Federal Voter Registration Form

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For U.S. Citizens General Instructions Who Can Use this Application How to Submit Your Application If you are a U.S. citizen who lives or has an address Mail your application to the address listed under within the United States, you can use the application in your State in the State Instructions. Or, deliver the this booklet to: application in person to your local voter registration • Register to vote in your State, office. The States that are required to accept the • Report a change of name to your voter registration national form will accept copies of the application office, printed from the computer image on regular paper • Report a change of address to your voter registration stock, signed by the applicant, and mailed in an office, or envelope with the correct postage. • Register with a political party. First Time Voters Who Register by Mail Exceptions If you are registering to vote for the first time in Please do not use this application if you live outside your jurisdiction and are mailing this registration the United States and its territories and have no home application, Federal law requires you to show proof (legal) address in this country, or if you are in the of identification the first time you vote. Proof of military stationed away from home. Use the Federal identification includes: Postcard Application available to you from military • A current and valid photo identification or bases, American embassies, or consular offices. • A current utility bill, bank statement, government check, paycheck or government document that New Hampshire town and city clerks will accept this shows your name and address. application only as a request for their own absentee Voters may be exempt from this requirement if they voter mail‑in registration form. submit a COPY of this identification with their mail in North Dakota does not have voter registration. voter registration form. If you wish to submit a COPY, Wyoming law does not permit mail registration. please keep the following in mind: • Your state may have additional identification How to Find Out If You Are Eligible to Register to requirements which may mandate you show Vote in Your State identification at the polling place even if you meet Each State has its own laws about who may register and the Federal proof of identification. vote. Check the information under your State in the State Instructions. All States require that you be a United • Do not submit original documents with this States citizen by birth or naturalization to register to vote application, only COPIES. in federal and State elections. Federal law makes it illegal to falsely claim U.S. citizenship to register to vote in any If You Were Given this Application in a State federal, State, or local election. You cannot be registered Agency or Public Office to vote in more than one place at a time. If you have been given this application in a State How to Fill Out this Application agency or public office, it is your choice to use the Use both the Application Instructions and State application. If you decide to use this application to Instructions to guide you in filling out the application. register to vote, you can fill it out and leave it with • First, read the Application Instructions. These the State agency or public office. The application instructions will give you important information that will be submitted for you. Or, you can take it with applies to everyone using this application. you to mail to the address listed under your State in the State Instructions. You also may take it • Next, find your State under the State Instructions. with you to deliver in person to your local voter Use these instructions to fill out Boxes 6, 7, and registration office. refer to these instructions for information about Note: The name and location of the State agency voter eligibility and any oath required for Box 9. or public office where you received the application When to Register to Vote will remain confidential. It will not appear on your Each State has its own deadline for registering to vote. application. Also, if you decide not to use this Check the deadline for your State on the last page of application to register to vote, that decision will this booklet. remain confidential. It will not affect the service you receive from the agency or office.

1 Application Instructions Before filling out the body of the form, please answer the questions on the top of the form as to whether you are a United States citizen and whether you will be 18 years old on or before Election Day. If you answer no to either of these questions, you may not use this form to register to vote. However, state specific instructions may provide additional information on eligibility to register to vote prior to age 18.

Box 1 — Name Box 7 — Choice of Party Put in this box your full name in this order — Last, In some States, you must register with a party if you First, Middle. Do not use nicknames or initials. want to take part in that party’s primary election, Note: If this application is for a change of name, please caucus, or convention. To find out if your State requires tell us in Box A (on the bottom half of the form) your this, see item 7 in the instructions under your State. full name before you changed it. If you want to register with a party, print in the box the Box 2 — Home Address full name of the party of your choice. Put in this box your home address (legal address). Do not put your mailing address here if it is different from If you do not want to register with a party, write “no your home address. Do not use a post office box or party” or leave the box blank. Do not write in the word rural route without a box number. Refer to state‑specific “independent” if you mean “no party,” because this instructions for rules regarding use of route numbers. might be confused with the name of a political party in your State. Note: If you were registered before but this is the first Note: If you do not register with a party, you can still time you are registering from the address in Box 2, vote in general elections and nonpartisan (nonparty) please tell us in Box B (on the bottom half of the form) primary elections. 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 Also Note: If you live in a rural area but do not have a to administer the Federal Voting Rights Act. To find street address, or if you have no address, please show out if your State asks for this information, see item 8 where you live using the map in Box C (at the bottom in the instructions under your State. If so, put in Box 8 of the form). the choice that best describes you from the list below: • American Indian or Alaskan Native Box 3 — Mailing Address • Asian or Pacific Islander If you get your mail at an address that is different from • Black, not of Hispanic Origin the address in Box 2, put your mailing address in this box. If you have no address in Box 2, you must write in • Hispanic Box 3 an address where you can be reached by mail. • Multi‑racial • White, not of Hispanic Origin Box 4 — Date of Birth • Other 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 Box 5 — Telephone Number under your State. Before you sign or make your mark, Most States ask for your telephone number in case make sure that: 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 Finally, sign your full name or make your mark, and registrant an identification number. You must refer to print today’s date in this order — Month, Day, Year. your state's specific instructions for item 6 regarding If the applicant is unable to sign, put in Box D the information on what number is acceptable for your name, address, and telephone number (optional) of the state. If you have neither a drivers license nor a social person who helped the applicant. security number, please indicate this on the form and a number will be assigned to you by your state.

