadriver’slicensenumberis requested.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinOklahomayoumust:•beacitizenoftheUnitedStatesand a resident of the State of Oklahoma•be18yearsoldonorbeforethedateofthenextelection•havenotbeenconvictedofafelony,forwhichaperiodoftimeequaltotheoriginalsentencehasnotexpired,orforwhichyouhavenot been pardoned•notnowbeunderjudgmentasanincapacitated person, or a partially incapacitated person prohibited fromregisteringtovote

Mailing address: OklahomaStateElectionBoard Box528800 OklahomaCity,OK73152‑8800

16

State Instructions

OregonUpdated: 03-01-2006


6. ID Number. Federallawrequiresthat you provide your driver’s licensenumbertoregistertovote.If you do not have a driver’s license then you will have to provide at leastthelastfourdigitsofyoursocialsecuritynumber.Ifyouhaveneither, you will need to write “NONE”ontheform.AuniqueidentifyingnumberwillinsteadbeassignedtoyoubyyourState.7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinOregonyoumust:•beacitizenoftheUnitedStates•bearesidentofOregon•beatleast18yearsoldbyelection day

Mailing address: Secretary of State ElectionsDivision 141StateCapitol Salem,OR97310‑0722

PennsylvaniaUpdated: 03-01-2006

Registration Deadline — 30daysbeforeanelectionorprimary.

6. ID Number. YoumustsupplyaDriver'sLicenseNumber,ifyouhave one. If you do not have a Driver'sLicenseNumber,youmustsupply the lastfourdigits of your

socialSecurityNumber.IfyoudonothaveaSocialSecurityNumber,pleasewrite“NONE”inthebox.7. Choice of Party.Youmustregisterwith a party if you want to take part inthatparty’sprimaryelection.8. Race or Ethnic Group. You arerequestedtofillinthisbox.See the list of choices under the ApplicationInstructionsforBox8(onpage2).9. Signature. ToregisterinPennsylvaniayoumust:•beacitizenoftheUnitedStatesatleastonemonthbeforethenextelection•bearesidentofPennsylvaniaandyourelectiondistrictatleast30days before the election•beatleast18yearsofageonthedayofthenextelection

Mailing address: Office of the Secretary of theCommonwealth 210NorthOfficeBldg. Harrisburg,PA17120‑0029

Rhode IslandUpdated: 03-28-2008


6. ID Number.Theapplicantshall be required to provide his/her Rhode Island driver's license numberiftheapplicanthasbeenissued 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 licensehe/shemustprovidethelastfour(4)digitsofhis/hersocialsecuritynumber.Anapplicant,whohasneither,willbeassignedauniqueidentifyingnumberbytheState of Rhode Island.

7. Choice of Party. In Rhode Island, apersonmustregisterwithapartyif he/she wishes to take part in that party'sprimaryelection.Apersonwhofailstoregisterwithapartyatthetimeofregistrationmay,ifhe/shechooses,registerwithapartyonthedayofthatparty'sprimaryandtakepartinthatparty'sprimaryelection. If a person does not registerwithaparty,he/shecanstillvoteingeneralelectionsandnon‑partisanprimaryelections.8. Race or Ethnic Group. Leaveblank.9. Signature. ToregisterinRhodeIslandyoumust:•beacitizenoftheUnitedStates•bearesidentofRhodeIslandfor30daysprecedingthenextelection•be18yearsoldbyelectionday•notbecurrentlyincarceratedinacorrectional facility due to a felony conviction•nothavebeenlawfullyjudgedtobementallyincompetent

Mailing address: RhodeIslandStateBoardofElections 50BranchAve. Providence,RI02904‑2790

South CarolinaUpdated: 03-01-2006


6. ID Number. Your full social securitynumberisrequired.Itisrequired by the South Carolina CodeofLawsandisusedforinternal purposes only. Social securitynumberdoesnotappearon any report produced by the StateElectionCommissionnoris it released to any unauthorized

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State Instructionsindividual. (South Carolina Title 7‑5‑170)7. Choice of Party. You do not have toregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group. You are requiredtofillinthisbox.Yourapplicationmayberejectedifyoufail to do so. See the list of choices under the Application Instructions forBox8(onpage2).9. Signature.ToregisterinSouthCarolinayoumust:•beacitizenoftheUnitedStates•beatleast18yearsoldonorbeforethenextelection•bearesidentofSouthCarolina,your county and precinct•notbeconfinedinanypublicprisonresultingfromaconvictionofacrime•neverhavebeenconvictedofafelonyoroffenseagainsttheelection laws, or if previously convicted, have served your entire sentence,includingprobationorparole, or have received a pardon for the conviction•notbeunderacourtorderdeclaringyoumentallyincompetent•claimtheaddressontheapplicationasyouronlylegalplaceofresidenceandclaimnootherplaceasyourlegalresidence

Mailing address: StateElectionCommission P.O.Box5987 Columbia,SC29250‑5987

South DakotaUpdated: 03-01-2006

Registration Deadline — Received 15daysbeforetheelection.

