Form EAC-NVRA-1 Voter Registration Application

National Voter Registration Act (NVRA) Regulations for Voter Registration Application

NVRA Update 12-31-08

Voter Registration Application

OMB: 3265-0015

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Register To Vote In Your State
By Using This
Postcard Form and Guide

For U.S. Citizens
Version 12-31-2008

General Instructions
How to Submit Your Application
Mail your application to the address listed under your
State in the State Instructions. Or, deliver the application
in person to your local voter registration office. The
States that are required to accept the national form will
accept copies of the application printed from the
computer image on regular paper stock, signed by the
applicant, and mailed in an envelope with the correct
postage.

Who Can Use this Application
If you are a U.S. citizen who lives or has an address
within the United States, you can use the application in
this booklet to:
• Register to vote in your State,
• Report a change of name to your voter registration
office,
• Report a change of address to your voter registration
office, or
• Register with a political party.

First Time Voters Who Register by Mail
If you are registering to vote for the first time in your
jurisdiction and are mailing this registration application,
Federal law requires you to show proof of identification
the first time you vote. Proof of identification includes:
• A current and valid photo identification or
• A current utility bill, bank statement, government
check, paycheck or government document that
shows your name and address.
Voters may be exempt from this requirement if they
submit a COPY of this identification with their mail in
voter registration form. If you wish to submit a COPY,
please keep the following in mind:
• Your state may have additional identification
requirements which may mandate you show
identification at the polling place even if you meet
the Federal proof of identification.
• Do not submit original documents with this
application, only COPIES.

Exceptions
Please do not use this application if you live outside the
United States and its territories and have no home (legal)
address in this country, or if you are in the military
stationed away from home. Use the Federal Postcard
Application available to you from military bases,
American embassies, or consular offices.
New Hampshire town and city clerks will accept this
application only as a request for their own absentee voter
mail-in registration form.
North Dakota does not have voter registration.
Wyoming law does not permit mail registration.
How to Find Out If You Are Eligible to Register to
Vote in Your State
Each State has its own laws about who may register and
vote. Check the information under your State in the State
Instructions. All States require that you be a United
States citizen by birth or naturalization to register to vote
in federal and State elections. Federal law makes it
illegal to falsely claim U.S. citizenship to register to vote
in any federal, State, or local election. You cannot be
registered to vote in more than one place at a time.

If You Were Given this Application in a State Agency
or Public Office
If you have been given this application in a State agency
or public office, it is your choice to use the application.
If you decide to use this application to register to vote,
you can fill it out and leave it with the State agency or
public office. The application will be submitted for you.
Or, you can take it with you to mail to the address listed
under your State in the State Instructions. You also may
take it with you to deliver in person to your local voter
registration office.
Note: The name and location of the State agency or
public office where you received the application will
remain confidential. It will not appear on your
application. Also, if you decide not to use this
application to register to vote, that decision will remain
confidential. It will not affect the service you receive
from the agency or office.

How to Fill Out this Application
Use both the Application Instructions and State Instructions to guide you in filling out the application.
• First, read the Application Instructions. These
instructions will give you important information that
applies to everyone using this application.
• Next, find your State under the State Instructions.
Use these instructions to fill out Boxes 6, 7, and 8.
Also refer to these instructions for information about
voter eligibility and any oath required for Box 9.
When to Register to Vote
Each State has its own deadline for registering to vote.
Check the deadline for your State on the last page of this
booklet.

1

Revised 03/01/2006

Application Instructions
Before filling out the body of the form, please answer the questions on the top of the form as to whether you are a United
States citizen and whether you will be 18 years old on or before Election Day. If you answer no to either of these questions, you may not use this form to register to vote. However, state specific instructions may provide additional information on eligibility to register to vote prior to age 18.
Box 7 — Choice of Party
In some States, you must register with a party if you
want to take part in that party’s primary election, caucus,
or convention. To find out if your State requires this, see
item 7 in the instructions under your State.

Box 1 — Name
Put in this box your full name in this order — Last, First,
Middle. Do not use nicknames or initials.
Note: If this application is for a change of name, please
tell us in Box A (on the bottom half of the form) your
full name before you changed it.

If you want to register with a party, print in the box the
full name of the party of your choice.

Box 2 — Home Address
Put in this box your home address (legal address). Do
not put your mailing address here if it is different from
your home address. Do not use a post office box or rural
route without a box number. Refer to state-specific
instructions for rules regarding use of route numbers.

If you do not want to register with a party, write “no
party” or leave the box blank. Do not write in the word
“independent” if you mean “no party,” because this
might be confused with the name of a political party in
your State.
Note: If you do not register with a party, you can still
vote in general elections and nonpartisan (nonparty)
primary elections.

Note: If you were registered before but this is the first
time you are registering from the address in Box 2,
please tell us in Box B (on the bottom half of the form)
the address where you were registered before. Please
give us as much of the address as you can remember.

Box 8 — Race or Ethnic Group
A few States ask for your race or ethnic group, in order
to administer the Federal Voting Rights Act. To find out
if your State asks for this information, see item 8 in the
instructions under your State. If so, put in Box 8 the
choice that best describes you from the list below:
• American Indian or Alaskan Native
• Asian or Pacific Islander
• Black, not of Hispanic Origin
• Hispanic
• Multi-racial
• White, not of Hispanic Origin
• Other

Also Note: If you live in a rural area but do not have a
street address, or if you have no address, please show
where you live using the map in Box C (at the bottom of
the form).
Box 3 — Mailing Address
If you get your mail at an address that is different from
the address in Box 2, put your mailing address in this
box. If you have no address in Box 2, you must write in
Box 3 an address where you can be reached by mail.
Box 4 — Date of Birth
Put in this box your date of birth in this order — Month,
Day, Year. Be careful not to use today’s date!

Box 9 — Signature
Review the information in item 9 in the instructions under your State. Before you sign or make your mark,
make sure that:

Box 5 — Telephone Number
Most States ask for your telephone number in case there
are questions about your application. However, you do
not have to fill in this box.

(1) You meet your State’s requirements, and
(2) You understand all of Box 9.

Box 6 — ID Number
Federal law requires that states collect from each registrant an identification number. You must refer to your
state's specific instructions for item 6 regarding information on what number is acceptable for your state. If you
have neither a drivers license nor a social security number, please indicate this on the form and a number will
be assigned to you by your state.

Finally, sign your full name or make your mark, and
print today’s date in this order — Month, Day, Year.
If the applicant is unable to sign, put in Box D the name,
address, and telephone number (optional) of the person
who helped the applicant.

