8/4/2019 National Mail Voter Registration Form English February 15 2011
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Register To Vote In Your State
By Using This
Postcard Form and Guide
For U.S. Citizens
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1Revised 03/01/2006
General Instructions
Who Can Use this ApplicationI you are a U.S. citizen who lives or has an addresswithin the United States, you can use the application inthis booklet to: RegistertovoteinyourState, Reportachangeofnametoyourvoterregistration
ofce, Reportachangeofaddresstoyourvoterregistrationoce,or
Registerwithapoliticalparty.
ExceptionsPlease do not use this application i you live outsidetheUnitedStatesanditsterritoriesandhavenohome(legal)addressinthiscountry,or i you are in themilitarystationedawayfromhome.UsetheFederalPostcardApplicationavailabletoyoufrommilitarybases,Americanembassies,orconsularoces.
New Hampshire town and city clerks will accept thisapplication only as a request or their own absentee
votermailinregistrationform.North Dakotadoesnothavevoterregistration.Wyominglawdoesnotpermitmailregistration.
How to Find Out I You Are Eligible to Register toVote in Your StateEachStatehasitsownlawsaboutwhomayregisterand
vote.ChecktheinformationunderyourStateintheState Instructions. All States require that you be a UnitedStatescitizenbybirthornaturalizationtoregistertovoteinfederalandStateelections.FederallawmakesitillegaltofalselyclaimU.S.citizenshiptoregistertovoteinanyederal, State, or local election. You cannotberegisteredtovoteinmorethanoneplaceatatime.
How to Fill Out this ApplicationUse both the Application Instructions and StateInstructionstoguideyouinllingouttheapplication. First,readtheApplicationInstructions.Tese
instructionswillgiveyouimportantinformationthatappliestoeveryoneusingthisapplication.
Next,ndyourStateundertheStateInstructions.UsetheseinstructionstolloutBoxes6,7,and8.
AlsorefertotheseinstructionsforinformationaboutvotereligibilityandanyoathrequiredforBox 9.
When to Register to VoteEachStatehasitsowndeadlineforregisteringtovote.CheckthedeadlineforyourStateonthelastpageofthis booklet.
How to Submit Your ApplicationMail your application to the address listed underyour State in the State Instructions. Or, deliver theapplicationinpersontoyourlocalvoterregistrationoce.TeStatesthatarerequiredtoacceptthenationalformwillacceptcopiesoftheapplicationprintedfromthecomputerimageonregularpaperstock,signedbytheapplicant,andmailedinanenvelopewiththecorrectpostage.
First Time Voters Who Register by MailIfyouareregisteringtovoteforthersttimeinyourjurisdictionandaremailingthisregistrationapplication,Federallawrequiresyoutoshowproofofidenticationthersttimeyouvote.Proofofidenticationincludes: Acurrentandvalidphotoidenticationor Acurrentutilitybill,bankstatement,government
check,paycheckorgovernmentdocumentthat
showsyournameandaddress.VotersmaybeexemptfromthisrequirementiftheysubmitaCOPYofthisidenticationwiththeirmailin
voterregistrationform.IfyouwishtosubmitaCOPY,pleasekeepthefollowinginmind: Yourstatemayhaveadditionalidentication
requirementswhichmaymandateyoushowidenticationatthepollingplaceevenifyoumeettheFederalproofofidentication.
Donotsubmitoriginaldocumentswiththisapplication, onlyCOPIES.
I You Were Given this Application in a StateAgency or Public OfceIfyouhavebeengiventhisapplicationinaStateagencyorpublicoce,itisyourchoicetousetheapplication. I you decide to use this application toregistertovote,youcanllitoutandleaveitwiththeStateagencyorpublicoce.Teapplicationwillbesubmittedforyou.Or,youcantakeitwithyoutomailtotheaddresslistedunderyourStateintheStateInstructions.Youalsomaytakeitwith you to deliver in person to your local voter
registrationoce.Note:TenameandlocationoftheStateagencyor public ofce where you received the applicationwillremaincondential.Itwillnotappearonyourapplication. Also, i you decide not to use thisapplicationtoregistertovote,thatdecisionwillremaincondential.Itwillnotaecttheserviceyoureceivefromtheagencyoroce.
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Box 1 Name
PutinthisboxyourfullnameinthisorderLast,First,Middle.Donotusenicknamesorinitials.Note:Ifthisapplicationisforachangeofname,pleasetell us in Box A(on the bottom half of the form) yourfullnamebeforeyouchangedit.
Box 2 Home AddressPutinthisboxyourhomeaddress(legaladdress).Donotputyourmailingaddresshereifitisdierentfromyourhomeaddress.Donotuseapostoceboxorruralroutewithoutaboxnumber.Refertostatespecicinstructionsforrulesregardinguseofroutenumbers.
Note:IfyouwereregisteredbeforebutthisisthersttimeyouareregisteringfromtheaddressinBox2,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 astreet address, orif you have no address, please showwhereyouliveusingthemapinBox C(at the bottomof the form).
Box 3 Mailing AddressIfyougetyourmailatanaddressthatisdierentfromtheaddressinBox2,putyourmailingaddressinthisbox.IfyouhavenoaddressinBox2,youmust write inBox3anaddresswhereyoucanbereachedbymail.
Box 4 Date of BirthPutinthisboxyourdateofbirthinthisorderMonth,Day,Year.Be careful not to use todays date!
Box 5 Telephone NumberMostStatesaskforyourtelephonenumberincasethere are questions about your application. However,you do nothavetollinthisbox.
Box 6 ID NumberFederallawrequiresthatstatescollectfromeachregistrantanidenticationnumber.Youmustrefertoyourstate'sspecicinstructionsforitem6regardinginformationonwhatnumberisacceptableforyourstate. If you have neither a drivers license nor a socialsecuritynumber,pleaseindicatethisontheformandanumberwillbeassignedtoyoubyyourstate.
Box 7 Choice of Party
InsomeStates,youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection,caucus,orconvention.TondoutifyourStaterequirethis,seeitem7intheinstructionsunderyourState.
Ifyouwanttoregisterwithaparty,printintheboxthefullnameofthepartyofyourchoice.
If you do notwanttoregisterwithaparty,writenopartyorleavetheboxblank.Donot write in the wordindependentifyoumeannoparty,becausethismightbeconfusedwiththenameofapoliticalpartyinyour State.
Note: Ifyoudonotregisterwithaparty,youcanstillvoteingeneralelectionsandnonpartisan(nonparty)primaryelections.
Box 8 Race or Ethnic GroupAfewStatesaskforyourraceorethnicgroup,inordertoadministertheFederalVotingRightsAct.TondoutifyourStateasksforthisinformation,seeitem8intheinstructionsunderyourState.Ifso,putinBox8thechoicethatbestdescribesyoufromthelistbelow: AmericanIndianorAlaskanNative AsianorPacicIslander
Black,not ofHispanicOrigin Hispanic Multiracial White,not ofHispanicOrigin Other
Box 9 SignatureReviewtheinformationinitem9intheinstructionsunderyourState.Beforeyousignormakeyourmark,makesurethat:
(1)YoumeetyourStatesrequirements,and(2)YouunderstandallofBox9.
Finally,signyourfullnameormakeyourmark,andprinttodaysdateinthisorderMonth,Day,Year.Iftheapplicantisunabletosign,putinBox D thename,address,andtelephonenumber(optional)ofthperson who helped the applicant.
Application Instructions
Beforellingoutthebodyoftheform,pleaseanswerthequestionsonthetopoftheformastowhetheryouareaUnitedStatescitizenandwhetheryouwillbe18yearsoldonorbeforeElectionDay.Ifyouanswernotoeitherofthesquestions,youmaynotusethisformtoregistertovote.However,statespecicinstructionsmayprovideadditionalinformationoneligibilitytoregistertovotepriortoage18.
Revised 03/01/2006
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Voter Registration ApplicationBeore completing this orm, review the General, Application, and State specifc instructions.
Please fll out the sections below i they apply to you.
I this application is or a change o name, what was your name beore you changed it?
ALast Name First Name Middle Name(s)
I you were registered beore but this is the frst time you are registering rom the address in Box 2 , what was your address where you were registered beore?
BStreet (or route and box number) Apt. or Lot # City/Town/County State Zip Code
I you live in a rural area but do not have a street number, or i you have no address, please show on the map where you live.
C
Write in the names o 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 o the landmark.
I the applicant is unable to sign, who helped the applicant ll out this application? Give name, address and phone number (phone number optional).
D
Mail this application to the address provided or your State.
Example
Public School
Grocery Store
Route
#2
X
Woodchuck Road
NORTH
Are you a citizen o the United States o America?
Will you be 18 years old on or beore election day?If you checked "No" in response to either of these questions, do not complete form.(Please see state-specic instructions or rules regarding eligibility to register prior to age 18.)
This space or ofce use only.