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

Are you a citizen of the United States of America? Yes No This space for office use only. Will you be 18 years old on or before election day? Yes No If you checked "No" in response to either of these questions, do not complete form. (Please see state-specific instructions for rules regarding eligibility to register prior to age 18.) Mr. Miss Last Name First Name Middle Name(s) Jr II 1 III Mrs. Ms. Sr IV Home Address Apt. or Lot # City/Town State Zip Code 2

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

Date of Birth Telephone Number (optional) ID Number - (See item 6 in the instructions for your state) 4 5 Month Day Year 6 Choice of Party Race or Ethnic Group 7 (see item 7 in the instructions for your State) 8 (see item 8 in the instructions for your State)

I have reviewed my state's instructions and I swear/affirm that: ■ I am a United States citizen ■ I meet the eligibility requirements of my state and subscribe to any oath required. 9 Please sign full name (or put mark) ■ The information I have provided is true to the best of my knowledge under penalty of perjury. If I have provided false information, I may be fined, imprisoned, or (if not a U.S. Date: citizen) deported from or refused entry to the United States. Month Day Year If you are registering to vote for the first time: please refer to the application instructions for information on submitting copies of valid identification documents with this form.

Please fill out the sections below if they apply to you. If this application is for a change of name, what was your name before you changed it?

Mr. Miss Last Name First Name Middle Name(s) Jr II A III Mrs. Ms. Sr IV

If you were registered before but this is the first time you are registering from the address in Box ,2 what was your address where you were registered before? Street (or route and box number) Apt. or Lot # City/Town/County State Zip Code B

If you live in a rural area but do not have a street number, or if you have no address, please show on the map where you live.

■ Write in the names of the crossroads (or streets) nearest to where you live. NORTH  ■ Draw an X to show where you live. ■ Use a dot to show any schools, churches, stores, or other landmarks near where you live, and write the name of the landmark. C Example ● Grocery Store Woodchuck Road Route #2 Route Public School ● X

If the applicant is unable to sign, who helped the applicant fill out this application? Give name, address and phone number (phone number optional). D Mail this application to the address provided for your State. FOR OFFICIAL USE ONLY

FIRST CLASS STAMP NECESSARY FOR MAILING Voter Registration Application Before completing this form, review the General, Application, and State specific instructions.

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

I have reviewed my state's instructions and I swear/affirm that: Q I am a United States citizen Q I meet the eligibility requirements of my state and subscribe to any oath required. 9 Please sign full name (or put mark) Q The information I have provided is true to the best of my knowledge under penalty of perjury. If I have provided false information, I may be fined, imprisoned, or (if not a U.S. Date: citizen) deported from or refused entry to the United States. Month Day Year If you are registering to vote for the first time:please refer to the application instructions for information on submitting copies of valid identification documents with this form. Please fill out the sections below if they apply to you. If this application is for a change of name, what was your name before you changed it?

Mr. Miss Last Name First Name Middle Name(s) Jr II A III Mrs. Ms. Sr IV

If you live in a rural area but do not have a street number, or if you have no address, please show on the map where you live.

QWrite in the names of the crossroads (or streets) nearest to where you live. NORTH ½ QDraw an X to show where you live.

QUse a dot to show any schools, churches, stores, or other landmarks near where you live, and write the name of the landmark. C Example OGrocery Store Woodchuck Road Route #2 Route Public School O X