2

Revised 03/01/2006

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State Instructions
Alabama
Updated: 03-01-2006

Registration Deadline — Voter
registration is closed during the ten
days preceding an election.
Applications must be postmarked
or delivered by the eleventh day
prior to the election.
6. ID Number. Your social
security number is requested (by
authority of the Alabama Supreme
Court, 17-4-122).
7. Choice of Party. Optional:
You do not have to register with a
party if you want to take part in
that party’s primary election,
caucus, or convention.
8. Race or Ethnic Group. You are
required to fill in this box;
however, your application will not
be rejected if you fail to do so. See
the list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in
Alabama you must:
• be a citizen of the United States
• be a resident of Alabama and your
county at the time of registration
• be 18 years old before any
election
• not have been convicted of a
felony punishable by imprisonment
in the penitentiary (or have had
your civil and political rights
restored)
• not currently be declared mentally
incompetent through a competency
hearing
• swear or affirm to “support and
defend the Constitution of the U.S.
and the State of Alabama and
further disavow any belief or
affiliation with any group which

advocates the overthrow of the
governments of the U.S. or the
State of Alabama by unlawful
means and that the information
contained herein is true, so help me
God”
Mailing address:
Office of the Secretary of State
P.O. Box 5616
Montgomery, AL 36103-5616

Alaska
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
one of the following identification
numbers; Alaska Driver's License
or Alaska State Identification Card
Number. If you do not have an
Alaska Driver's License or Alaska
State Identification Card, you must
provide the last four digits of your
Social Security Number. If you do
not have any of these identification
numbers, please write "NONE" on
the form. A unique identifying
number will be assigned to you for
voter registration purposes. This
information is kept confidential.
Having this information assists in
maintaining your voter record and
may assist in verifying your
identity (Title 15 of the Alaska
Statutes).
7. Choice of Party. You do not
have to declare a party affiliation
when registering to vote. If you do
not choose a party, you will be
registered as Undeclared. Alaska
has a closed primary election
system. Each recognized political
party has a separate ballot listing
3

only candidates from that political
party. Voters registered as a
member of a political party may
only vote that party's ballot. Voters
registered as undeclared or nonpartisan may choose one ballot
from the ballots available.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Alaska
you must:
• be a citizen of the United States
• be at least 18 years old within 90
days of completing this registration
• be a resident of Alaska
• not be a convicted felon (unless
unconditionally discharged)
• not be registered to vote in
another State
Mailing address:
Division of Elections
State of Alaska
PO Box 110017
Juneau, AK 99811-0017

Arizona
Updated: 03-01-2006

Registration Deadline — 29 days
before the election.
6. ID Number. Your completed
voter registration form must
contain the number of your Arizona
driver license, or non-operating
identification license issued
pursuant to A.R.S. § 28-3165, if the
license is current and valid. If you
do not have a current and valid
Arizona driver license or nonoperating identification license,
you must include the last four
digits of your social security
number if one has been issued to
you. If you do not have a current

State Instructions
and valid driver license or nonoperating identification license or a
social security number, please write
“NONE” on the form. A unique
identifying number will be
assigned by the Secretary of State.
7. Choice of Party. If you are
registered in a political party which
has qualified for ballot recognition,
you will be permitted to vote the
primary election ballot for that
party. If you are registered as an
independent, no party preference or
as a member of a party which is not
qualified for ballot recognition, you
may select and vote one primary
election ballot for one of the
recognized political parties.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Arizona you must:
• be a citizen of the United States
• be a resident of Arizona and your
county at least 29 days preceding
the next election
• be 18 years old on or before the
next general election
• not have been convicted of
treason or a felony (or have had
your civil rights restored)
• not currently be declared an
incapacitated person by a court of
law
Mailing address:
Secretary of State/Elections
1700 W. Washington, 7th Floor
Phoenix, AZ 85007-2888

Arkansas
Updated: 03-01-2006

6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nonoperating
identification number. If you do
not have a driver's license or
nonoperating identification, you
must include the last four digits of
your social security number. If you
do not have a driver's license or a
nonoperating identification or a
social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State.
7. Choice of Party. Optional. You
do not have to register with a party
if you want to take part in that
party’s primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Arkansas you must:
• be a citizen of the United States
• live in Arkansas at the address in
Box 2 on the application
• be at least 18 years old before the
next election
• not be a convicted felon (or have
completely discharged your
sentence or been pardoned)
• not claim the right to vote in any
other jurisdiction
• not previously be adjudged
mentally incompetent by a court of
competent jurisdiction
Mailing address:
Secretary of State
Voter Services
P.O. Box 8111
Little Rock, AR 72203-8111

Registration Deadline — 30 days
before the election.
4

California
Updated: 03-01-2006

Registration Deadline — 15 days
before the election.
6. ID Number When you register
to vote, you must provide your
California driver’s license or
California identification card
number, if you have one. If you do
not have a driver’s license or ID
card, you must provide the last four
digits of your Social Security
Number (SSN). If you do not
include this information, you will
be required to provide
identification when you vote.
7. Choice of Party. Please enter
the name of the political party with
which you wish to register. If you
do not wish to register with any
party, enter “Decline to State” in
the space provided.
California law allows voters who
“decline to state” an affiliation with
a qualified political party or who
affiliate with a nonqualified
political party to vote in the
primary election of any qualified
political party that files a notice
with the Secretary of State
allowing them to do so. You can
call 1-800-345-VOTE or visit
www.ss.ca.gov to learn which
political parties are allowing
nonaffiliated voters to participate in
their primary election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
California you must:
• be a citizen of the United States
• be a resident of California
• be at least 18 years of age at the
time of the next election

State Instructions
• not be imprisoned or on parole for
the conviction of a felony
• not currently be judged mentally
incompetent by a court of law
Signature is required. If you meet
the requirements listed above,
please sign and date the registration
card in the space provided.
Mailing address:
Secretary of State
Elections Division
1500 11th Street
Sacramento, CA 95814

Colorado
Updated: 03-28-2008

9. Signature. To register in
Colorado you must:
• be a citizen of the United States
• be a resident of Colorado 30 days
prior to the election
• be 18 years old on or before
election day
• not be confined as a prisoner or
serving any part of a sentence
under mandate
Mailing address:
Colorado Secretary of State
1700 Broadway, Suite 270
Denver, Colorado 80290

Connecticut
Updated: 03-01-2006

Registration Deadline — 29 days
before the election. If the
application is received in the mails
without a postmark, it must be
received within 5 days of the close
of registration.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or identification
number. If you do not have a
driver's license or state issued
identification, you must include the
last four digits of your social
security number. If you do not
have a driver's license or a state
issued identification or a social
security number, please write
"NONE" on the form. A unique
identifying number will be
assigned by the State.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.