1Last Name First Name Middle Name(s)
2 Home Address Apt. or Lot # City/Town State Zip Code
3Address Where You Get Your Mail I Diferent From Above City/Town State Zip Code
4
Date o Birth
Month Day Year
5
Telephone Number (optional)
6
ID Number - (See item 6 in the instructions or your state)
7Choice o Party(see item 7 in the instructions oy your State) 8
Race or Ethnic Group(see item 8 in the instructions or your State)
9
I have reviewed my state's instructions and I swear/afrm that:I am a United States citizenI meet the eligibility requirements o my state and
subscribe to any oath required.
The inormation I have provided is true to the best o myknowledge under penalty o perjury. I I have provided alseinormation, I may be ned, imprisoned, or (i not a U.S.citizen) deported rom or reused entry to the United States.
Please sign ull name (or put mark)
Date:
Month Day Year
I you are registering to vote or the frst time: please reer to the application instructions or inormation on submittingcopies o valid identication documents with this orm.
Yes
Yes
Mr.NGUYEN HAI LONG
315 15TH STREET LOGANSPORT IN 46947
09/08/1984
3850-03-9964
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FIRST CLASSSTAMP
NECESSARY
FORMAILING
FOR OFFICIAL USE ONLY
Print Application
8/4/2019 National Mail Voter Registration Form English February 15 2011
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Voter Registration ApplicationBeore completing this orm, review the General, Application, and State specifc instructions.
Please fll out the sections below i they apply to you.I this application is or a change o name, what was your name beore you changed it?
AMr.Mrs.MissMs.
Last Name First Name Middle Name(s) (Circle one)
Jr Sr II III IV
I you were registered beore but this is the frst time you are registering rom the address in Box 2 , what was your address where you were registered beore?
BStreet (or route and box number) Apt. or Lot # City/Town/County State Zip Code
I you live in a rural area but do not have a street number, or i you have no address, please show on the map where you live.
C
Write in the names o 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 o the landmark.
I the applicant is unable to sign, who helped the applicant ll out this application? Give name, address and phone number (phone number optional).
D
Mail this application to the address provided or your State.
Are you a citizen o the United States o America? Yes No
Will you be 18 years old on or beore election day? Yes NoIf you checked "No" in response to either of these questions, do not complete form.(Please see state-specic instructions or rules regarding eligibility to register prior to age 18.)
This space or ofce use only.
1(Circle one)
Mr. Mrs. Miss Ms.
Last Name First Name Middle Name(s) (Circle one)
Jr Sr II III IV
2 Home Address Apt. or Lot # City/Town State Zip Code
3Address Where You Get Your Mail I Diferent From Above City/Town State Zip Code
4
Date o Birth
Month Day Year
5
Telephone Number (optional)
6
ID Number - (See item 6 in the instructions or your state)
7Choice o Party(see item 7 in the instructions oy your State) 8
Race or Ethnic Group(see item 8 in the instructions or your State)
9
I have reviewed my state's instructions and I swear/afrm that:
I am a United States citizenI meet the eligibility requirements o my state and
subscribe to any oath required.
The inormation I have provided is true to the best o myknowledge under penalty o perjury. I I have provided alseinormation, I may be ned, imprisoned, or (i not a U.S.citizen) deported rom or reused entry to the United States.
Please sign ull name (or put mark)
Date:
Month Day Year
I you are registering to vote or the frst time: please reer to the application instructions or inormation on submittingcopies o valid identication documents with this orm.
Example
Public School
Grocery Store
Route
#2
X
Woodchuck Road
NORTH
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FIRST CLASSSTAMP
NECESSARY
FORMAILING
FOR OFFICIAL USE ONLY
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State Instructions
Alabama
Updated: 03-01-2006
Registration Deadline Voterregistrationisclosedduringthe
tendaysprecedinganelection.Applicationsmustbepostmarkedor delivered by the eleventh dayprior to the election.
6. ID Number. Your social securitynumberisrequested(byauthorityoftheAlabamaSupremeCourt,174122).7. Choice of Party. Optional: Youdonothavetoregisterwithaparty
i you want to take part in thatpartysprimaryelection,caucus, or convention.8. Race or Ethnic Group. Youarerequiredtollinthisbox;however, your application willnot be rejected i you ail to do so.See the list o choices under theApplicationInstructionsforBox8(onpage2).9. Signature.Toregisterin
Alabamayoumust:beacitizenoftheUnitedStatesbearesidentofAlabamaandyourcountyatthetimeofregistrationbe18yearsoldbeforeanyelectionnothavebeenconvictedofafelonypunishablebyimprisonmentinthepenitentiary (or have had your civilandpoliticalrightsrestored)notcurrentlybedeclaredmentallyincompetentthroughacompetencyhearingswearorarmtosupportanddeend the Constitution o theU.S.andtheStateofAlabamaand urther disavow any belie oraliationwithanygroupwhichadvocates the overthrow o thegovernmentsoftheU.S.ortheStateofAlabamabyunlawfulmeans
andthattheinformationcontainedhereinistrue,sohelpmeGod
Mailing address:Oce o the Secretary o StateP.O.Box5616
Montgomery,AL361035616
Alaska
Updated: 03-01-2006
Registration Deadline 30daysbeore the election.
6. ID Number. Youmustprovideoneofthefollowingidenticationnumbers;AlaskaDriver'sLicenseorAlaskaStateIdenticationCardNumber.IfyoudonothaveanAlaskaDriver'sLicenseorAlaskaStateIdenticationCard,youmustprovidethelastfourdigitsofyourSocialSecurityNumber.Ifyoudonothaveanyoftheseidenticationnumbers,pleasewrite"NONE"ontheform.Auniqueidentifyingnumberwillbeassignedtoyoufor
voterregistrationpurposes.isinformationiskeptcondential.Havingthisinformationassistsinmaintainingyourvoterrecordandmayassistinverifyingyouridentity (Title 15 o the AlaskaStatutes).7. Choice of Party. You do nothave to declare a party aliationwhenregisteringtovote.Ifyoudo not choose a party, you will
beregisteredasUndeclared.Alaskahasaclosedprimaryelectionsystem.Eachrecognizedpolitical party has a separate ballotlistingonlycandidatesfromthatpoliticalparty.Votersregisteredasamemberofapoliticalpartymayonlyvotethatparty'sballot.Votersregisteredasundeclaredornonpartisanmaychooseone
ballotfromtheballotsavailable.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinAlaskayoumust:beacitizenoftheUnitedStates
beatleast18yearsoldwithin90daysofcompletingthisregistrationbearesidentofAlaskanotbeaconvictedfelon(unlessunconditionallydischarged)notberegisteredtovoteinanother State
Mailing address:DivisionofElectionsState o Alaska
POBox110017Juneau,AK998110017
Arizona
Updated: 03-01-2006
Registration Deadline 29daysbeore the election.
6. ID Number.Yourcompleted
voterregistrationformmustcontainthenumberofyourArizona driver license, ornonoperatingidenticationlicense issued pursuant to A.R.S.283165,ifthelicenseiscurrentand valid. I you do not havea current and valid Arizonadriverlicenseornonoperatingidenticationlicense,youmustincludethelastfourdigitsof
yoursocialsecuritynumberifone has been issued to you. I youdo not have a current and validdriverlicenseornonoperatingidenticationlicenseorasocialsecuritynumber,pleasewriteNONEontheform.AuniqueidentifyingnumberwillbeassignedbytheSecretaryofState.
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State Instructions
7. Choice of Party. I you areregisteredinapoliticalpartywhichhasqualiedforballotrecognition,youwillbepermittedtovotetheprimaryelectionballotforthatparty.Ifyouareregisteredasan
independent, no party preerenceorasamemberofapartywhichisnotqualiedforballotrecognition,youmayselectandvoteoneprimaryelectionballotforoneoftherecognizedpoliticalparties.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinArizonayoumust:beacitizenoftheUnitedStates
bearesidentofArizonaandyourcountyatleast29daysprecedingthenextelectionbe18yearsoldonorbeforethenextgeneralelectionnothavebeenconvictedoftreason or a elony (or have hadyourcivilrightsrestored)notcurrentlybedeclaredanincapacitated person by a courto law
Mailing address:Secretary o State/Elections1700W.Washington,7thFloorPhoenix,AZ850072888
Arkansas
Updated: 03-01-2006
Registration Deadline 30days
beore the election.
6. ID Number. Yourcompletedvoterregistrationformmustcontain your state issued driver'slicensenumberornonoperatingidenticationnumber.Ifyoudo not have a driver's license ornonoperatingidentication,youmustincludethelastfourdigits
ofyoursocialsecuritynumber.Ifyou do not have a driver's licenseoranonoperatingidenticationorasocialsecuritynumber,pleasewrite"NONE"ontheform.Auniqueidentifyingnumberwillbe
assignedbytheState.7. Choice of Party. Optional. Youdonothavetoregisterwithapartyi you want to take part in thatpartysprimaryelection,caucus,orconvention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinArkansasyoumust:beacitizenoftheUnitedStates
liveinArkansasattheaddressinBox2ontheapplicationbeatleast18yearsoldbeforethenextelectionnotbeaconvictedfelon(orhavecompletelydischargedyoursentenceorbeenpardoned)notclaimtherighttovoteinanyother jurisdictionnotpreviouslybeadjudgedmentallyincompetentbyacourtofcompetentjurisdiction
Mailing address:Secretary o StateVoter ServicesP.O.Box8111LittleRock,AR722038111
California
Updated: 03-01-2006
Registration Deadline 15 daysbeore the election.