FIRST CLASS STAMP NECESSARY FOR MAILING State Instructions

• not currently be declared do not choose a party, you will Alabama mentally incompetent through a be registered as Undeclared. Updated: 08-28-2017 competency hearing Alaska has a closed primary • swear or affirm to “support and election system. Each recognized Registration Deadline — Voter defend the Constitution of the political party has a separate ballot registration is closed during U.S. and the State of Alabama listing only candidates from that the fourteen days preceding an and further disavow any belief or political party. Voters registered election. Applications must be affiliation with any group which as a member of a political party postmarked or delivered by the advocates the overthrow of the may only vote that party's ballot. fifteenth day prior to the election. governments of the U.S. or the State Voters registered as undeclared of Alabama by unlawful means or non‑partisan may choose one 6. ID Number. If you have one, and that the information contained ballot from the ballots available. you must provide your Alabama herein is true, so help me God” 8. Race or Ethnic Group. Leave driver's license number or blank. Alabama nondriver identification Mailing address: 9. Signature. To register in Alaska card number. If you do not have Office of the Secretary of State you must: an Alabama driver's license or P.O. Box 5616 • be a citizen of the United States nondriver identification card, you Montgomery, AL 36103-5616 • be at least 18 years old within 90 must provide the last 4 digits of days of completing this registration your Social Security number. If you Alaska • be a resident of Alaska have not been issued any of these • not be a convicted felon (unless numbers you must write the word Updated: 03-01-2006 unconditionally discharged) "NONE" and a unique identifier • not be registered to vote in will be provided for you. Registration Deadline — 30 days another State 7. Choice of Party. Optional: You before the election. do not have to register with a party Mailing address: if you want to take part in that 6. ID Number. You must provide Division of Elections party’s primary election, caucus, one of the following identification State of Alaska or convention. numbers; Alaska Driver's License PO Box 110017 8. Race or Ethnic Group. You or Alaska State Identification Card Juneau, AK 99811-0017 are required to fill in this box; Number. If you do not have an however, your application will Alaska Driver's License or Alaska Arizona not be rejected if you fail to do so. State Identification Card, you must See the list of choices under the provide the last four digits of your Updated: 03-01-2006 Application Instructions for Box 8 Social Security Number. If you do (on page 2). not have any of these identification Registration Deadline — 29 days 9. Signature. To register in numbers, please write "NONE" before the election. Alabama you must: on the form. A unique identifying • be a citizen of the United States number will be assigned to you for 6. ID Number. Your completed • be a resident of Alabama voter registration purposes. This voter registration form must and your county at the time of information is kept confidential. contain the number of your registration Having this information assists Arizona driver license, or • be 18 years old before any election in maintaining your voter record non‑operating identification • not have been convicted of a felony and may assist in verifying your license issued pursuant to A.R.S. involving moral turpitude (or have identity (Title 15 of the Alaska § 28-3165, if the license is current had your civil and political rights Statutes). and valid. If you do not have restored) 7. Choice of Party. You do not a current and valid Arizona have to declare a party affiliation driver license or non-operating when registering to vote. If you identification license, you must

3 State Instructions include the last four digits of 6. ID Number. Your completed 6. ID Number. When you register your social security number if voter registration form must to vote, you must provide your one has been issued to you. If you contain your state issued driver's California driver’s license or do not have a current and valid license number or nonoperating California identification card driver license or non-operating identification number. If you number, if you have one. If you identification license or a social do not have a driver's license or do not have a driver’s license or security number, please write nonoperating identification, you ID card, you must provide the “NONE” on the form. A unique must include the last four digits last four digits of your Social identifying number will be of your social security number. If Security Number (SSN). If you assigned by the Secretary of State. you do not have a driver's license do not include this information, 7. Choice of Party. If you are or a nonoperating identification you will be required to provide registered in a political party which or a social security number, please identification when you vote. has qualified for ballot recognition, write "NONE" on the form. A 7. Choice of Party. Please enter you will be permitted to vote the unique identifying number will be the name of the political party with primary election ballot for that assigned by the State. which you wish to register. If you party. If you are registered as an 7. Choice of Party. Optional. You do not wish to register with any independent, no party preference do not have to register with a party party, enter “Decline to State” in or as a member of a party which is if you want to take part in that the space provided. not qualified for ballot recognition, party’s primary election, caucus, or California law allows voters who you may select and vote one convention. “decline to state” an affiliation with primary election ballot for one of 8. Race or Ethnic Group. Leave a qualified political party or who the recognized political parties. blank. affiliate with a nonqualified political 8. Race or Ethnic Group. Leave 9. Signature. To register in party to vote in the primary election blank. Arkansas you must: of any qualified political party that 9. Signature. To register in • be a citizen of the United States files a notice with the Secretary Arizona you must: • live in Arkansas at the address in of State allowing them to do so. • be a citizen of the United States Box 2 on the application You can call 1-800‑345-VOTE • be a resident of Arizona and your • be at least 18 years old before the or visit www.sos.ca.gov to learn county at least 29 days preceding next election which political parties are allowing the next election • not be a convicted felon (or nonaffiliated voters to participate in • be 18 years old on or before the have completely discharged your their primary election. next general election sentence or been pardoned) 8. Race or Ethnic Group. Leave • not have been convicted of • not claim the right to vote in any blank. treason or a felony (or have had other jurisdiction 9. Signature. To register in your civil rights restored) • not previously be adjudged California you must: • not currently be declared an mentally incompetent by a court of • be a citizen of the United States incapacitated person by a court competent jurisdiction • be a resident of California of law • be at least 18 years of age at the Mailing address: time of the next election Mailing address: Secretary of State • not be imprisoned or on parole Secretary of State/Elections Voter Services for the conviction of a felony 1700 W. Washington, 7th Floor P.O. Box 8111 • not currently be judged mentally Phoenix, AZ 85007-2888 Little Rock, AR 72203-8111 incompetent by a court of law Signature is required. If you Arkansas California meet the requirements listed above, please sign and date the Updated: 03-01-2006 Updated: 03-01-2006 registration card in the space provided. Registration Deadline — 30 days Registration Deadline — 15 days before the election. before the election.