Registration Deadline — 14 days
before the election.
6. ID Number. Connecticut
Driver's License Number, or if
none, the last four digits of your
Social Security Number.
7. Choice of Party. This is
optional, but you must register with
a party if you want to take part in
that party’s primary election,
caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Connecticut you must:
• be a citizen of the United States
• be a resident of Connecticut and
of the town in which you wish to
vote
• be 17 years old. You can vote
when you turn 18.
• have completed confinement and
parole if previously convicted of a
felony, and have had your voting
rights restored by Registrars of
Voters.
5

• not currently be declared mentally
incompetent to vote by a court of
law
Mailing address:
Secretary of State
Elections Division
30 Trinity Street
Hartford, CT 06106

Delaware
Updated: 03-28-2008

Registration Deadline — The 4th
Saturday before a primary or
general election, and 10 days
before a special election.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nonoperating
identification number. If you do
not have a driver's license or
nonoperating identification, you
must include the last four digits of
your social security number. If you
do not have a driver's license or a
nonoperating identification or a
social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Delaware you must:
• be a citizen of the United States
• be a permanent resident of
Delaware
• be at least 18 years old on the
date of the next general election

State Instructions
• felons are eligible to vote if
certain requirements are met: fines
and sentence completed at least
five years prior to application date;
felony convictions can not be
disqualifying felonies, which are
murder, sexual offenses, or crimes
against public administration
involving bribery or improper
influence or abuse of office.
• not be mentally incompetent
Mailing address:
Commissioner of Elections
111 S. West St., Suite 10
Dover, DE 19904

District of Columbia
Updated: 10-29-2003

Registration Deadline — 30 days
before the election.
6. ID Number. Federal law now
requires that all voter registration
applications must include either the
applicant’s driver’s license number
or the last four digits of the
applicant’s social security number
in order to be processed.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in the
District of Columbia you must:
• be a citizen of the United States
• be a District of Columbia resident
at least 30 days preceding the next
election
• be at least 18 years old on or
preceding the next election
• not be in jail for a felony
conviction

• not have been judged “mentally
incompetent” by a court of law
• not claim the right to vote
anywhere outside D.C.
Mailing address:
District of Columbia Board of
Elections & Ethics
441 4th Street, NW, Suite 250
Washington, DC 20001-2745

Florida
Updated: 09-12-2006

Registration Deadline — 29 days
before the election.
6. ID Number. If you have one,
you must provide your Florida
driver's license number or Florida
identification card number. If you
do not have a Florida driver's
license or identification card, you
must provide the last four digits of
your social security number.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. You are
requested to fill in this box. See the
list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in Florida
you must:
• be a citizen of the United States
• be a legal resident of both the
State of Florida and of the county
in which you seek to be registered
• be 18 years old (you may preregister if you are 17)
• not now be adjudicated mentally
incapacitated with respect to voting
in Florida or any other State
6

• not have been convicted of a
felony without your civil rights
having been restored pursuant to
law
• not claim the right to vote in
another county or state
• swear or affirm the following:
“I will protect and defend the
Constitution of the United States
and the Constitution of the State of
Florida, that I am qualified to
register as an elector under the
Constitution and laws of the State
of Florida, and that I am a citizen
of the United States and a legal
resident of Florida”
Mailing address:
State of Florida
Department of State
Division of Elections
The R.A. Gray Building
500 South Bronough St, Rm 316
Tallahassee, Florida 32399-0250

Georgia
Updated: 03-28-2008

Registration Deadline — The fifth
Monday before any general
primary, general election, or
presidential preference primary, or
regularly scheduled special election
pursuant to the Georgia Election
Code. In the event that a special
election is scheduled on a date
other that those dates prescribed by
the Georgia Election Code,
registration would close on the 5th
day after the call.
6. ID Number. Federal law
requires you to provide your full
GA Drivers License number or GA
State issued ID number. If you do
not have a GA Drivers License or

State Instructions
GA ID you must provide the last 4
digits of your Social Security
number. Providing your full Social
Security number is optional. Your
Social Security number will be kept
confidential and may be used for
comparison with other state agency
databases for voter registration
identification purposes. If you do
not possess a GA Drivers License
or Social Security number, a
unique identifier will be provided
for you.
7. Choice of Party. You do not
have to register with a party to take
part in that party’s primary, caucus
or convention.
8. Race or Ethnic Group. You are
requested to fill in this box. See
the list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in
Georgia you must:
• be a citizen of the United States
• be a legal resident of Georgia and
of the county in which you want to
vote
• be 18 years old within six months
after the day of registration, and be
18 years old to vote
• not be serving a sentence for
having been convicted of a felony
• not have been judicially
determined to be mentally
incompetent, unless the disability
has been removed
Mailing address:
Elections Division
Office of the Secretary of State
1104 West Tower
2 Martin Luther King, Jr. Dr. SE
Atlanta, GA 30334-1505

Hawaii
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. Your full social
security number is required. It is
used to prevent fraudulent
registration and voting. Failure to
furnish this information will
prevent acceptance of this
application (Hawaii Revised
Statutes, Section 11-15).
7. Choice of Party. A “choice of
party” is not required for voter
registration.
8. Race or Ethnic Group. Race or
ethnic group information is not
required for voter registration.
9. Signature. To register in Hawaii
you must:
• be a citizen of the United States
• be a resident of the State of
Hawaii
• be at least 16 years old (you must
be 18 years old by election day in
order to vote)
• not be incarcerated for a felony
conviction
• not be adjudicated by a court as
“non compos mentis”
Mailing address:
Office of Elections
State of Hawaii
802 Lehua Avenue
Pearl City, HI 96782

Idaho
Updated: 03-01-2006

Registration Deadline — 25 days
before the election.
7

6. ID Number. Enter your driver's
license number. If you have no
driver's license, enter the last 4
digits of your social security
number.
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Idaho
you must:
• be a citizen of the United States
• have resided in Idaho and in the
county for 30 days prior to the day
of election
• be at least 18 years old
• not have been convicted of a
felony, and without having been
restored to the rights of citizenship,
or confined in prison on conviction
of a criminal offense
Mailing address:
Secretary of State
P.O. Box 83720
State Capitol Bldg.
Boise, ID 83720-0080

Illinois
Updated: 03-01-2006

Registration Deadline — 28 days
prior to each election.
6. ID Number. Your driver’s
license number is required to
register to vote. If you do not have
a driver’s license, at least the last
four digits of your social security
number are required. If you have
neither, please write “NONE” on
the form. A unique identifier will
be assigned to you by the State.