6. ID Number. Whenyouregistertovote,youmustprovideyourCaliornia drivers license orCaliforniaidenticationcardnumber,ifyouhaveone.Ifyoudo not have a drivers license or
IDcard,youmustprovidethelastfourdigitsofyourSocialSecurityNumber(SSN).Ifyoudonotincludethisinformation,you will be required to provideidenticationwhenyouvote.
7. Choice of Party. Please enterthenameofthepoliticalpartywithwhichyouwishtoregister.Ifyoudonotwishtoregisterwithanyparty,enterDeclinetoStateinthe space provided.Caliornia law allows voters whodeclinetostateanaliationwithaqualiedpoliticalpartyorwhoaliatewithanonqualiedpoliticapartytovoteintheprimaryelection
ofanyqualiedpoliticalpartythatlesanoticewiththeSecretaryofStateallowingthemtodoso.Youcancall1800345VOTEor visit www.ss.ca.govto learnwhichpoliticalpartiesareallowingnonaliated voters to participate intheirprimaryelection.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinCaliforniayoumust:beacitizenoftheUnitedStatesbearesidentofCaliforniabeatleast18yearsofageatthetimeofthenextelectionnotbeimprisonedoronparoleor the conviction o a elonynotcurrentlybejudgedmentallyincompetentbyacourtoflawSignatureisrequired.Ifyoumeettherequirementslistedabove,pleasesignanddatethe
registrationcardinthespaceprovided.
Mailing address:Secretary o StateElectionsDivision1500 11th StreetSacramento,CA95814
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State Instructions
Colorado
Updated: 03-28-2008
Registration Deadline 29days beore the election. I the
applicationisreceivedinthemailswithoutapostmark,itmustbereceived within 5 days o the closeofregistration.
6. ID Number. Yourcompletedvoterregistrationformmustcontainyour state issued driver's licensenumberoridenticationnumber.I you do not have a driver's licenseorstateissuedidentication,you
mustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou do not have a driver's licenseorastateissuedidenticationorasocialsecuritynumber,pleasewrite"NONE"ontheform.Auniqueidentifyingnumberwillbeassignedby the State.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimary
election, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinColoradoyoumust:beacitizenoftheUnitedStatesbearesidentofColorado30daysprior to the electionbe18yearsoldonorbeforeelection daynotbeconnedasaprisonerorservinganypartofasentenceundermandate
Mailing address:Colorado Secretary o State1700Broadway,Suite270Denver,Colorado80290
Connecticut
Updated: 03-01-2006
Registration Deadline 14daysbeore the election.
6. ID Number. ConnecticutDriver'sLicenseNumber,orifnone,thelastfourdigitsofyourSocialSecurityNumber.7. Choice of Party.isisoptional,butyoumustregisterwith a party i you want to takepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leave
blank.9. Signature.ToregisterinConnecticutyoumust:beacitizenoftheUnitedStatesbearesidentofConnecticutand o the town in which you wishto votebe17yearsold.Youcanvotewhenyouturn18havecompletedconnementandparole if previously convicted of a
felony,andhavehadyourvotingrightsrestoredbyRegistrarsofVoters.notcurrentlybedeclaredmentallyincompetenttovotebyacourtoflaw
Mailing address:Secretary o StateElectionsDivision30TrinityStreetHartford,CT06106
DelawareUpdated: 03-28-2008
Registration Deadline e4thSaturdaybeforeaprimaryorgeneralelection,and10daysbeore a special election.
6. ID Number.Yourcompletedvoterregistrationformmustcontain your state issued driver'slicensenumberornonoperatingidenticationnumber.Ifyoudo not have a driver's license or
nonoperatingidentication,youmustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou do not have a driver's licenseoranonoperatingidenticationorasocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.7. Choice of Party.Youmustregisterwithapartyifyouwantto
takepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinDelawareyoumust:beacitizenoftheUnitedStatesbeapermanentresidentofDelawarebeatleast18yearsoldonthedateofthenextgeneralelectionfelonsareeligibletovoteifcertainrequirementsaremet:nesandsentencecompletedatleastveyearspriortoapplicationdate;felonyconvictionscannotbedisqualifyingfelonies,whicharemurder,sexualoenses,orcrimesagainstpublicadministrationinvolvingbriberyorimproperinfuence or abuse o oce.notbementallyincompetent
Mailing address:CommissionerofElections111S.WestSt.,Suite10Dover,DE19904
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State Instructions
District of Columbia
Updated: 10-29-2003
Registration Deadline 30daysbeore the election.
6. ID Number.Federallawnowrequiresthatallvoterregistrationapplicationsmustincludeeitherthe applicants drivers licensenumberorthelastfourdigitso the applicants social securitynumberinordertobeprocessed.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimary
election, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterintheDistrictofColumbiayoumust:beacitizenoftheUnitedStatesbeaDistrictofColumbiaresidentatleast30daysprecedingthenextelectionbeatleast18yearsoldonorprecedingthenextelection
notbeinjailforafelonyconvictionnothavebeenjudgedmentallyincompetentbyacourtoflawnotclaimtherighttovoteanywhereoutsideD.C.
Mailing address:DistrictofColumbiaBoardofElections & Ethics4414thStreet,NW,Suite250Washington,DC200012745
Florida
Updated: 09-12-2006
Registration Deadline 29daysbeore the election.
6. ID Number. I you have one,youmustprovideyourFloridadriver'slicensenumberorFloridaidenticationcardnumber.IfyoudonothaveaFloridadriver'slicenseoridenticationcard,you
mustprovidethelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group. Youarerequestedtollinthisbox.See the list o choices under theApplicationInstructionsforBox8(onpage2).
9. Signature.ToregisterinFloridayoumust:beacitizenoftheUnitedStatesbealegalresidentofboththeStateofFloridaandofthecountyinwhichyouseektoberegisteredbe18yearsold(youmaypreregisterifyouare17)notnowbeadjudicatedmentallyincapacitatedwithrespecttovotinginFloridaoranyotherStatenothavebeenconvictedofafelonywithoutyourcivilrightshavingbeenrestored pursuant to lawnotclaimtherighttovoteinanother county or stateswearorarmthefollowing:IwillprotectanddefendtheConstitution of the United Statesand the Constitution of the State ofFlorida,thatIamqualiedtoregisteras an elector under the ConstitutionandlawsoftheStateofFlorida,and
thatIamacitizenoftheUnitedStatesandalegalresidentofFlorida
Mailing address:StateofFloridaDepartmentofStateDivisionofElectionseR.A.GrayBuilding500SouthBronoughSt,Rm316Tallahassee,Florida323990250
Georgia
Updated: 03-28-2008
Registration Deadline ehMondaybeforeanygeneral
primary,generalelection,orpresidentialpreferenceprimary,orregularlyscheduledspecialelectiopursuanttotheGeorgiaElectionCode. In the event that a specialelection is scheduled on a dateother that those dates prescribedbytheGeorgiaElectionCode,registrationwouldcloseonthe5thdayaerthecall.
6. ID Number.FederallawrequiresyoutoprovideyourfullGADriverLicensenumberorGAStateissuedIDnumber.IfyoudonothaveaGADriversLicenseorGAIDyoumusprovidethelast4digitsofyourSocialSecuritynumber.ProvidingyourfullSocialSecuritynumberis optional. Your Social Securitynumberwillbekeptcondentialandmaybeusedforcomparison
withotherstateagencydatabasesforvoterregistrationidenticationpurposes. I you do not possessaGADriversLicenseorSocialSecuritynumber,auniqueidentiewill be provided or you.7. Choice of Party. You do nothavetoregisterwithapartytotakpartinthatpartysprimary,caucusor convention.8. Race or Ethnic Group. Youarerequestedtollinthisbox.See the list o choices under theApplicationInstructionsforBox8(onpage2).9. Signature.ToregisterinGeorgiayoumust:beacitizenoftheUnitedStatesbealegalresidentofGeorgiaando the county in which you wantto vote
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State Instructions
be18yearsoldwithinsixmonthsaerthedayofregistration,andbe18yearsoldtovotenotbeservingasentenceforhavingbeenconvictedofafelonynothavebeenjudicially
determinedtobementallyincompetent,unlessthedisabilityhasbeenremoved
Mailing address:ElectionsDivisionOce o the Secretary o State1104WestTower2MartinLutherKing,Jr.Dr.SEAtlanta,GA303341505
Hawaii
Updated: 03-01-2006
Registration Deadline 30daysbeore the election.