4 State Instructions

Mailing address: Mailing address: Secretary of State Colorado Secretary of State Delaware Elections Division 1700 Broadway, Suite 270 Updated: 02-07-2012 1500 11th Street Denver, Colorado 80290 Sacramento, CA 95814 Registration Deadline — The Connecticut 4th Saturday before a primary Colorado or general election, and 10 days Updated: 03-01-2006 before a special election. Updated: 03-28-2008 Registration Deadline — 14 days 6. ID Number. Your completed Registration Deadline — 29 before the election. voter registration form must days before the election. If the contain your state issued driver's application is received in the mails 6. ID Number. Connecticut license number or nonoperating without a postmark, it must be Driver's License Number, or if identification number. If you received within 5 days of the close none, the last four digits of your do not have a driver's license or of registration. Social Security Number. nonoperating identification, you 7. Choice of Party. This is must include the last four digits 6. ID Number. Your completed optional, but you must register of your social security number. If voter registration form must contain with a party if you want to take you do not have a driver's license your state issued driver's license part in that party’s primary or a nonoperating identification number or identification number. election, caucus, or convention. or a social security number, please If you do not have a driver's license 8. Race or Ethnic Group. Leave write "NONE" on the form. A or state issued identification, you blank. unique identifying number will be must include the last four digits 9. Signature. To register in assigned by the State. of your social security number. If Connecticut you must: 7. Choice of Party. You must you do not have a driver's license • be a citizen of the United States register with a party if you want to or a state issued identification or a • be a resident of Connecticut and take part in that party’s primary social security number, please write of the town in which you wish to election, caucus, or convention. "NONE" on the form. A unique vote 8. Race or Ethnic Group. Leave identifying number will be assigned • be 17 years old. You can vote blank. by the State. when you turn 18 9. Signature. To register in 7. Choice of Party. You must • have completed confinement and Delaware you must: register with a party if you want to parole if previously convicted of a • be a citizen of the United States take part in that party’s primary felony, and have had your voting • be a permanent resident of election, caucus, or convention. rights restored by Registrars of Delaware 8. Race or Ethnic Group. Leave Voters. • be at least 18 years old on the blank. • not currently be declared mentally date of the next general election 9. Signature. To register in incompetent to vote by a court of law • felons are eligible to vote if Colorado you must: certain requirements are met: • be a citizen of the United States Mailing address: fines and sentence completed at • be a resident of Colorado 30 days Secretary of State least five years prior to application prior to the election Elections Division date; felony convictions can not be • be 18 years old on or before 30 Trinity Street disqualifying felonies, which are election day Hartford, CT 06106 murder, sexual offenses, or crimes • not be confined as a prisoner against public administration or serving any part of a sentence involving bribery or improper under mandate influence or abuse of office. • not be mentally incompetent