6. ID Number. Your driver’s license numberisrequested.Ifyoudonothave a valid driver's license, you mustprovidethelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinSouthDakotayoumust:•beacitizenoftheUnitedStates•resideinSouthDakota•be18yearsoldbythenextelection•notbecurrentlyservingasentence for a felony conviction whichincludedimprisonment,served or suspended, in an adult penitentiarysystem•nothavebeenadjudgedmentallyincompetentbyacourt

Mailing address: Elections, Secretary of State 500E.Capitol Pierre,SD57501‑5070

TennesseeUpdated: 03-01-2006


6. ID Number. Your full social securitynumberisrequired.Socialsecuritynumber,ifany,isrequiredforpurposesofidentificationandtoavoidduplicateregistration(TCA2.2.116).7. Choice of Party. You do not havetoregisterwithapartyifyouwant to take part in that party’s primaryelection,caucus,orconvention.8. Race or Ethnic Group. Optional.

9. Signature.ToregisterinTennesseeyoumust:•beacitizenoftheUnitedStates•bearesidentofTennessee•beatleast18yearsoldonorbeforethenextelection•nothavebeenconvictedofafelony, or if convicted, have had yourfullrightsofcitizenshiprestored(orhavereceivedapardon)•notbeadjudicatedincompetentbyacourtofcompetentjurisdiction (or have been restored tolegalcapacity)

Mailing address: Coordinator of Elections TennesseeTower,NinthFloor 312EighthAvenue,North Nashville,TN37243

TexasUpdated: 03-01-2006


6. ID Number.Youmustprovideyourdriver’slicensenumbertoregistertovote.Ifyoudonothaveadriver’s license then you will have to provideatleastthelastfourdigitsofyoursocialsecuritynumber.Ifyouhaveneither,pleasewrite“NONE”ontheform.Auniqueidentifyingnumberwillinsteadbeassignedtoyou by your State. 7. Choice of Party. You do not have toregisterwithapartyifyouwanttotakepartinthatparty’sprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinTexasyoumust:•beacitizenoftheUnitedStates

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State Instructions•bearesidentofthecountyin which the application for registrationismade•beatleast17yearsand10monthsold(youmustbe18tovote)•notbefinallyconvictedofafelony, or if a convicted felon, youmusthavefullydischargedyourpunishment,includinganyincarceration, parole, supervision, period of probation or be pardoned.•havenotbeendeclaredmentallyincompetentbyfinaljudgmentofacourt of law

Mailing address: Office of the Secretary of State ElectionsDivision P.O.Box12060 Austin,TX78711‑2060

UtahUpdated: 03-28-2008

Registration Deadline — 30 days beforetheelectionformail‑inapplications;15daysbeforetheelectionforwalk‑inregistrationsatthe county clerk’s office.

6. ID Number.Yourcompletedvoterregistrationformmustcontain your state issued driver's licensenumberornonoperatingidentificationnumber.Ifyoudo not have a driver's license or nonoperatingidentification,youmustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou do not have a driver's license oranonoperatingidentificationorasocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.7. Choice of Party. Declaringaparty is not required in order to registertovote.However,Utah's

election law allows each political partytochoosewhomitwillallowtovoteinitsprimaryelection.Ifyou do not affiliate with a party, youmayberestrictedfromvotingintheprimary.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinUtahyoumust:•beacitizenoftheUnitedStates•haveresidedinUtahfor30daysimmediatelybeforethenextelection•beatleast18yearsoldonorbeforethenextelection•notbeaconvictedfeloncurrentlyincarceratedforcommissionofafelony•notbeconvictedoftreasonorcrimeagainsttheelectivefranchise, unless restored to civil rights•notbefoundtobementallyincompetentbyacourtoflaw

Mailing address: OfficeoftheLieutenantGovernor P.O.Box142325 SaltLakeCity,UT84114

VermontUpdated: 07-29-2008

Registration Deadline — Deliveredtothetownclerkbefore5:00PMontheWednesdaybeforetheelection.

6. ID Number.YoumustprovideyourVermontDriver'slicensenumber,orifnone,thelast4digitsofyourSocialSecuritynumber.IfyoudonothaveaVermontDriver'slicenseoraSocialSecuritynumber,pleasewrite“NONE”ontheform.TheSecretaryofState'sofficewillassignyouauniqueidentifyingnumber.

7. Choice of Party.Vermontdoesnotrequirepartyregistrationtoparticipate in any election.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinVermontyoumust:•beacitizenoftheUnitedStates•bearesidentofVermont•be18yearsofageonorbeforeelection day•havetakenthefollowingOath:Yousolemnlyswear(oraffirm)thatwheneveryougiveyourvoteorsuffrage,touchinganymatterthatconcernsthestateofVermont,youwilldoitsoasinyourconscienceyoushalljudgewillmostconducetothebestgoodofthesame,asestablishedbythe Constitution, without fear or favorofanyperson[Voter’sOath,VermontConstitution,ChapterII,Section42]BysigninginBox9,youareattestingthatyouhaveswornoraffirmedtheVermontvoter’soathas printed above.