6. ID Number. Your ull socialsecuritynumberisrequired.Itis used to prevent raudulentregistrationandvoting.Failure
tofurnishthisinformationwill prevent acceptance o thisapplication (Hawaii RevisedStatutes,Section1115).7. Choice of Party.Achoiceofparty is not required or voterregistration.8. Race or Ethnic Group. Race orethnicgroupinformationisnotrequiredforvoterregistration.9. Signature.ToregisterinHawaii
youmust:beacitizenoftheUnitedStatesbearesidentoftheStateofHawaiibeatleast16yearsold(youmustbe18yearsoldbyelectiondayinordertovote)
notbeincarceratedforafelonyconvictionnotbeadjudicatedbyacourtasnoncomposmentis
Mailing address:
Oce o ElectionsState o Hawaii802LehuaAvenuePearlCity,HI96782
Idaho
Updated: 03-01-2006
Registration Deadline 25 daysbeore the election.6. ID Number. Enter your driver'slicensenumber.Ifyouhavenodriver'slicense,enterthelast4digitsofyoursocialsecuritynumber.7. Choice of Party. You do not havetoregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinIdaho
youmust:beacitizenoftheUnitedStateshaveresidedinIdahoandinthecountyfor30dayspriortothedayo electionbeatleast18yearsoldnothavebeenconvictedofafelony,andwithouthavingbeenrestoredtotherightsofcitizenship,orconnedinprisononconvictionofacriminaloense
Mailing address:Secretary o StateP.O.Box83720StateCapitolBldg. Boise,ID837200080
Illinois
Updated: 03-01-2006
Registration Deadline 28daysprior to each election.
6. ID Number. Your driverslicensenumberisrequiredtoregistertovote.Ifyoudonothavea drivers license, at least the lastfourdigitsofyoursocialsecuritynumberarerequired.Ifyouhaveneither,pleasewriteNONEontheform.AuniqueidentierwillbeassignedtoyoubytheState.7. Choice of Party.Partyregistration
or preference is not required forvoterregistration.However,whenyouapplyforaprimaryballot,youmustindicateyourpartypreferencefor that election.8. Race or Ethnic Group.Leaveblank.9. Signature.Asignatureisrequired.Ifsignatureismissingfromregistrationform,youwillbenotiedyourregistrationis
incomplete.ToregisterinIllinoisyoumust:beacitizenoftheUnitedStatesbearesidentofIllinoisandofyourelectionprecinctatleast30daysbeforethenextelectionbeatleast18yearsoldonorbeforethenextelectionnotbeinjailforafelonyconvictionnotclaimtherighttovoteanywhere else
Mailing address:StateBoardofElections1020S.SpringStreetSpringeld,IL62704
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State Instructions
Indiana
Updated: 03-01-2006
Registration Deadline 29daysbeore the election.
6. ID Number.YourstatevoterIDnumberisyourtendigitIndianaissueddriver'slicensenumber.Ifyoudo not possess an Indiana driver'slicense then provide the last ourdigitsofyoursocialsecuritynumber.Pleaseindicatewhichnumberwasprovided.(IndianaCode371313)7. Choice of Party.Leaveblank.8. Race or Ethnic Group.Leave
blank.9. Signature.ToregisterinIndianayoumust:beacitizenoftheUnitedStateshaveresidedintheprecinctatleast30daysbeforethenextelectionbeatleast18yearsofageonthedayofthenextgeneralelectionnotcurrentlybeinjailforacriminalconviction
Mailing address:ElectionDivisionOce o the Secretary o State302WestWashingtonStreet,RoomE204Indianapolis,IN462042743
Iowa
Updated: 03-28-2008
Registration Deadline Must bedeliveredby5p.m.10daysbeforetheelection,ifitisastateprimaryorgeneralelection;11daysbeforeallothers.*Registrationformswhicharepostmarked15ormoredaysbeforeanelectionareconsideredontimeevenifreceivedaerthedeadline.
*Ifyoufailtomeetthevoterregistrationdeadlinesaboveyoucanregisterandvotebyfollowingtheguidelinesforelectiondayregistration.Youcanndtheseon the Iowa Secretary o States
website: http://www.sos.state.ia.us/pdfs/elections/EDRbrochure.pdf.
6. ID Number.YourIDnumberisyourIowadriver'slicensenumber(orIowanondriveridenticationnumber)ifyouhaveone,ifnotthenthelastfourdigitsofyoursocialsecuritynumber.eIDnumberyouprovidewillbeveriedwiththeIowaDepartment
o Transportation or the SocialSecurityAdministration.7. Choice of Party.Youmay,butdonothaveto,registerwithapartyin advance i you want to take partinthatpartysprimaryelection.Youmaychangeordeclareapartyaliationatthepollsonprimaryelection day.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinIowayoumust:beacitizenoftheUnitedStatesbearesidentofIowabeatleast171/2yearsold(youmustbe18tovote)nothavebeenconvictedofafelony(orhavehadyourrightsrestored)notcurrentlybejudgedbyacourttobe"incompetenttovote"notclaimtherighttovotein
morethanoneplacegiveupyourrighttovoteinanyother place
Mailing address:ElectionsDivisionOce o the Secretary o StateLucasBuilding1stFloor321E.12thStreetDesMoines,IA50319
Kansas
Updated: 03-01-2006
Registration Deadline Postmarkedordelivered15daysbeore the election.
6. ID Number.Yourcompletedvoterregistrationformmustcontain your state issued driver'slicensenumberornondriver'sidenticationcardnumber.Ifyoudo not have a driver's license ornondriver'sidenticationcard, youmustincludethelastfourdigitsofyoursocialsecuritynumber.If
you do not have a driver's licenseor a nondriver'sidenticationcardorsocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.enumberyou provide will be used oradministrativepurposesonlyandwill not be disclosed to the public.(KSA252309).7. Choice of Party.Youmust
registerwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinKansasyoumust:beacitizenoftheUnitedStatesbearesidentofKansasbe18bythenextelectionhavecompletedthetermsofyoursentenceifconvictedofafelony;apersonservingasentenceforafelonyconvictionisineligibletovotenotclaimtherighttovoteinanyother location or under any othernamenotbeexcludedfromvotingformentalincompetencebyacourtocompetentjurisdiction
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State Instructions
Mailing address:Secretary o State1stFloor,MemorialHall 120SW10thAve.Topeka,KS666121594
Kentucky
Updated: 03-01-2006
Registration Deadline 29daysbeore the election.
6. ID Number. Your ull socialsecuritynumberisrequired.Itisusedforadministrativepurposesonly and is not released to the
public(KRS116.155).Nopersonshallbedeniedtherighttoregisterbecause o ailure to include socialsecuritynumber.7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.Toregisterin
Kentuckyyoumust:beacitizenoftheUnitedStatesbearesidentofKentuckybearesidentofthecountyforatleast28dayspriortotheelectiondatebe18yearsofageonorbeforethenextgeneralelectionnotbeaconvictedfelonorifyouhave been convicted o a elony,yourcivilrightsmusthavebeenrestoredbyexecutivepardon
nothavebeenjudgedmentallyincompetentinacourtoflawnotclaimtherighttovoteanywhere outside Kentucky
Mailing address:StateBoardofElections140WalnutStreetFrankfort,KY406013240
Louisiana
Updated: 03-01-2006
Registration Deadline 30daysbeore the election.
6. ID Number. YoumustprovideyourLouisianadriver'slicensenumber,ifissued.Ifnotissued,youmustprovideatleastthelastfourdigitsofyoursocialsecuritynumber,ifissued.efullsocialsecuritynumbermaybeprovidedonavoluntarybasis.NeithertheregistrarnortheDepartmento State shall disclose the social
securitynumberofaregisteredvoter or circulate the socialsecuritynumbersofregisteredvotersoncommerciallists(R.S.18:104and154;42U.S.C.405).7. Choice of Party. I you do notlist a party aliation, you cannotvote in the Presidential PreerencePrimaryandpartycommitteeelections. Political party aliation isnot required or any other election.
8. Race or Ethnic Group. Youarerequestedtollinthisbox.See the list o choices under theApplicationInstructionsforBox8(onpage2).9. Signature.ToregisterinLouisianayoumust:beacitizenoftheUnitedStatesbearesidentofLouisiana.Residenceaddressmustbeaddresswhereyouclaimhomesteadexemption,ifany.beatleast17yearsold,andbe18yearsoldpriortothenextelectionto votenotcurrentlybeunderanorderofimprisonmentforconvictionofa elonynotcurrentlybeunderajudgmentofinterdictionformentalincompetence
Mailing address:Secretary o StateAttention:VoterRegistrationP.O.Box94125BatonRouge,LA708049125
Maine
Updated: 03-01-2006
Registration Deadline Delivered10 business days beore the election(oravotermayregisterin-person uptoandincludingelectionday).