State Instructions
7. Choice of Party. Party
registration or preference is not
required for voter registration.
However, when you apply for a
primary ballot, you must indicate
your party preference for that
election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. A signature is
required. If signature is missing
from registration form, you will be
notified your registration is
incomplete.
To register in Illinois you must:
• be a citizen of the United States
• be a resident of Illinois and of
your election precinct at least 30
days before the next election
• be at least 18 years old on or
before the next election
• not be in jail for a felony
conviction
• not claim the right to vote
anywhere else
Mailing address:
State Board of Elections
1020 S. Spring Street
Springfield, IL 62704

Indiana
Updated: 03-01-2006

Registration Deadline — 29 days
before the election.
6. ID Number. Your state voter ID
number is your ten digit Indiana
issued driver's license number. If
you do not possess an Indiana
driver's license then provide the
last four digits of your social
security number. Please indicate
which number was provided.
(Indiana Code 3-7-13-13)

7. Choice of Party. Leave blank.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Indiana
you must:
• be a citizen of the United States
• have resided in the precinct at
least 30 days before the next
election
• be at least 18 years of age on the
day of the next general election
• not currently be in jail for a
criminal conviction
Mailing address:
Election Division
Office of the Secretary of State
302 West Washington Street,
Room E-204
Indianapolis, IN 46204-2743

Iowa
Updated: 03-28-2008

Registration Deadline — Must be
delivered by 5 p.m. 10 days before
the election, if it is a state primary
or general election; 11 days before
all others.* Registration forms
which are postmarked 15 or more
days before an election are
considered on time even if received
after the deadline.
*If you fail to meet the voter
registration deadlines above you
can register and vote by following
the guidelines for election day
registration. You can find these on
the Iowa Secretary of State’s
website:
http://www.sos.state.ia.us/pdfs/elec
tions/EDRbrochure.pdf.
6. ID Number. Your ID number is
your Iowa driver's license number
(or Iowa non-driver identification
8

number) if you have one, if not
then the last four digits of your
social security number. The ID
number you provide will be
verified with the Iowa Department
of Transportation or the Social
Security Administration.
7. Choice of Party. You may, but
do not have to, register with a party
in advance if you want to take part
in that party’s primary election.
You may change or declare a party
affiliation at the polls on primary
election day.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Iowa
you must:
• be a citizen of the United States
• be a resident of Iowa
• be at least 17-1/2 years old (you
must be 18 to vote)
• not have been convicted of a
felony (or have had your rights
restored)
• not currently be judged by a court
to be "incompetent to vote"
• not claim the right to vote in more
than one place
• give up your right to vote in any
other place
Mailing address:
Elections Division
Office of the Secretary of State
Lucas Building-1st Floor
321 E. 12th Street
Des Moines, IA 50319

Kansas
Updated: 03-01-2006

Registration Deadline —
Postmarked or delivered 15 days
before the election.

State Instructions
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nondriver's
identification card number. If you
do not have a driver's license or
nondriver's identification card, you
must include the last four digits of
your social security number. If you
do not have a driver's license or a
nondriver's identification card or
social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State. The number
you provide will be used for
administrative purposes only and
will not be disclosed to the public.
(KSA 25-2309).
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Kansas
you must:
• be a citizen of the United States
• be a resident of Kansas
• be 18 by the next election
• have completed the terms of your
sentence if convicted of a felony; a
person serving a sentence for a
felony conviction is ineligible to
vote
• not claim the right to vote in any
other location or under any other
name
• not be excluded from voting for
mental incompetence by a court of
competent jurisdiction
Mailing address:
Secretary of State
1st Floor, Memorial Hall
120 SW 10th Ave.
Topeka, KS 66612-1594

Kentucky
Updated: 03-01-2006

Registration Deadline — 29 days
before the election.
6. ID Number. Your full social
security number is required. It is
used for administrative purposes
only and is not released to the
public (KRS 116.155). No person
shall be denied the right to register
because of failure to include social
security number.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Kentucky you must:
• be a citizen of the United States
• be a resident of Kentucky
• be a resident of the county for at
least 28 days prior to the election
date
• be 18 years of age on or before
the next general election
• not be a convicted felon or if you
have been convicted of a felony,
your civil rights must have been
restored by executive pardon
• not have been judged “mentally
incompetent” in a court of law
• not claim the right to vote
anywhere outside Kentucky
Mailing address:
State Board of Elections
140 Walnut Street
Frankfort, KY 40601-3240

9

Louisiana
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
your Louisiana driver's license
number, if issued. If not issued,
you must provide at least the last
four digits of your social security
number, if issued. The full social
security number may be provided
on a voluntary basis. Neither the
registrar nor the Department of
State shall disclose the social
security number of a registered
voter or circulate the social security
numbers of registered voters on
commercial lists (R.S. 18:104 and
154; 42 U.S.C. 405).
7. Choice of Party. If you do not
list a party affiliation, you cannot
vote in the Presidential Preference
Primary and party committee
elections. Political party affiliation
is not required for any other
election.
8. Race or Ethnic Group. You are
requested to fill in this box. See the
list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in
Louisiana you must:
• be a citizen of the United States
• be a resident of Louisiana.
Residence address must be address
where you claim homestead
exemption, if any.
• be at least 17 years old, and be 18
years old prior to the next election
to vote
• not currently be under an order of
imprisonment for conviction of a
felony

State Instructions
• not currently be under a judgment
of interdiction for mental
incompetence
Mailing address:
Secretary of State
Attention: Voter Registration
P.O. Box 94125
Baton Rouge, LA 70804-9125

Mailing address:
Elections Division
Bureau of Corporations,
Elections and Commissions
101 State House Station
Augusta, ME 04333-0101

Maryland
Updated: 06-26-2008

Maine
Updated: 03-01-2006

Registration Deadline —
Delivered 10 business days before
the election (or a voter may register
in-person up to and including
election day).
6. ID Number. You must list your
valid Maine driver's license
number. If you don't have a valid
Maine driver's license, then you
must provide the last four digits of
your Social Security Number.
Voters who don't have either of
these forms of ID must write
"NONE" in this space.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention
(unless otherwise permitted by a
political party).
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Maine
you must:
• be a citizen of the United States
• be a resident of Maine and the
municipality in which you want to
vote
• be at least 17 years old (you must
be 18 years old to vote)

Registration Deadline — 9:00
p.m. 21 days before the election.
6. ID Number. If you have a
current, valid Maryland driver’s
license or a Motor Vehicle
Administration identification card,
you must enter the driver’s license
or identification number. If you do
not have a current, valid Maryland
driver’s license or Motor Vehicle
Administration identification card,
you must enter at least the last 4
digits of your social security
number. However, please note, the
disclosure of your full Social
Security number is voluntary. The
statutory authority allowing
election officials to request your
full Social Security number is
Election Law Article, Section 3202, Annotated Code of Maryland.
The number will be used only for
registration and other
administrative purposes. It will be
kept confidential.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Maryland you must:
• be a U.S. citizen
• be a Maryland resident
10

• be at least 18 years old by the
next general election
• not be under guardianship for
mental disability
• not have been convicted of
buying or selling votes
• not have been convicted of a felony, or if
you have, you have completed serving a
court ordered sentence of imprisonment,
including any term of parole or probation for
the conviction.