5 State Instructions

Mailing address: Florida, and that all information in State of Delaware Florida this application is true.” Office of the State Election Updated: 11-30-2011 Commissioner Mailing address: 905 S. Governors Ave., Suite 170 Registration Deadline — 29 days State of Florida Dover, DE 19904 before the election. Department of State Division of Elections District of Columbia 6. ID Number. If you have one, The R.A. Gray Building you must provide your Florida 500 South Bronough St, Rm 316 Updated: 10-29-2003 driver's license number or Florida Tallahassee, Florida 32399-0250 identification card number. If you do Registration Deadline — 30 days not have a Florida driver's license or Georgia before the election. identification card, you must provide the last four digits of your social Updated: 08-15-2013 6. ID Number. Federal law now security number. If you have not requires that all voter registration been issued any of these numbers, Registration Deadline — The applications must include either you must write the word “NONE.” fifth Monday before any general the applicant’s driver’s license 7. Choice of Party. You must primary, general election, or number or the last four digits register with a party if you want to presidential preference primary, or of the applicant’s social security take part in that party’s primary regularly scheduled special election number in order to be processed. election, caucus, or convention. pursuant to the Georgia Election 7. Choice of Party. You must 8. Race or Ethnic Group. You are Code. In the event that a special register with a party if you want to requested, but not required, to fill election is scheduled on a date take part in that party’s primary in this box. See the list of choices other that those dates prescribed election, caucus, or convention. under the Application Instructions by the Georgia Election Code, 8. Race or Ethnic Group. Leave for Box 8 (on page 2). registration would close on the 5th blank. 9. Signature. To register in Florida day after the call. 9. Signature. To register in the you must: District of Columbia you must: • be a citizen of the United States 6. ID Number. Federal law requires • be a citizen of the United States • be a legal resident of both the you to provide your full GA Drivers • be a District of Columbia State of Florida and of the county License number or GA State issued resident at least 30 days preceding in which you seek to be registered ID number. If you do not have a GA the next election • be 18 years old (you may Drivers License or GA ID you must • be at least 18 years old on or pre‑register if you are at least 16) provide the last 4 digits of your preceding the next election • not be adjudicated mentally Social Security number. Providing • not be in jail for a felony incapacitated with respect to your full Social Security number conviction voting in Florida or any other is optional. Your Social Security • not have been judged “mentally State, or if you have, you must first number will be kept confidential incompetent” by a court of law have your voting rights restored. and may be used for comparison • not claim the right to vote • not be a convicted felon, or if you are, with other state agency databases anywhere outside D.C. you must first have your civil rights for voter registration identification restored if they were taken away. purposes. If you do not possess Mailing address: • swear or affirm the following: a GA Drivers License or Social District of Columbia Board of “I will protect and defend the Security number, a unique identifier Elections & Ethics Constitution of the United States will be provided for you. 441 4th Street, NW, Suite 250 and the Constitution of the State 7. Choice of Party. You do not Washington, DC 20001-2745 of Florida, that I am qualified to have to register with a party to take register as an elector under the part in that party’s primary, caucus Constitution and laws of the State of or convention.

6 State Instructions

8. Race or Ethnic Group. You 9. Signature. To register in Hawaii Mailing address: are requested to fill in this box. you must: Secretary of State See the list of choices under the • be a citizen of the United States P.O. Box 83720 Application Instructions for Box 8 • be a resident of the State of State Capitol Bldg. (on page 2). Hawaii Boise, ID 83720-0080 9. Signature. To register in • be at least 16 years old (you must Georgia you must: be 18 years old by election day in Illinois • be a citizen of the United States order to vote) • be a legal resident of Georgia and • not be incarcerated for a felony Updated: 08-14-2012 of the county in which you want to conviction vote • not be adjudicated by a court as Registration Deadline — 28 days • be 18 years old within six months “non compos mentis” prior to each election. after the day of registration, and be 18 years old to vote Mailing address: 6. ID Number. Your driver’s • not be serving a sentence for Office of Elections license number is required to having been convicted of a felony State of Hawaii register to vote. If you do not have • not have been judicially 802 Lehua Avenue a driver’s license, at least the last determined to be mentally Pearl City, HI 96782 four digits of your social security incompetent, unless the disability number are required. If you have has been removed Idaho neither, please write “NONE” on the form. A unique identifier will Mailing address: Updated: 03-01-2006 be assigned to you by the State. Elections Division 7. Choice of Party. Party registration Office of the Secretary of State Registration Deadline — 25 days or preference is not required for 2 Martin Luther King Jr. Drive before the election. voter registration. However, when Suite 802 Floyd West Tower you apply for a primary ballot, you Atlanta, Georgia 30334 6. ID Number. Enter your driver's must indicate your party preference license number. If you have no for that election. Hawaii driver's license, enter the last 8. Race or Ethnic Group. Leave 4 digits of your social security blank. Updated: 03-01-2006 number. 9. Signature. A signature is 7. Choice of Party. You do not have required. If signature is missing Registration Deadline — 30 days to register with a party if you want from registration form, you will before the election. to take part in that party’s primary be notified your registration is election, caucus, or convention. incomplete. 6. ID Number. Your full social 8. Race or Ethnic Group. Leave To register in Illinois you must: security number is required. It blank. • be a citizen of the United States is used to prevent fraudulent 9. Signature. To register in Idaho • be a resident of Illinois and of registration and voting. Failure you must: your election precinct at least 30 to furnish this information • be a citizen of the United States days before the next election will prevent acceptance of this • have resided in Idaho and in the • be at least 18 years old on or application (Hawaii Revised county for 30 days prior to the day before the next election Statutes, Section 11-15). of election • not be in jail for a felony 7. Choice of Party. A “choice of • be at least 18 years old conviction party” is not required for voter • not have been convicted of • not claim the right to vote registration. a felony, and without having anywhere else 8. Race or Ethnic Group. Race or been restored to the rights of ethnic group information is not citizenship, or confined in prison Mailing address: required for voter registration. on conviction of a criminal offense State Board of Elections 2329 S. MacArthur Boulevard