6. ID Number. Youmustlistyour valid Maine driver's license
number.Ifyoudon'thaveavalidMaine driver's license, then youmustprovidethelastfourdigitsofyourSocialSecurityNumber.Voters who don't have either otheseformsofIDmustwrite"NONE"inthisspace.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention
(unlessotherwisepermittedbyapoliticalparty).8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMaineyoumust:beacitizenoftheUnitedStatesbearesidentofMaineandthemunicipalityinwhichyouwant to votebeatleast17yearsold(youmust
be18yearsoldtovote)
Mailing address:ElectionsDivisionBureauofCorporations,ElectionsandCommissions101 State House StationAugusta,ME043330101
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State Instructions
Maryland
Updated: 06-26-2008
Registration Deadline 9:00p.m.21daysbeforetheelection.
6. ID Number. I you have acurrent, valid Maryland driverslicense or a Motor VehicleAdministrationidenticationcard,youmustenterthedriverslicenseoridenticationnumber.Ifyoudonot have a current, valid Marylanddrivers license or Motor VehicleAdministrationidenticationcard,youmustenteratleastthe
last4digitsofyoursocialsecuritynumber.However,pleasenote,the disclosure o your ull SocialSecuritynumberisvoluntary.estatutoryauthorityallowingelectionocials to request your ull SocialSecuritynumberisElectionLawArticle,Section3202,AnnotatedCodeofMaryland.enumberwillbeusedonlyforregistrationandotheradministrativepurposes.It
willbekeptcondential.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMarylandyoumust:beaU.S.citizenbeaMarylandresidentbeatleast18yearsoldbythenextgeneralelectionnotbeunderguardianshipformentaldisabilitynothavebeenconvictedofbuyingorsellingvotesnothavebeenconvictedofaelony, or i you have, you havecompletedservingacourtorderedsentenceofimprisonment,
includinganytermofparoleorprobation or the conviction.
Mailing address:StateBoardofElectionsP.O.Box6486
Annapolis,MD214010486
Massachusetts
Updated: 03-01-2006
Registration Deadline 20 daysbeore the election.
6. ID Number.Federallawrequires that you provide your
driverslicensenumbertoregisterto vote. I you do not have acurrent and valid Massachusettsdriverslicensethenyoumustprovidethelastfour(4)digitsofyoursocialsecuritynumber.Ifyouhaveneither,youmustwriteNONEintheboxandauniqueidentifyingnumberwillbeassignedtoyou.7. Choice of Party. I you do
notdesignateapartyofpoliticaldesignationinthisbox,youwillberegisteredasunenrolled.Unenrolledvotersmayparticipateinpartyprimaries.However,anunenrolledvotermustenrollinaparty on the day o the PresidentialPreferencePrimaryinordertoparticipateinthatprimary.8. Race or Ethnic Group.Leaveblank.
9. Signature.ToregisterinMassachusettsyoumust:beacitizenoftheUnitedStatesbearesidentofMassachusettsbe18yearsoldonorbeforethenextelectionnothavebeenconvictedofcorrupt practices in respect toelections
notbeunderguardianshipwithrespecttovotingnotbecurrentlyincarceratedfora elony conviction
Mailing address:
SecretaryoftheCommonwealthElectionsDivision,Room1705One Ashburton PlaceBoston,MA02108
Michigan
Updated: 03-01-2006
Registration Deadline 30daysbeore the election.
6. ID Number. Yourcompletedvoterregistrationformmustcontain your state issued driver'slicensenumberorstateissuedpersonalidenticationcardnumber.Ifyoudonothaveadriver's license or state issuedpersonalidenticationcard,youmustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou
do not have a driver's license or astateissuedpersonalidenticationcardorasocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.7. Choice of Party. A"choiceofparty"isnotrequiredforvoterregistration.8. Race or Ethnic Group.Leaveblank.
9. Signature.ToregisterinMichiganyoumust:beacitizenoftheUnitedStatesbe18yearsoldbythenextelectionbearesidentofMichiganandatleasta30dayresidentofyourcityor township by election daynotbeconnedinajailaerbeingconvictedandsentenced
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State Instructions
Notice:Michiganlawrequiresthatthesameaddressbeusedforvoterregistrationanddriverlicensepurposes.erefore,iftheresidenceaddressyouprovideonthisformdiersfromtheaddressshown
on a driver license or personalidenticationcardissuedbytheStateofMichigan,theSecretaryofStatewillautomaticallychangeyour driver license or personalidenticationcardaddresstomatchthe residence address entered onthisform.Ifanaddresschangeismade,theSecretaryofStatewillmailyouanaddressupdatestickeror your driver license or personal
identicationcard.Caution:Ifyouregisterbymail,youmustvoteinpersonatyourassignedprecinctthersttimeyouvote, unless you are:
disabledasdenedbystatelaw; 60yearsofageorolder;or temporarilyresidingoverseas.
Mailing address:MichiganDepartmentofState BureauofElectionsP.O.Box20126Lansing,MI489010726
Minnesota
Updated: 12-31-2008
Registration Deadline Deliveredby5:00p.m.21daysbeore the election (there is alsoelectiondayregistrationatpollingplaces).
6. ID Number. You are requiredto provide your Minnesota driverslicenseorstateIDnumbertoregistertoVote.Ifyoudonothavea Minnesota drivers license or stateIDthenyouwillhavetoprovide
thelastfourdigitsofyoursocialsecuritynumber.Ifyouhaveneither,pleasewritenoneontheform.7. Choice of Party. Leaveblank.8. Race or Ethnic Group. Leaveblank.
9. Signature. ToregisterinMinnesotayoumust:beacitizenoftheUnitedStatesbearesidentofMinnesotafor20daysbeforethenextelectionmaintainresidenceattheaddressgivenontheregistrationformbeatleast18yearsoldonelection dayifpreviouslyconvictedofafelony,yourfelonysentencehasexpiredor
beencompleted,oryouhavebeendischargedfromthesentencenotbeunderacourtorderedguardianshipinwhichtherighttovote has been revokednotbefoundbyacourttobelegallyincompetenttovote.
Mailing address:Secretary o State60EmpireDrive,Suite100 St.Paul,MN551031855
Mississippi
Updated: 05-07-2010
Registration Deadline 30daysbeore the election.
6. ID Number. You are requiredto provide your current and validdriver'slicensenumberor,ifyoudonthaveone,thelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party. Mississippidoesnothavepartyregistration.erefore,youdonothavetoregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.
8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinMississippiyoumust:beacitizenoftheUnitedStateshavelivedinMississippiandin
yourcounty(andcity,ifapplicable)30daysbeforetheelectioninwhich you want to votebe18yearsoldbythetimeofthegeneralelectioninwhichyouwantto votehavenotbeenconvictedofmurder,rape,bribery,the,arson,obtainingmoneyorgoodsunderfalsepretense,perjury,forgery,embezzlement,armedrobbery,
extortion,felonybadcheck,felonyshopliing,larceny,receivingstolenproperty,robbery,timberlarceny,unlawfultakingofamotorvehicle,statutoryrape,carjacking,orbigamy,orhavehadyourrightsrestored as required by lawnothavebeendeclaredmentallyincompetentbyacourtNote:Statelawchangedbyfederalcourtorderin1998andbystatelegislationin2000.Wenowaccepttheformasregistrationforvotingor all state and ederal oces.
Mailing address:Secretary o StateP.O.Box136Jackson,MS392050136
Local county addresses: Youalsomayreturncompleted
applications to the county
circuitclerk/registrarwhereyoureside.Acompletelistofcountycircuitclerk/registrarsis available on Mississippiswebsiteatwww.sos.ms.gov.
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State Instructions
Missouri
Updated: 09-12-2006
Registration Deadline 28daysbeore the election.
6. ID Number. Yourcompletedvoterregistrationformmustcontain your state issued driver'slicensenumber.Yourcompletedvoterregistrationformmustalsoincludethelastfourdigitsofyoursocialsecuritynumber.(Section115.155,RSMo).Ifyoudo not have a driver's license orasocialsecuritynumber,please
write"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.Anyelectronicmedia,printoutsormailinglabelsprovidedunderthissection shall not include telephonenumbersandsocialsecuritynumbersofvoters.(Section115.157,RSMo).7. Choice of Party. You do not havetoregisterwithapartyifyouwant
totakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group. Leaveblank.9. Signature. To vote in Missouriyoumust:isangmamamayanngEstadosUnidosbeacitizenoftheUnitedStatesbearesidentofMissouribeatleast171/2yearsofage(youmustbe18tovote)notbeonprobationorparoleaerconvictionofafelony,untilnallydischargedfromsuchprobation or parolenotbeconvictedofafelonyormisdemeanorconnectedwiththerightofsuragenotbeadjudgedincapacitatedbyany court o law
notbeconnedunderasentenceofimprisonment
Mailing address:Secretary o StateP.O.Box1767
JeersonCity,MO651021767
Montana
Updated: 03-01-2006
Registration Deadline 30daysbeore the election.