Mailing address:
State Board of Elections
P.O. Box 6486
Annapolis, MD 21401-0486

Massachusetts
Updated: 03-01-2006

Registration Deadline — 20 days
before the election.
6. ID Number. Federal law
requires that you provide your
driver’s license number to register
to vote. If you do not have a current
and valid Massachusetts’ driver’s
license then you must provide the
last four (4) digits of your social
security number. If you have
neither, you must write “NONE” in
the box and a unique identifying
number will be assigned to you.
7. Choice of Party. If you do not
designate a party of political
designation in this box, you will be
registered as unenrolled.
Unenrolled voters may participate
in party primaries. However, an
unenrolled voter must enroll in a
party on the day of the Presidential
Preference Primary in order to
participate in that primary.
8. Race or Ethnic Group. Leave
blank.

State Instructions
9. Signature. To register in
Massachusetts you must:
• be a citizen of the United States
• be a resident of Massachusetts
• be 18 years old on or before the
next election
• not have been convicted of
corrupt practices in respect to
elections
• not be under guardianship with
respect to voting
• not be currently incarcerated for a
felony conviction
Mailing address:
Secretary of the Commonwealth
Elections Division, Room 1705
One Ashburton Place
Boston, MA 02108

Michigan
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or state issued
personal identification card
number. If you do not have a
driver's license or state issued
personal identification card, you
must include the last four digits of
your social security number. If you
do not have a driver's license or a
state issued personal identification
card or a social security number,
please write "NONE" on the form.
A unique identifying number will
be assigned by the State.
7. Choice of Party. A "choice of
party" is not required for voter
registration.

8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Michigan you must:
• be a citizen of the United States
• be 18 years old by the next
election
• be a resident of Michigan and at
least a 30 day resident of your city
or township by election day
• not be confined in a jail after
being convicted and sentenced
Notice: Michigan law requires that
the same address be used for voter
registration and driver license
purposes. Therefore, if the
residence address you provide on
this form differs from the address
shown on a driver license or
personal identification card issued
by the State of Michigan, the
Secretary of State will
automatically change your driver
license or personal identification
card address to match the residence
address entered on this form. If an
address change is made, the
Secretary of State will mail you an
address update sticker for your
driver license or personal
identification card.
Caution: If you register by mail,
you must vote in person at your
assigned precinct the first time you
vote, unless you are:
 disabled as defined by state
law;
 60 years of age or older; or
 temporarily residing overseas.
Mailing address:
Michigan Department of State
Bureau of Elections
P.O. Box 20126
Lansing, MI 48901-0726
11

Minnesota
Updated: 12-31-2008

Registration Deadline —
Delivered by 5:00 p.m. 21 days
before the election (there is also
election day registration at polling
places).
6. ID Number. You are required to
provide your Minnesota driver’s
license or state ID number to
register to Vote. If you do not have
a Minnesota driver’s license or
state ID then you will have to
provide the last four digits of your
social security number. If you have
neither, please write “none” on the
form.
7. Choice of Party. Leave blank.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Minnesota you must:
• be a citizen of the United States
• be a resident of Minnesota for 20
days before the next election
• maintain residence at the address
given on the registration form
• be at least 18 years old on
election day
• if previously convicted of a
felony, your felony sentence has
expired or been completed, or you
have been discharged from the
sentence
• not be under a court-ordered
guardianship in which the right to
vote has been revoked
• not be found by a court to be
legally incompetent to vote.
Mailing address:
Secretary of State
60 Empire Drive, Suite 100
St. Paul, MN 55103-1855

State Instructions
Mississippi
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. You are required to
provide your current and valid
driver's license number or, if you
don’t have one, the last four digits
of your social security number.
7. Choice of Party Mississippi
does not have party registration.
Therefore, you do not have to
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Mississippi you must:
• be a citizen of the United States
• have lived in Mississippi and in
your county (and city, if
applicable) 30 days before the
election in which you want to vote
• be 18 years old by the time of the
general election in which you want
to vote
• have not been convicted of
murder, rape, bribery, theft, arson,
obtaining money or goods under
false pretense, perjury, forgery,
embezzlement, armed robbery,
extortion, felony bad check, felony
shoplifting, larceny, receiving
stolen property, robbery, timber
larceny, unlawful taking of a motor
vehicle, statutory rape, carjacking,
or bigamy, or have had your rights
restored as required by law
• not have been declared mentally
incompetent by a court
Note: State law changed by federal
court order in 1998 and by state

legislation in 2000. We now accept
the form as registration for voting
for all state and federal offices.
Mailing address:
Secretary of State
P.O. Box 136
Jackson, MS 39205-0136

Missouri
Updated: 09-12-2006

Registration Deadline — 28 days
before the election.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number. Your completed
voter registration form must also
include the last four digits of your
social security number. (Section
115.155, RSMo). If you do not
have a driver's license or a social
security number, please write
"NONE" on the form. A unique
identifying number will be
assigned by the State. Any
electronic media, printouts or
mailing labels provided under this
section shall not include telephone
numbers and social security
numbers of voters. (Section
115.157, RSMo).
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To vote in Missouri
you must:
• be a citizen of the United States
• be a resident of Missouri
12

• be at least 17-1/2 years of age
(you must be 18 to vote)
• not be on probation or parole after
conviction of a felony, until finally
discharged from such probation or
parole
• not be convicted of a felony or
misdemeanor connected with the
right of suffrage
• not be adjudged incapacitated by
any court of law
• not be confined under a sentence
of imprisonment
Mailing address:
Secretary of State
P.O. Box 1767
Jefferson City, MO 65102-1767

Montana
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
your Montana driver's license
number. If you do not have a
Montana driver's license number
then you must list the LAST FOUR
DIGITS OF YOUR SOCIAL
SECURITY NUMBER. If you
have neither a driver's license, nor
a social security number, please
write “NONE” on the form. The
state of Montana will assign to you
a unique identifying number.
7. Choice of Party. Montana does
not require party registration to
participate in any election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Montana you must:
• be a citizen of the United States

State Instructions
• be at least 18 years old on or
before the election
• be a resident of Montana and of
the county in which you want to
vote for at least 30 days before the
next election
• not be in a penal institution for a
felony conviction
• not currently be determined by a
court to be of unsound mind
• meet these qualifications by the
next election day if you do not
currently meet them
Mailing address:
Secretary of State’s Office
P.O. Box 202801
State Capitol
Helena, MT 59620-2801

Nebraska
Updated: 03-01-2006

Registration Deadline — The
third Friday before the election (or
delivered by 6 p.m. on the second
Friday before the election).
6. ID Number. You must provide
your Nebraska driver's license
number. If you do not have a
Nebraska driver's license number
then you must list the last four
digits of your social security
number.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Nebraska you must:
• be a citizen of the United States
• be a resident of Nebraska