Mailing address: Office of the Secretary of State DirectorofElections 26 Terrace Street Montpelier,VT05609‑1101

VirginiaUpdated: 11-10-2010

Registration Deadline —Delivered29daysbeforetheelection.

6. ID Number. Your full social securitynumberisrequired.Yoursocialsecuritynumberwillappearon reports produced only for officialusebyvoterregistrationand election officials and, for jury selection purposes, by courts.

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State InstructionsArticle II, §2, Constitution of Virginia(1971).7. Choice of Party. You do not havetoregisterwithapartyifyouwant to take part in that party’s primaryelection,caucus,orconvention.8. Race or Ethnic Group. Leaveblank.9. Signature. ToregisterinVirginiayoumust:•beacitizenoftheUnitedStates•bearesidentofVirginiaandoftheprecinct in which you want to vote •be18yearsoldbythenextMay orNovembergeneral election •nothavebeenconvictedofafelony,orhavehadyourcivilrightsrestored •notcurrentlybedeclaredmentallyincompetentbyacourtoflaw

Mailing address: StateBoardofElections 1100 Bank Street, 1st FloorRichmond,VA23219

WashingtonUpdated: 10-29-2003

Registration Deadline — 30 days before the election (or delivered in‑persontothelocalvoterregistrationoffice15daysbeforetheelection).

6. ID Number. Youmustprovideyourdriver'slicensenumber.IfyoudonothaveaWashingtondriver'slicense,youmustprovidethelastfourdigitsofyourSocialSecurityNumber.Failuretoprovidethisinformationmaypreventyourregistrationfrombeingprocessed.7. Choice of Party. You are not requiredtodesignateyourpartyaffiliationtoregisterinWashington.

8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinWashingtonyoumust:•beacitizenoftheUnitedStates•bealegalresidentofWashingtonState, your county and precinct for 30daysimmediatelyprecedingtheelection in which you want to vote•beatleast18yearsoldbyelectionday•notbeconvictedofinfamouscrime,unlessrestoredtocivilrights

Mailing address: Secretary of State VoterRegistrationbyMail P.O.Box40230 Olympia,WA98504‑0230

West VirginiaUpdated: 09-12-2006


6. ID Number. Enter your driver's licensenumber.Ifyoudonothaveadriver’slicensenumber,enterthelastfournumbersofyoursocialsecuritynumber.Ifyoudonothaveadriver'slicensenumberorasocialsecuritynumber,anidentificationnumberwillbeassignedtoyou.7. Choice of Party.Youmustregisterwith a party if you want to take part inthatparty’sprimaryelection,caucus, or convention (unless you request the ballot of a party which allowsindependentstovote)8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinWestVirginiayoumust:•beacitizenoftheUnitedStates

•liveinWestVirginiaattheaboveaddress•be18yearsold,ortovoteintheprimarybe17yearsoldandturning18beforethegeneralelection•notbeunderconviction,probation, or parole for a felony, treason or election bribery•nothavebeenjudged“mentallyincompetent”inacourtofcompetentjurisdiction

Mailing address: Secretary of State Building1,Suite157‑K 1900KanawhaBlvd.East Charleston,WV25305‑0770

WisconsinUpdated: 09-12-2006

Registration Deadline — Twenty (20)daysbeforetheelection(orcompletedinthelocalvoterregistrationofficeupto5:00pm.1daybeforetheelection,orcompletedatthepollingplaceonelectionday).

6. ID Number. Provide your driver's licensenumber,ifyouhavenocurrent and valid driver’s license, the last4digitsofyoursocialsecuritynumberorDOT‑issuedIDcardnumber.7. Choice of Party.Notrequired.8. Race or Ethnic Group. Notrequired.9. Signature.ToregisterinWisconsinyoumust:•beacitizenoftheUnitedStates•bearesidentofWisconsinforatleast 10 days•be18yearsold•nothavebeenconvictedoftreason, felony or bribery, or if you have,yourcivilrightshavebeenrestored

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State Instructions•nothavebeenfoundbyacourttobeincapableofunderstandingtheobjective of the electoral process•notmakeorbenefitfromabetorwagedependingontheresultofanelection •nothavevotedatanyotherlocation,ifregisteringonelectionday

Mailing address: StateElectionsBoard 17WestMainStreet,Suite310 P.O.Box2973 Madison,WI53701‑2973

WyomingUpdated: 03-01-2006

Wyomingbylaw,cannotacceptthisformunlessStatelawischanged.

Documents

Register To Vote In Your State By Using This Postcard Form and … · 2019. 12. 23. · 1. Revised 03/01/2006. General Instructions. Who Can Use this Application. If you are a U.S