6. ID Number. Youmustprovideyour Montana driver's license
number.Ifyoudo not have aMontanadriver'slicensenumberthenyoumustlisttheLASTFOURDIGITSOFYOURSOCIALSECURITYNUMBER.Ifyouhave neither a driver's license, norasocialsecuritynumber,pleasewriteNONEontheform.estateofMontanawillassigntoyouauniqueidentifyingnumber.7. Choice of Party. Montana does
notrequirepartyregistrationtoparticipate in any election.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinMontanayoumust:beacitizenoftheUnitedStatesbeatleast18yearsoldonorbeore the electionbearesidentofMontanaandofthe county in which you want tovoteforatleast30daysbeforethenextelectionnotbeinapenalinstitutionforaelony convictionnotcurrentlybedeterminedbyacourttobeofunsoundmindmeetthesequalicationsbythenextelectiondayifyoudonotcurrentlymeetthem
Mailing address:Secretary o States OceP.O.Box202801State CapitolHelena,MT596202801
Nebraska
Updated: 03-01-2006
Registration Deadline ethirdFridaybeforetheelection(ordeliveredby6p.m.onthesecondFridaybeforetheelection)
6. ID Number. YoumustprovideyourNebraskadriver'slicense
number.Ifyoudo not have aNebraskadriver'slicensenumberthenyoumustlistthelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.
9. Signature. ToregisterinNebraskayoumust:beacitizenoftheUnitedStatesbearesidentofNebraskabeatleast18yearsofageorwillbe18yearsofageonorbeforetherstTuesdayaertherstMondayofNovembernothavebeenconvictedofaelony, or i convicted, have hadyourcivilrightsrestorednothavebeenociallyfoundtobementallyincompetent
Mailing address:NebraskaSecretaryofStateSuite2300,StateCapitolBldg. Lincoln,NE685094608
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State Instructions
Nevada
Updated: 05-07-2010
Registration Deadline edeadlineformailinregistration
isthehSaturdaybeforeanyprimaryorgeneralelection.Inpersonregistrationremainsavailableuntil9:00p.m.onthethirdTuesdayprecedinganyprimaryorgeneralelection.YoumayregistertovoteinpersononlybyappearingattheoceoftheCountyClerk/RegistrarofVoters.
6. ID Number. You must supply a
NevadasDriversLicenseNumberorNevadaIDCardNumberi youhave been issued one. I you do nothaveaDriversLicenseNumberorNevadaIDCardNumber,youmustsupplythelastfourdigitsofyourSocialSecurityNumber.Ifyou do not have a Social SecurityNumber,pleasecontactyourCountyClerk/RegistrarofVoterstobeassignedauniqueidentier.
7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention. If
youregisterwithaminorpoliticalparty,orasaNonpartisanyouwillreceiveaNonpartisanBallotforthePrimaryElection.8. Race or Ethnic Group.Leaveblank.
9. Signature.ToregisterinNevadayoumust:beacitizenoftheUnitedStateshaveattainedtheageof18yearsonthedateofthenextelectionhavecontinuouslyresidedintheStateofNevada,inyourcounty,atleast 30 days and in your precinctatleast10daysbeforethenextelection
haveyourcivilrightsrestoredifyou were convicted o a elonynotbedeterminedbyacourtoflawtobementallyincompetentclaimnootherplaceasyourlegalresidence
Mailing address:Secretary o StateElectionsDivision101NorthCarsonStreetSuite 3CarsonCity,NV897014786
Applicationsmaybereturnedtothe Secretary o States ofce atthe address above, but to avoid
possible delays, you are advisedtoreturnyourcompletedvoterregistrationapplicationsdirectlytoyour local county election ofcial.
Local county addresses: Tomeetregistrationdeadlines,especiallyduringthetwoweeksbeforethecloseofthemailinregistrationdeadline,returncompletedapplicationstoyour respective County Clerk/RegistrarofVoters.AcompletelistofCountyClerk/RegistrarofVotersandregistrationdeadlinesisavailableonNevadaswebsite:www.nvsos.gov.
New Hampshire
Updated: 03-01-2006
Registration Deadline NewHampshiretownandcityclerkswill accept this application only asa request or their own absenteevotermailinregistrationform,whichmustbereceivedbyyourcity or town clerk by 10 days beorethe election.
NewHampshiretownandcityclerks will accept this applicationonly as a request or their ownabsenteevotermailinregistrationform.YouneedtollinonlyBox1andBox2or3.
eapplicationshouldbemailedto your town or city clerk at yourzipcode.eseaddressesarelisted on the Secretary o Stateweb site at http://www.state.nh.us/sos/clerks.htm
Itshouldbemailedinplentyoftimeforyourtownorcityclerktomailyoutheirownformandfor
youtoreturnthatformtothemby10 days beore the election.
New Jersey
Updated: 03-28-2008
Registration Deadline 21 daysbeore the election.
6. ID Number. elastfourdigits
ofyourSocialSecuritynumberORyourNewJerseyDriver'sLicensenumberisrequiredforvoterregistration.Ifyoudonotpossesseitheroftheseidentications,pleasewrite"NONE"ontheform.eStatewillassignanumberthawill serve to identiy you or voterregistrationpurposes.7. Choice of Party. NewJersey'svoterregistrationformdoesnotprovideacheckoforpoliticalpartyaliation.Anewlyregisterevoter or voter who has never votedinapoliticalpartyprimaryelectiocan declare party afliation atthepollingplaceonthedayofaprimaryelection.InNewJersey,aprimaryelectionisonlyheldfortheDemocraticandRepublicanparties.Avotermayalsolea
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State Instructions
politicalpartydeclarationformtobecomeamemberofapoliticalparty. I a declared voter wishedtochangepartyaliationheorshemustleadeclarationform50daysbeforetheprimaryelection,
in order to vote.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinNewJerseyyoumust:beacitizenoftheUnitedStatesbeatleast18yearsofagebythetimeofthenextelectionbearesidentofthisStateandcounty at your address at least 30daysbeforethenextelection
notbeservingasentenceoronparole or probation as the resulto a conviction o any indictableoenseunderthelawsofthisoranother state or o the United States
Mailing address:NewJerseyDepartmentofLawand Public SaetyDivisionofElectionsPOBOX304Trenton,NJ086250304
New Mexico
Updated: 03-01-2006
Registration Deadline 28daysbeore the election.
6. ID Number. Your ull socialsecuritynumberisrequired.isregistrationcardcontainingyoursocialsecuritynumberwillbecomepartofthepermanentvoterregistrationrecordsofyour locality, which are opento inspection by the public inthe ofce o the county clerk.However, your social securitynumberanddateofbirthwillremaincondentialandwill
not be disclosed to the public.Computerizedlistingsoflimitedvoterregistrationinformation(withoutsocialsecuritynumberorbirthdate)areavailabletothegeneralpublic,andare
urnished upon request toincumbentelectionoceholders,candidates, political parties, courtsandnonprotorganizationspromotingvoterparticipationandregistration,forpoliticalpurposesonly(1519B,NMSA1978).7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.
8. Race or Ethnic Group. Leaveblank.9. Signature.ToregisterinNewMexicoyoumust:beacitizenoftheUnitedStatesbearesidentoftheStateofNewMexicobe18yearsofageatthetimeofthenextelectionnothavebeendeniedtherightto vote by a court o law by reasonofmentalincapacityand,ifIhave been convicted o a elony, Ihavecompletedallconditionsofprobation or parole, served theentirety o a sentence or have beengrantedapardonbytheGovernor.
Mailing address:BureauofElections325DonGaspar,Suite300 SantaFe,NM87503
New York
Updated: 03-01-2006
Registration Deadline 25daysbeore the election.
6. ID Number. Federallawrequiresthat you provide your drivers
licensenumbertoregistertovote.I you do not have a drivers licensethen you will have to provide at leasthelastfourdigitsofyoursocialsecuritynumber.IfyouhaveneitherpleasewriteNONEontheform.
AuniqueidentifyingnumberwillbassignedtoyoubyyourState.7. Choice of Party. Youmustenroll with a party i you wanttovoteinthatpartysprimaryelection or caucus.8. Race or Ethnic Group. Leaveblank.9. Signature.ToregisterinNewYorkyoumust:beacitizenoftheUnitedStates
bearesidentofthecounty,oroftheCityofNewYork,atleast30days beore an electionbe18yearsoldbyDecember31oftheyearinwhichyoulethisform(Note:Youmustbe18yearsoldbythedateofthegeneral,primary,orotherelectioninwhichyouwanttovote)notbeinjailoronparoleforaelony convictionnotcurrentlybejudgedincompetentbyorderofacourtofcompetentjudicialauthoritynotclaimtherighttovoteelsewhere
Mailing address:NYSBoardofElections40SteubenStreetAlbany,NY122072108
North Carolina
Updated: 03-01-2006
Registration Deadline Postmarked25daysbeforethe election or received in theelectionsoceordesignatedvoterregistrationagencysiteby5:00p.m25daysbeforetheelection.