• be at least 18 years of age or will
be 18 years of age on or before the
first Tuesday after the first Monday
of November
• not have been convicted of a
felony, or if convicted, have had
your civil rights restored
• not have been officially found to
be mentally incompetent
Mailing address:
Nebraska Secretary of State
Suite 2300, State Capitol Bldg.
Lincoln, NE 68509-4608

Nevada
Updated: 08-29-2008

Registration Deadline — 9:00
p.m. on the third Tuesday before
any primary or general election.
9:00 p.m. on the third Saturday
before any recall or special
election. However, if a recall or
special election is held on the same
day as a primary or general
election, the registration closes at
9:00 p.m. on the third Tuesday
before the day for the elections.
6. ID Number. You must supply a
Nevada Driver’s License Number
if you have been issued one. If you
do not have a Driver’s License
Number, you must supply at least
the last four digits of your Social
Security Number. If you do not
have a Social Security Number,
please contact your County
Clerk/Registrar to be assigned a
unique identifier.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention. If
you register with a minor political
13

party, or as a Nonpartisan you will
receive a Nonpartisan Ballot for the
Primary Election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Nevada
you must:
• be a citizen of the United States
• have attained the age of 18 years
on the date of the next election
• have continuously resided in the
State of Nevada, in your county, at
least 30 days and in your precinct
at least 10 days before the next
election
• have your civil rights restored if
you were convicted of a felony
• not be determined by a court of
law to be mentally incompetent
• claim no other place as your legal
residence
Mailing address:
Secretary of State
Elections Division
101 North Carson Street
Suite 3
Carson City, NV 89701-4786
Local county addresses:
You also may return completed
applications to the County
Clerk/Registrar where you
normally reside. A complete list
is available on Nevada's web
site: www.sos.nv.gov

New Hampshire
Updated: 03-01-2006

Registration Deadline — New
Hampshire town and city clerks
will accept this application only as
a request for their own absentee
voter mail-in registration form,

State Instructions
which must be received by your
city or town clerk by 10 days
before the election.
New Hampshire town and city
clerks will accept this application
only as a request for their own
absentee voter mail-in registration
form. You need to fill in only Box
1 and Box 2 or 3.
The application should be mailed to
your town or city clerk at your zip
code. These addresses are listed on
the Secretary of State web site at
http://www.state.nh.us/sos/clerks.
htm
It should be mailed in plenty of
time for your town or city clerk to
mail you their own form and for
you to return that form to them by
10 days before the election.

New Jersey
Updated: 03-28-2008

Registration Deadline — 21 days
before the election.
6. ID Number. The last four digits
of your Social Security number OR
your New Jersey Driver's License
number is required for voter
registration. If you do not possess
either of these identifications,
please write "NONE" on the form.
The State will assign a number that
will serve to identify you for voter
registration purposes.
7. Choice of Party. New Jersey's
voter registration form does not
provide a check-off for political
party affiliation. A newly
registered voter or voter who has
never voted in a political party

primary election can declare party
affiliation at the polling place on
the day of a primary election. In
New Jersey, a primary election is
only held for the Democratic and
Republican parties. A voter may
also file a political party
declaration form to become a
member of a political party. If a
declared voter wished to change
party affiliation he or she must file
a declaration form 50 days before
the primary election, in order to
vote.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in New
Jersey you must:
• be a citizen of the United States
• be at least 18 years of age by the
time of the next election
• be a resident of this State and
county at your address at least 30
days before the next election
• not be serving a sentence or on
parole or probation as the result of
a conviction of any indictable
offense under the laws of this or
another state or of the United States
Mailing address:
New Jersey Department of Law
and Public Safety
Division of Elections
PO BOX 304
Trenton, NJ 08625-0304

New Mexico
Updated: 03-01-2006

Registration Deadline — 28 days
before the election.
6. ID Number. Your full social
security number is required. This
registration card containing your
14

social security number will become
part of the permanent voter
registration records of your
locality, which are open to
inspection by the public in the
office of the county clerk.
However, your social security
number and date of birth will
remain confidential and will not be
disclosed to the public.
Computerized listings of limited
voter registration information
(without social security number or
birth date) are available to the
general public, and are furnished
upon request to incumbent election
officeholders, candidates, political
parties, courts and non-profit
organizations promoting voter
participation and registration, for
political purposes only (§1-5-19B,
NMSA 1978).
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in New
Mexico you must:
• be a citizen of the United States
• be a resident of the State of New
Mexico
• be 18 years of age at the time of
the next election
• not have been denied the right to
vote by a court of law by reason of
mental incapacity and, if I have
been convicted of a felony, I have
completed all conditions of
probation or parole, served the
entirety of a sentence or have been
granted a pardon by the Governor.
Mailing address:
Bureau of Elections
325 Don Gaspar, Suite 300

State Instructions
Santa Fe, NM 87503

New York

40 Steuben Street
Albany, NY 12207-2108

North Carolina

Updated: 03-01-2006

Registration Deadline — 25 days
before the election.
6. ID Number..Federal law
requires that you provide your
driver’s license number to register
to vote. If you do not have a
driver’s license then you will have
to provide at least the last four
digits of your social security
number. If you have neither, please
write “NONE” on the form. A
unique identifying number will be
assigned to you by your State.
7. Choice of Party. You must
enroll with a party if you want to
vote in that party’s primary
election or caucus.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in New
York you must:
• be a citizen of the United States
• be a resident of the county, or of
the City of New York, at least 30
days before an election
• be 18 years old by December 31
of the year in which you file this
form (Note: You must be 18 years
old by the date of the general,
primary, or other election in which
you want to vote)
• not be in jail or on parole for a
felony conviction
• not currently be judged
incompetent by order of a court of
competent judicial authority
• not claim the right to vote
elsewhere
Mailing address:
NYS Board of Elections

Updated: 03-01-2006

Registration Deadline —
Postmarked 25 days before the
election or received in the elections
office or designated voter
registration agency site by 5:00
p.m. 25 days before the election.
6. ID Number. Provide your North
Carolina driver’s license number,
or North Carolina Department of
Motor Vehicles ID number. If you
do not have a driver's license, then
list the last four digits of your
social security number.
7. Choice of Party. You must
register with a party to vote in that
party’s primary unless that party
allows unaffiliated voters to vote in
its primary. If you indicate a
political party that is not a qualified
party, or indicate no party, you will
be listed as “Unaffiliated”.
8. Race or Ethnic Group. You are
required to fill in this box.
However, your application will not
be rejected if you fail to do so. See
the list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in North
Carolina you must:
• be a citizen of the United States
• be a resident of North Carolina
and the county in which you live
for at least 30 days prior to the
election
• be 18 years of age by the day of
the next general election
• have your rights of citizenship
restored if you have been convicted
of a felony
15

• not be registered or vote in any
other county or state
Mailing address:
State Board of Elections
P.O. Box 27255
Raleigh, NC 27611-7255

North Dakota
Updated: 03-01-2006

North Dakota does not have voter
registration.