7 State Instructions

Springfield, IL 62704 *If you fail to meet the voter registration deadlines above you Kansas Indiana can register and vote by following Updated: 10-25-2013 the guidelines for election day Updated: 03-01-2006 registration. You can find these Registration Deadline — on the Iowa Secretary of State’s Postmarked or delivered 21 days Registration Deadline — 29 days website: www.sos.state.ia.us/pdfs/ before the election before the election. elections/EDRbrochure.pdf. 6. ID Number. Your completed 6. ID Number. Your state voter ID 6. ID Number. Your ID number is voter registration form must number is your ten digit Indiana your Iowa driver's license number contain your state issued driver's issued driver's license number. If you (or Iowa non-driver identification license number or nondriver's do not possess an Indiana driver's number) if you have one, if not identificationcard number. If you license then provide the last four then the last four digits of your do not have a driver's license or digits of your social security number. social security number. The ID nondriver's identificationcard , you Please indicate which number was number you provide will be must include the last four digits provided. (Indiana Code 3-7-13-13) verified with the Iowa Department of your social security number. If 7. Choice of Party. Leave blank. of Transportation or the Social you do not have a driver's license 8. Race or Ethnic Group. Leave Security Administration. or a nondriver's identificationcard blank. 7. Choice of Party. You may, but or social security number, please 9. Signature. To register in Indiana do not have to, register with a party write "NONE" on the form. A you must: in advance if you want to take part unique identifying number will be • be a citizen of the United States in that party’s primary election. assigned by the State. The number • have resided in the precinct at least You may change or declare a party you provide will be used for 30 days before the next election affiliation at the polls on primary administrative purposes only and • be at least 18 years of age on the election day. will not be disclosed to the public. day of the next general election 8. Race or Ethnic Group. Leave (KSA 25-2309). • not currently be in jail for a blank. 7. Choice of Party. You must criminal conviction 9. Signature. To register in Iowa register with a party if you want to you must: take part in that party’s primary Mailing address: • be a citizen of the United States election, caucus, or convention. Election Division • be a resident of Iowa 8. Race or Ethnic Group. Leave Office of the Secretary of State • be at least 17-1/2 years old (you blank. 302 West Washington Street, must be 18 to vote) 9. Signature. To register in Kansas Room E-204 • not have been convicted of a you must: Indianapolis, IN 46204-2743 felony (or have had your rights • be a citizen of the United States restored) • be a resident of Kansas Iowa • not currently be judged by a • be 18 by the next election court to be "incompetent to vote" • have completed the terms of your Updated: 03-28-2008 • not claim the right to vote in sentence if convicted of a felony; more than one place a person serving a sentence for a Registration Deadline — Must be • give up your right to vote in any felony conviction is ineligible to vote delivered by 5 p.m. 10 days before other place • not claim the right to vote in any the election, if it is a state primary other location or under any other or general election; 11 days before Mailing address: name all others.* Registration forms Elections Division • not be excluded from voting by a which are postmarked 15 or Office of the Secretary of State court of competent jurisdiction more days before an election are Lucas Building-1st Floor considered on time even if received 321 E. 12th Street after the deadline. Des Moines, IA 50319 8 State Instructions