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State Instructions
6. ID Number. ProvideyourNorthCarolinadriverslicensenumber,orNorthCarolinaDepartmentofMotorVehiclesIDnumber.Ifyou do not have a driver's license,thenlistthelastfourdigitsofyour
socialsecuritynumber.7. Choice of Party.Youmustregisterwithapartytovoteinthatpartysprimaryunlessthatpartyallows unafliated voters to voteinitsprimary.Ifyouindicateapoliticalpartythatisnotaqualiedparty, or indicate no party, you willbelistedasUnaliated.8. Race or Ethnic Group. Youarerequiredtollinthisbox.
However, your application willnot be rejected i you ail to do so.See the list o choices under theApplicationInstructionsforBox8(onpage2).9. Signature. ToregisterinNorthCarolinayoumust:beacitizenoftheUnitedStatesbearesidentofNorthCarolinaand the county in which you live orat least 30 days prior to the electionbe18yearsofagebythedayofthenextgeneralelectionhaveyourrightsofcitizenshiprestored i you have been convictedo a elonynotberegisteredorvoteinanyother county or state
Mailing address:StateBoardofElectionsP.O.Box27255Raleigh,NC276117255
North Dakota
Updated: 03-01-2006
NorthDakotadoesnothavevoterregistration.
Ohio
Updated: 03-01-2006
Registration Deadline 30 daysbeore the election.
6. ID Number. Your social securitynumberisrequested.Providingthisnumberisvoluntary.TisinformationallowstheBoardofElectionstoverifyyourregistrationifnecessary(O.R.C.3503.14).[Federallaw requires that you provide yourdriverslicensenumbertoregisterto vote. I you do not have a driverslicense then you will have to provide
atleastthelastfourdigitsofyoursocialsecuritynumber.IfyoudonthaveeithernumberyouwillhavetowriteNONEontheformandtheStatewillassignyouanumber.]7. Choice of Party. You do notregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection. Party afliation is establishedbyvotingataprimaryelection.8. Race or Ethnic Group. Leave
blank.9. Signature. ToregisterinOhioyoumust:beacitizenoftheUnitedStatesbearesidentofOhiobe18yearsoldonorbeforeelectionday.Ifyouwillbe18onorbeforethedayofthegeneralelection,youmayvoteintheprimaryelectionforcandidatesonly.notbeconvictedofafelonyandcurrently incarceratednotbefoundincompetentbyacourtforpurposesofvoting
Mailing address:Secretary o State o OhioElectionsDivision180E.BroadStreet15thFlooColumbus,OH43215
Oklahoma
Updated: 10-29-2003
Registration Deadline 25daysbeore the election.
6. ID Number.elastfourdigitsofyoursocialsecuritynumberarerequired.(OklahomaTitle26,Section4112)Inaddition,your
Oklahomadriverslicensenumberis requested.7. Choice of Party.Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinOklahomayoumust:beacitizenoftheUnitedStates
and a resident o the State oOklahomabe18yearsoldonorbeforethedateofthenextelectionhavenotbeenconvictedofafelony,forwhichaperiodoftimeequaltotheoriginalsentencehasnotexpired,orforwhichyouhavenot been pardonednotnowbeunderjudgmentasanincapacitated person, or a partiallyincapacitated person prohibitedfromregisteringtovote
Mailing address:OklahomaStateElectionBoardBox528800OklahomaCity,OK731528800
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Oregon
Updated: 03-01-2006
Registration Deadline 21 daysbeore the election.
6. ID Number. Federallawrequiresthat you provide your driverslicensenumbertoregistertovote.I you do not have a drivers licensethen you will have to provide atleastthelastfourdigitsofyoursocialsecuritynumber.Ifyouhaveneither, you will need to writeNONEontheform.Auniqueidentifyingnumberwillinsteadbe
assignedtoyoubyyourState.7. Choice of Party. Youmustregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinOregonyoumust:beacitizenoftheUnitedStatesbearesidentofOregon
beatleast18yearsoldbyelection day
Mailing address:Secretary o StateElectionsDivision141StateCapitolSalem,OR973100722
Pennsylvania
Updated: 03-01-2006
Registration Deadline 30daysbeforeanelectionorprimary.
6. ID Number. YoumustsupplyaDriver'sLicenseNumber,ifyouhave one. I you do not have aDriver'sLicenseNumber,youmustsupply the lastfourdigits o your
socialSecurityNumber.IfyoudonothaveaSocialSecurityNumber,pleasewriteNONEinthebox.7. Choice of Party.Youmustregisterwith a party i you want to take partinthatpartysprimaryelection.
8. Race or Ethnic Group. Youarerequestedtollinthisbox.See the list o choices under theApplicationInstructionsforBox8(onpage2).9. Signature. ToregisterinPennsylvaniayoumust:beacitizenoftheUnitedStatesatleastonemonthbeforethenextelectionbearesidentofPennsylvaniaand
yourelectiondistrictatleast30days beore the electionbeatleast18yearsofageonthedayofthenextelection
Mailing address:Oce o the Secretary otheCommonwealth 210NorthOceBldg.Harrisburg,PA171200029
Rhode IslandUpdated: 03-28-2008
Registration Deadline 30daysbeore the election.
6. ID Number.eapplicantshall be required to provide his/her Rhode Island driver's licensenumberiftheapplicanthasbeenissued a current and valid RhodeIsland driver's license. In the caseo an applicant who has not beenissued a current and valid driver'slicensehe/shemustprovidethelastfour(4)digitsofhis/hersocialsecuritynumber.Anapplicant,whohasneither,willbeassignedauniqueidentifyingnumberbytheState o Rhode Island.
7. Choice of Party. In Rhode Islandapersonmustregisterwithapartyi he/she wishes to take part in thatparty'sprimaryelection.Apersonwhofailstoregisterwithapartyatthetimeofregistrationmay,ifhe/
shechooses,registerwithapartyonthedayofthatparty'sprimaryandtakepartinthatparty'sprimarelection. I a person does notregisterwithaparty,he/shecanstillvoteingeneralelectionsandnonpartisanprimaryelections.8. Race or Ethnic Group. Leaveblank.9. Signature. ToregisterinRhodeIslandyoumust:
beacitizenoftheUnitedStatesbearesidentofRhodeIslandfor30daysprecedingthenextelectionbe18yearsoldbyelectiondaynotbecurrentlyincarceratedinacorrectional acility due to a elonyconvictionnothavebeenlawfullyjudgedtobementallyincompetent
Mailing address:RhodeIslandStateBoardofElections50BranchAve.Providence,RI029042790
South Carolina
Updated: 03-01-2006
Registration Deadline 30daysbeore the election.
6. ID Number. Your ull socialsecuritynumberisrequired.Itisrequired by the South CarolinaCodeofLawsandisusedforinternal purposes only. Socialsecuritynumberdoesnotappearon any report produced by theStateElectionCommissionnoris it released to any unauthorized
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individual. (South Carolina Title75170)7. Choice of Party. You do not havetoregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.
8. Race or Ethnic Group. You arerequiredtollinthisbox.Yourapplicationmayberejectedifyouail to do so. See the list o choicesunder the Application InstructionsforBox8(onpage2).9. Signature.ToregisterinSouthCarolinayoumust:beacitizenoftheUnitedStatesbeatleast18yearsoldonorbeforethenextelection
bearesidentofSouthCarolina,your county and precinctnotbeconnedinanypublicprisonresultingfromaconvictionofacrimeneverhavebeenconvictedofafelonyoroenseagainsttheelection laws, or i previouslyconvicted, have served your entiresentence,includingprobationorparole, or have received a pardonor the convictionnotbeunderacourtorderdeclaringyoumentallyincompetentclaimtheaddressontheapplicationasyouronlylegalplaceofresidenceandclaimnootherplaceasyourlegalresidence
Mailing address:StateElectionCommissionP.O.Box5987
Columbia,SC292505987
South Dakota
Updated: 03-01-2006
Registration Deadline Received15daysbeforetheelection.
6. ID Number. Your drivers licensenumberisrequested.Ifyoudonothave a valid driver's license, youmustprovidethelastfourdigitsofyoursocialsecuritynumber.7. Choice of Party.Youmust
registerwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinSouthDakotayoumust:beacitizenoftheUnitedStatesresideinSouthDakotabe18yearsoldbythenextelection
notbecurrentlyservingasentence or a elony convictionwhichincludedimprisonment,served or suspended, in an adultpenitentiarysystemnothavebeenadjudgedmentallyincompetentbyacourt
Mailing address:Elections, Secretary o State500E.CapitolPierre,SD575015070
Tennessee
Updated: 03-01-2006
Registration Deadline 30 daysbeore the election.
6. ID Number. Your full socialsecuritynumberisrequired.Socialsecuritynumber,ifany,isrequiredforpurposesofidenticationandtoavoidduplicateregistration(TCA2.2.116).7. Choice of Party. You do nothavetoregisterwithapartyifyouwant to take part in that partysprimaryelection,caucus,orconvention.8. Race or Ethnic Group. Optional.
