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

State Instructions

Arizona

Updated: 03-01-2006

Registration Deadline — before the election.6. ID Number.

Arizona driver license, or

license issued pursuant to A.R.S.

and valid. If you do not have a current and valid Arizona

one has been issued to you. If you do not have a current and valid

7. 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

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