Mailing address: 9. Signature. To register in Secretary of State Louisiana Louisiana you must: 1st Floor, Memorial Hall Updated: 08-14-2012 • be a citizen of the United States 120 SW 10th Ave. • be a resident of Louisiana Topeka, KS 66612-1594 Registration Deadline — 30 days (Residence address must be address before the election. where you claim homestead Kentucky exemption, if any, except for a 6. ID Number. You must provide resident in a nursing home or Updated: 03-01-2006 your Louisiana driver’s license veteran’s home who may select number or Louisiana special to use the address of the nursing Registration Deadline — 29 days identification card number, if home or veterans’ home or the before the election. issued. If not issued, you must home where he has a homestead provide at least the last four digits exemption. A college student may 6. ID Number. Your full social of your social security number, elect to use his home address or his security number is required. It is if issued. The full social security address while away at school.) used for administrative purposes number may be provided on a • be at least 17 years old, and be 18 only and is not released to the voluntary basis. If the applicant years old prior to the next election public (KRS 116.155). No person has neither a Louisiana driver’s to vote shall be denied the right to register license, a Louisiana special • not currently be under an order because of failure to include social identification card, or a social of imprisonment for conviction of security number. security number, the applicant a felony 7. Choice of Party. You must shall attach one of the following • not currently be under a register with a party if you want to items to his application: (a) a judgment of interdiction for take part in that party’s primary copy of a current and valid photo mental incompetence election, caucus, or convention. identification; or (b) a copy of a 8. Race or Ethnic Group. Leave current utility bill, bank statement, Mailing address: blank. government check, paycheck, or Secretary of State 9. Signature. To register in other government document that Attention: Voter Registration Kentucky you must: shows the name and address of P.O. Box 94125 • be a citizen of the United States applicant. Neither the registrar Baton Rouge, LA 70804-9125 • be a resident of Kentucky nor the Department of State • be a resident of the county for at shall disclose the social security Maine least 28 days prior to the election date number of a registered voter • be 18 years of age on or before or circulate the social security Updated: 08-14-2012 the next general election numbers of registered voters on • not be a convicted felon or if you commercial lists (R.S. 18:104 and Registration Deadline — Delivered have been convicted of a felony, 154; 42 U.S.C. § 405). 21 business days before the election your civil rights must have been 7. Choice of Party. If you do not (or a voter may register in-person up restored by executive pardon list a party affiliation, you cannot to and including election day). • not have been judged “mentally vote in the Presidential Preference incompetent” in a court of law Primary and party committee 6. ID Number. You must list • not claim the right to vote elections. Political party affiliation your valid Maine driver's license anywhere outside Kentucky is not required for any other number. If you don't have a valid election. Maine driver's license, then you Mailing address: 8. Race or Ethnic Group. You must provide the last four digits State Board of Elections are requested to fill in this box. of your Social Security Number. 140 Walnut Street See the list of choices under the Voters who don't have either of Frankfort, KY 40601-3240 Application Instructions for Box 8 these forms of ID must write (on page 2). "NONE" in this space.

9 State Instructions

7. Choice of Party. You must be used only for registration and 7. Choice of Party. If you do register with a party if you want to other administrative purposes. It not designate a party of political take part in that party’s primary will be kept confidential. designation in this box, you election, caucus, or convention 7. Choice of Party. You must will be registered as unenrolled. (unless otherwise permitted by a register with a party if you want to Unenrolled voters may participate political party). take part in that party’s primary in party primaries. However, an 8. Race or Ethnic Group. Leave election. unenrolled voter must enroll in a blank. 8. Race or Ethnic Group. Leave party on the day of the Presidential 9. Signature. To register in Maine blank. Preference Primary in order to you must: 9. Signature. To register in participate in that primary. • be a citizen of the United States Maryland you must: 8. Race or Ethnic Group. Leave • be a resident of Maine and the • be a U.S. citizen blank. municipality in which you want • be a Maryland resident 9. Signature. To register in to vote • be at least 18 years old by the Massachusetts you must: • be at least 17 years old (you must next general election • be a citizen of the United States be 18 years old to vote) • not be under guardianship for • be a resident of Massachusetts mental disability • be 18 years old on or before the Mailing address: • not have been convicted of next election Elections Division buying or selling votes • not have been convicted of Bureau of Corporations, • not have been convicted of a corrupt practices in respect to Elections and Commissions felony, or if you have, you have elections 101 State House Station completed serving a court ordered • not be under guardianship with Augusta, ME 04333-0101 sentence of imprisonment, respect to voting including any term of parole or • not be currently incarcerated for Maryland probation for the conviction. a felony conviction

Updated: 06-26-2008 Mailing address: Mailing address: State Board of Elections Secretary of the Commonwealth Registration Deadline — 9:00 P.O. Box 6486 Elections Division, Room 1705 p.m. 21 days before the election. Annapolis, MD 21401-0486 One Ashburton Place Boston, MA 02108 6. ID Number. If you have a Massachusetts current, valid Maryland driver’s Michigan license or a Motor Vehicle Updated: 03-01-2006 Administration identification card, Updated: 03-01-2006 you must enter the driver’s license Registration Deadline — 20 days or identification number. If you do before the election. Registration Deadline — 30 days not have a current, valid Maryland before the election. driver’s license or Motor Vehicle 6. ID Number. Federal law requires Administration identification that you provide your driver’s 6. ID Number. Your completed card, you must enter at least the license number to register to vote. voter registration form must last 4 digits of your social security If you do not have a current and contain your state issued driver's number. However, please note, valid Massachusetts’ driver’s license license number or state issued the disclosure of your full Social then you must provide the last four personal identification card Security number is voluntary. The (4) digits of your social security number. If you do not have a statutory authority allowing election number. If you have neither, you driver's license or state issued officials to request your full Social must write “NONE” in the box and personal identification card, you Security number is Election Law a unique identifying number will be must include the last four digits of Article, Section 3-202, Annotated assigned to you. your social security number. If you Code of Maryland. The number will do not have a driver's license or a