9. Signature.ToregisterinTennesseeyoumust:beacitizenoftheUnitedStatesbearesidentofTennesseebeatleast18yearsoldonorbeforethenextelection
nothavebeenconvictedofaelony, or i convicted, have hadyourfullrightsofcitizenshiprestored(orhavereceivedapardonnotbeadjudicatedincompetentbyacourtofcompetentjurisdiction (or have been restoredtolegalcapacity)
Mailing address:Coordinator o Elections
TennesseeTower,NinthFloor312EighthAvenue,NorthNashville,TN37243
Texas
Updated: 03-01-2006
Registration Deadline 30 daysbeore the election.
6. ID Number.Youmustprovideyourdriverslicensenumbertoregistertovote.Ifyoudonothaveadrivers license then you will have toprovideatleastthelastfourdigitsoyoursocialsecuritynumber.Ifyouhaveneither,pleasewriteNONEontheform.Auniqueidentifyingnumberwillinsteadbeassignedtoyou by your State.7. Choice of Party. You do not havetoregisterwithapartyifyouwanttotakepartinthatpartysprimaryelection, caucus, or convention.8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinTexasyoumust:beacitizenoftheUnitedStates
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bearesidentofthecountyin which the application orregistrationismadebeatleast17yearsand10monthsold(youmustbe18tovote)notbenallyconvictedofa
elony, or i a convicted elon,youmusthavefullydischargedyourpunishment,includinganyincarceration, parole, supervision,period o probation or be pardoned.havenotbeendeclaredmentallyincompetentbynaljudgmentofacourt o law
Mailing address:Ofce o the Secretary o State
ElectionsDivisionP.O.Box12060Austin,TX787112060
Utah
Updated: 03-28-2008
Registration Deadline 30 daysbeforetheelectionformailinapplications;15daysbeforethe
electionforwalkinregistrationsatthe county clerks ofce.
6. ID Number.Yourcompletedvoterregistrationformmustcontain your state issued driver'slicensenumberornonoperatingidenticationnumber.Ifyoudo not have a driver's license ornonoperatingidentication,youmustincludethelastfourdigitsofyoursocialsecuritynumber.Ifyou do not have a driver's licenseoranonoperatingidenticationorasocialsecuritynumber,pleasewrite"NONE"ontheform.AuniqueidentifyingnumberwillbeassignedbytheState.7. Choice of Party.Declaringaparty is not required in order toregistertovote.However,Utah's
election law allows each politicalpartytochoosewhomitwillallowtovoteinitsprimaryelection.Ifyou do not afliate with a party,youmayberestrictedfromvotingintheprimary.
8. Race or Ethnic Group.Leaveblank.9. Signature. ToregisterinUtahyoumust:beacitizenoftheUnitedStateshaveresidedinUtahfor30daysimmediatelybeforethenextelectionbeatleast18yearsoldonorbeforethenextelectionnotbeaconvictedfeloncurrentlyincarceratedforcommissionofa
elonynotbeconvictedoftreasonorcrimeagainsttheelectiveranchise, unless restored to civilrightsnotbefoundtobementallyincompetentbyacourtoflaw
Mailing address:OceoftheLieutenantGovernorP.O.Box142325SaltLakeCity,UT84114
Vermont
Updated: 07-29-2008
Registration Deadline Deliveredtothetownclerkbefore5:00PMontheWednesdaybeforetheelection.
6. ID Number.YoumustprovideyourVermontDriver'slicensenumber,orifnone,thelast4digitsofyourSocialSecuritynumber.IfyoudonothaveaVermontDriver'slicenseoraSocialSecuritynumber,pleasewriteNONEontheform.eSecretaryofState'socewillassignyouauniqueidentifyingnumber.
7. Choice of Party.Vermontdoesnotrequirepartyregistrationtoparticipate in any election.8. Race or Ethnic Group.Leaveblank.9. Signature.Toregisterin
Vermontyoumust:beacitizenoftheUnitedStatesbearesidentofVermontbe18yearsofageonorbeforeelection dayhavetakenthefollowingOath:Yousolemnlyswear(orarm)thatwheneveryougiveyourvoteorsurage,touchinganymatterthatconcernsthestateofVermont,youwilldoitsoasin
yourconscienceyoushalljudgewillmostconducetothebestgoodofthesame,asestablishedbythe Constitution, without ear orfavorofanyperson[VotersOath,VermontConstitution,ChapterII,Section42]BysigninginBox9,youareattestingthatyouhaveswornorarmedtheVermontvotersoathas printed above.
Mailing address:Ofce o the Secretary o StateDirectorofElections26 Terrace StreetMontpelier,VT056091101
Virginia
Updated: 11-10-2010
Registration Deadline Delivered29daysbeforetheelection.
6. ID Number. Your ull socialsecuritynumberisrequired.Yoursocialsecuritynumberwillappearon reports produced only orocialusebyvoterregistrationand election ofcials and, or juryselection purposes, by courts.
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Article II, 2, Constitution oVirginia(1971).7. Choice of Party. You do nothavetoregisterwithapartyifyouwant to take part in that partysprimaryelection,caucus,or
convention.8. Race or Ethnic Group. Leaveblank.9. Signature. ToregisterinVirginiayoumust:beacitizenoftheUnitedStatesbearesidentofVirginiaandoftheprecinct in which you want to votebe18yearsoldbythenextMayorNovembergeneral electionnothavebeenconvictedofa
felony,orhavehadyourcivilrightsrestorednotcurrentlybedeclaredmentallyincompetentbyacourtoflaw
Mailing address:StateBoardofElections1100 Bank Street, 1st Floor
Richmond,VA23219
Washington
Updated: 10-29-2003
Registration Deadline 30 daysbeore the election (or deliveredinpersontothelocalvoterregistrationoce15daysbeforetheelection).
6. ID Number. Youmustprovideyourdriver'slicensenumber.IfyoudonothaveaWashingtondriver'slicense,youmustprovidethelastfourdigitsofyourSocialSecurityNumber.Failuretoprovidethisinformationmaypreventyourregistrationfrombeingprocessed.7. Choice of Party. You are notrequiredtodesignateyourpartyaliationtoregisterinWashington.
8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinWashingtonyoumust:beacitizenoftheUnitedStatesbealegalresidentofWashington
State, your county and precinct or30daysimmediatelyprecedingtheelection in which you want to votebeatleast18yearsoldbyelectiondaynotbeconvictedofinfamouscrime,unlessrestoredtocivilrights
Mailing address:Secretary o State
VoterRegistrationbyMailP.O.Box40230Olympia,WA985040230
West Virginia
Updated: 09-12-2006
Registration Deadline 21 daysbeore the election.
6. ID Number. Enter your driver'slicensenumber.Ifyoudonothaveadriverslicensenumber,enterthelastfournumbersofyoursocialsecuritynumber.Ifyoudonothaveadriver'slicensenumberorasocialsecuritynumber,anidenticationnumberwillbeassignedtoyou.7. Choice of Party.Youmustregisterwith a party if you want to take partinthatpartysprimaryelection,caucus, or convention (unless yourequest the ballot of a party whichallowsindependentstovote)8. Race or Ethnic Group.Leaveblank.9. Signature.ToregisterinWestVirginiayoumust:beacitizenoftheUnitedStates
liveinWestVirginiaattheaboveaddressbe18yearsold,ortovoteintheprimarybe17yearsoldandturning18beforethegeneralelection
notbeunderconviction,probation, or parole or a elony,treason or election briberynothavebeenjudgedmentallyincompetentinacourtofcompetentjurisdiction
Mailing address:Secretary o StateBuilding1,Suite157K 1900KanawhaBlvd.East
Charleston,WV253050770
Wisconsin
Updated: 09-12-2006
Registration Deadline Twenty(20)daysbeforetheelection(orcompletedinthelocalvoterregistrationoceupto5:00pm.1daybeforetheelection,orcompleted
atthepollingplaceonelectionday).
6. ID Number. Provide your driver'slicensenumber,ifyouhavenocurrent and valid drivers license, thelast4digitsofyoursocialsecuritynumberorDOTissuedIDcardnumber.7. Choice of Party.Notrequired.8. Race or Ethnic Group.Notrequired.9. Signature.ToregisterinWisconsinyoumust:beacitizenoftheUnitedStatesbearesidentofWisconsinforatleast 10 daysbe18yearsoldnothavebeenconvictedoftreason, elony or bribery, or i youhave,yourcivilrightshavebeenrestored
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nothavebeenfoundbyacourttobeincapableofunderstandingtheobjective o the electoral processnotmakeorbenetfromabetorwagedependingontheresultofanelection
nothavevotedatanyotherlocation,ifregisteringonelectionday
Mailing address:StateElectionsBoard17WestMainStreet,Suite310P.O.Box2973Madison,WI537012973
Wyoming
Updated: 03-01-2006
Wyomingbylaw,cannotacceptthisformunlessStatelawischanged.