Ohio
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. Your social
security number is requested.
Providing this number is voluntary.
This information allows the Board
of Elections to verify your
registration if necessary (O.R.C.
3503.14). [Federal law requires
that you provide your driver’s
license number to register to vote.
If you do not have a driver’s
license then you will have to
provide at least the last four digits
of your social security number. If
you don’t have either number you
will have to write “NONE” on the
form and the State will assign you a
number.]
7. Choice of Party. You do not
register with a party if you want to
take part in that party’s primary
election. Party affiliation is
established by voting at a primary
election.
8. Race or Ethnic Group. Leave
blank.

State Instructions
9. Signature. To register in Ohio
you must:
• be a citizen of the United States
• be a resident of Ohio
• be 18 years old on or before
election day. If you will be 18 on or
before the day of the general
election, you may vote in the
primary election for candidates
only.
• not be convicted of a felony and
currently incarcerated
• not be found incompetent by a
court for purposes of voting
Mailing address:
Secretary of State of Ohio
Elections Division
180 E. Broad Street — 15th
Floor
Columbus, OH 43215

Oklahoma
Updated: 10-29-2003

Registration Deadline — 25 days
before the election.
6. ID Number. The last four digits
of your social security number are
required. (Oklahoma Title 26,
Section 4-112) In addition, your
Oklahoma driver’s license number
is requested.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Oklahoma you must:
• be a citizen of the United States
and a resident of the State of
Oklahoma

• be 18 years old on or before the
date of the next election
• have not been convicted of a
felony, for which a period of time
equal to the original sentence has
not expired, or for which you have
not been pardoned
• not now be under judgment as an
incapacitated person, or a partially
incapacitated person prohibited
from registering to vote

• be at least 18 years old by
election day

Mailing address:
Oklahoma State Election Board
Box 528800
Oklahoma City, OK 73152-8800

Updated: 03-01-2006

Oregon
Updated: 03-01-2006

Registration Deadline — 21 days
before the election
6. ID Number. Federal law
requires that you provide your
driver’s license number to register
to vote. If you do not have a
driver’s license then you will have
to provide at least the last four
digits of your social security
number. If you have neither, you
will need to write “NONE” on the
form. A unique identifying number
will instead be assigned to you by
your State.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Oregon
you must:
• be a citizen of the United States
• be a resident of Oregon
16

Mailing address:
Secretary of State
Elections Division
141 State Capitol
Salem, OR 97310-0722

Pennsylvania

Registration Deadline — 30 days
before an election or primary.
6. ID Number. You must supply a
Driver's License Number, if you
have one. If you do not have a
Driver's License Number, you must
supply the last four digits of your
social Security Number. If you do
not have a Social Security Number,
please write “NONE” in the box.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election.
8. Race or Ethnic Group. You are
requested to fill in this box. See the
list of choices under the
Application Instructions for Box 8
(on page 2).
9. Signature. To register in
Pennsylvania you must:
• be a citizen of the United States at
least one month before the next
election
• be a resident of Pennsylvania and
your election district at least 30
days before the election
• be at least 18 years of age on the
day of the next election
Mailing address:

State Instructions
Office of the Secretary of the
Commonwealth
210 North Office Bldg.
Harrisburg, PA 17120-0029

Rhode Island
Updated: 03-28-2008

Registration Deadline — 30 days
before the election.
6. ID Number. The applicant shall
be required to provide his/her
Rhode Island driver's license
number if the applicant has been
issued a current and valid Rhode
Island driver's license. In the case
of an applicant who has not been
issued a current and valid driver's
license he/she must provide the last
four (4) digits of his/her social
security number. An applicant,
who has neither, will be assigned a
unique identifying number by the
State of Rhode Island.
7. Choice of Party. In Rhode
Island, a person must register with
a party if he/she wishes to take part
in that party's primary election. A
person who fails to register with a
party at the time of registration
may, if he/she chooses, register
with a party on the day of that
party's primary and take part in that
party's primary election. If a
person does not register with a
party, he/she can still vote in
general elections and non-partisan
primary elections.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Rhode
Island you must:
• be a citizen of the United States
• be a resident of Rhode Island for
30 days preceding the next election

• be 18 years old by election day
• not be currently incarcerated in a
correctional facility due to a felony
conviction
• not have been lawfully judged to
be mentally incompetent
Mailing address:
Rhode Island State Board of
Elections
50 Branch Ave.
Providence, RI 02904-2790

South Carolina
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. Your full social
security number is required. It is
required by the South Carolina
Code of Laws and is used for
internal purposes only. Social
security number does not appear on
any report produced by the State
Election Commission nor is it
released to any unauthorized
individual. (South Carolina Title
7-5-170)
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group. You are
required to fill in this box. Your
application may be rejected if you
fail to do so. See the list of choices
under the Application Instructions
for Box 8 (on page 2).
9. Signature. To register in South
Carolina you must:
• be a citizen of the United States
• be at least 18 years old on or
before the next election
17

• be a resident of South Carolina,
your county and precinct
• not be confined in any public
prison resulting from a conviction
of a crime
• never have been convicted of a
felony or offense against the
election laws, or if previously
convicted, have served your entire
sentence, including probation or
parole, or have received a pardon
for the conviction
• not be under a court order
declaring you mentally
incompetent
• claim the address on the
application as your only legal place
of residence and claim no other
place as your legal residence
Mailing address:
State Election Commission
P.O. Box 5987
Columbia, SC 29250-5987

South Dakota
Updated: 03-01-2006

Registration Deadline —
Received 15 days before the
election.
6. ID Number. Your driver’s
license number is requested. If you
do not have a valid driver's license,
you must provide the last four
digits of your social security
number.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in South
Dakota you must:

State Instructions
• be a citizen of the United States
• reside in South Dakota
• be 18 years old by the next
election
• not be currently serving a
sentence for a felony conviction
which included imprisonment,
served or suspended, in an adult
penitentiary system
• not have been adjudged mentally
incompetent by a court
Mailing address:
Elections, Secretary of State
500 E. Capitol
Pierre, SD 57501-5070

Tennessee
Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. Your full social
security number is required. Social
security number, if any, is required
for purposes of identification and to
avoid duplicate registration (TCA
2.2.116).
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group.
Optional.
9. Signature. To register in
Tennessee you must:
• be a citizen of the United States
• be a resident of Tennessee
• be at least 18 years old on or
before the next election
• not have been convicted of a
felony, or if convicted, have had
your full rights of citizenship

restored (or have received a
pardon)
• not be adjudicated incompetent
by a court of competent jurisdiction
(or have been restored to legal
capacity)
Mailing address:
Coordinator of Elections
Tennessee Tower, Ninth Floor
312 Eighth Avenue, North
Nashville, TN 37243

Texas

• not be finally convicted of a
felony, or if a convicted felon, you
must have fully discharged your
punishment, including any
incarceration, parole, supervision,
period of probation or be pardoned.
• have not been declared mentally
incompetent by final judgment of a
court of law
Mailing address:
Office of the Secretary of State
Elections Division
P.O. Box 12060
Austin, TX 78711-2060

Updated: 03-01-2006

Registration Deadline — 30 days
before the election.
6. ID Number. You must provide
your driver’s license number to
register to vote. If you do not have
a driver’s license then you will
have to provide at least the last four
digits of your social security
number. If you have neither, please
write “NONE” on the form. A
unique identifying number will
instead be assigned to you by your
State.
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Texas
you must:
• be a citizen of the United States
• be a resident of the county in
which the application for
registration is made
• be at least 17 years and 10 months
old (you must be 18 to vote)
18

Utah
Updated: 03-28-2008

Registration Deadline — 30 days
before the election for mail-in
applications; 15 days before the
election for walk-in registrations at
the county clerk’s office.
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nonoperating
identification number. If you do
not have a driver's license or
nonoperating identification, you
must include the last four digits of
your social security number. If you
do not have a driver's license or a
nonoperating identification or a
social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State.
7. Choice of Party. Declaring a
party is not required in order to
register to vote. However, Utah's
election law allows each political
party to choose whom it will allow
to vote in its primary election. If

State Instructions
you do not affiliate with a party,
you may be restricted from voting
in the primary.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Utah
you must:
• be a citizen of the United States
• have resided in Utah for 30 days
immediately before the next
election
• be at least 18 years old on or
before the next election
• not be a convicted felon currently
incarcerated for commission of a
felony
• not be convicted of treason or
crime against the elective
franchise, unless restored to civil
rights
• not be found to be mentally
incompetent by a court of law
Mailing address:
Office of the Lieutenant Governor
P.O. Box 142325
Salt Lake City, UT 84114

Vermont
Updated: 07-29-2008

Registration Deadline —
Delivered to the town clerk before
5:00 PM on the Wednesday before
the election.
6. ID Number. You must provide
your Vermont Driver's license
number, or if none, the last 4 digits
of your Social Security number. If
you do not have a Vermont Driver's
license or a Social Security number,
please write “NONE” on the form.
The Secretary of State's office will
assign you a unique identifying
number.

7. Choice of Party. Vermont does
not require party registration to
participate in any election.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Vermont you must:
• be a citizen of the United States
• be a resident of Vermont
• be 18 years of age on or before
election day
• have taken the following Oath:
You solemnly swear (or affirm)
that whenever you give your vote
or suffrage, touching any matter
that concerns the state of Vermont,
you will do it so as in your
conscience you shall judge will
most conduce to the best good of
the same, as established by the
Constitution, without fear or favor
of any person [Voter’s Oath,
Vermont Constitution, Chapter II,
Section 42]
By signing in Box 9, you are
attesting that you have sworn or
affirmed the Vermont voter’s oath
as printed above.
Mailing address:
Office of the Secretary of State
Director of Elections
26 Terrace Street
Montpelier, VT 05609-1101

Virginia
Updated: 03-01-2006

Registration Deadline —
Delivered 29 days before the
election.
6. ID Number. Your full social
security number is required. Your
social security number will appear
on reports produced only for
19

official use by voter registration
and election officials and, for jury
selection purposes, by courts.
Article II, §2, Constitution of
Virginia (1971).
7. Choice of Party. You do not
have to register with a party if you
want to take part in that party’s
primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Virginia you must:
• be a citizen of the United States
• be a resident of Virginia and of
the precinct in which you want to
vote
• be 18 years old by the next May
or November general election
• not have been convicted of a
felony, or have had your civil
rights restored
• not currently be declared mentally
incompetent by a court of law
Mailing address:
State Board of Elections
200 N. 9th Street, Suite 101
Richmond, VA 23219

Washington
Updated: 10-29-2003

Registration Deadline — 30 days
before the election (or delivered inperson to the local voter
registration office 15 days before
the election).
6. ID Number. You must provide
your driver's license number. If
you do not have a Washington
driver's license, you must provide
the last four digits of your Social
Security Number. Failure to

State Instructions
provide this information may
prevent your registration from
being processed.
7. Choice of Party. You are not
required to designate your party
affiliation to register in
Washington.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Washington you must:
• be a citizen of the United States
• be a legal resident of Washington
State, your county and precinct for
30 days immediately preceding the
election in which you want to vote
• be at least 18 years old by
election day
• not be convicted of infamous
crime, unless restored to civil rights
Mailing address:
Secretary of State
Voter Registration by Mail
P.O. Box 40230
Olympia, WA 98504-0230

West Virginia

(unless you request the ballot of a
party which allows independents to
vote)
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in West
Virginia you must:
• be a citizen of the United States
• live in West Virginia at the above
address
• be 18 years old, or to vote in the
primary be 17 years old and turning
18 before the general election
• not be under conviction,
probation, or parole for a felony,
treason or election bribery
• not have been judged “mentally
incompetent” in a court of
competent jurisdiction

9. Signature. To register in
Wisconsin you must:
• be a citizen of the United States
• be a resident of Wisconsin for at
least 10 days
• be 18 years old
• not have been convicted of
treason, felony or bribery, or if you
have, your civil rights have been
restored
• not have been found by a court to
be incapable of understanding the
objective of the electoral process
• not make or benefit from a bet or
wage depending on the result of an
election
• not have voted at any other
location, if registering on election
day

Mailing address:
Secretary of State
Building 1, Suite 157-K
1900 Kanawha Blvd. East
Charleston, WV 25305-0770

Mailing address:
State Elections Board
17 West Main Street, Suite 310
P.O. Box 2973
Madison, WI 53701-2973

Wisconsin

Wyoming

Updated: 09-12-2006

Updated: 03-01-2006

Registration Deadline — Twenty
(20) days before the election (or
completed in the local voter
registration office up to 5:00 pm. 1
day before the election, or
completed at the polling place on
election day).

Wyoming by law, cannot accept
this form unless State law is
changed.

Updated: 09-12-2006

Registration Deadline — 21 days
before the election.
6. ID Number. Enter your driver's
license number. If you do not have
a driver’s license number, enter the
last four numbers of your social
security number. If you do not
have a driver's license number or a
social security number, an
identification number will be
assigned to you.
7. Choice of Party. You must
register with a party if you want to
take part in that party’s primary
election, caucus, or convention

6. ID Number. Provide your
driver's license number, if you have
no current and valid driver’s
license, the last 4 digits of your
social security number or DOTissued ID card number.
7. Choice of Party. Not required.
8. Race or Ethnic Group. Not
required.
20


File Typeapplication/pdf
File TitleFederal Voter Registration Form Version:03-28-2008
File Modified2009-04-29
File Created2006-03-22

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