10 State Instructions state issued personal identification Mailing address: Mailing address: card or a social security number, Michigan Department of State Secretary of State please write "NONE" on the form. Bureau of Elections 60 Empire Drive, Suite 100 A unique identifying number will P.O. Box 20126 St. Paul, MN 55103-1855 be assigned by the State. Lansing, MI 48901-0726 7. Choice of Party. A "choice of Mississippi party" is not required for voter Minnesota registration. Updated: 05-07-2010 8. Race or Ethnic Group. Leave Updated: 12-31-2008 blank. Registration Deadline — 30 days 9. Signature. To register in Registration Deadline — before the election. Michigan you must: Delivered by 5:00 p.m. 21 days • be a citizen of the United States before the election (there is also 6. ID Number. You are required • be 18 years old by the next election day registration at polling to provide your current and valid election places). driver's license number or, if you • be a resident of Michigan and at don’t have one, the last four digits least a 30 day resident of your city 6. ID Number. You are required of your social security number. or township by election day to provide your Minnesota driver’s 7. Choice of Party. Mississippi • not be confined in a jail after license or state ID number to does not have party registration. being convicted and sentenced register to Vote. If you do not have Therefore, you do not have to a Minnesota driver’s license or state register with a party if you want to Notice: Michigan law requires that ID then you will have to provide take part in that party’s primary the same address be used for voter the last four digits of your social election, caucus, or convention. registration and driver license security number. If you have neither, 8. Race or Ethnic Group. Leave purposes. Therefore, if the residence please write “none” on the form. blank. address you provide on this form 7. Choice of Party. Leave blank. 9. Signature. To register in differs from the address shown 8. Race or Ethnic Group. Leave Mississippi you must: on a driver license or personal blank. • be a citizen of the United States identification card issued by the 9. Signature. To register in • have lived in Mississippi and in State of Michigan, the Secretary Minnesota you must: your county (and city, if applicable) of State will automatically change • be a citizen of the United States 30 days before the election in your driver license or personal • be a resident of Minnesota for 20 which you want to vote identification card address to match days before the next election • be 18 years old by the time of the the residence address entered on • maintain residence at the address general election in which you want this form. If an address change is given on the registration form to vote made, the Secretary of State will • be at least 18 years old on • have not been convicted of mail you an address update sticker election day murder, rape, bribery, theft, arson, for your driver license or personal • if previously convicted of a felony, obtaining money or goods under identification card. your felony sentence has expired or false pretense, perjury, forgery, Caution: If you register by mail, been completed, or you have been embezzlement, armed robbery, you must vote in person at your discharged from the sentence extortion, felony bad check, felony assigned precinct the first time you • not be under a court-ordered shoplifting, larceny, receiving vote, unless you are: guardianship in which the right to stolen property, robbery, timber • disabled as defined by state law; vote has been revoked larceny, unlawful taking of a motor • 60 years of age or older; or • not be found by a court to be vehicle, statutory rape, carjacking, • temporarily residing overseas. legally incompetent to vote. or bigamy, or have had your rights restored as required by law • not have been declared mentally incompetent by a court

11 State Instructions

Note: State law changed by federal 8. Race or Ethnic Group. Leave 9. Signature. To register in court order in 1998 and by state blank. Montana you must: legislation in 2000. We now accept 9. Signature. To vote in Missouri • be a citizen of the United States the form as registration for voting you must: • be at least 18 years old on or for all state and federal offices. • be a citizen of the United States before the election • be a resident of Missouri • be a resident of Montana and of Mailing address: • be at least 17-1/2 years of age the county in which you want to Secretary of State (you must be 18 to vote) vote for at least 30 days before the P.O. Box 136 • not be on probation or parole next election Jackson, MS 39205-0136 after conviction of a felony, until • not be in a penal institution for a finally discharged from such felony conviction Local county addresses: probation or parole • not currently be determined by a You also may return completed • not be convicted of a felony or court to be of unsound mind applications to the county circuit misdemeanor connected with the • meet these qualifications by the clerk/registrar where you reside. right of suffrage next election day if you do not A complete list of county circuit • not be adjudged incapacitated by currently meet them clerk/registrars is available on any court of law Mississippi’s website at www.sos. • not be confined under a sentence Mailing address: ms.gov. of imprisonment Secretary of State’s Office P.O. Box 202801 Missouri Mailing address: State Capitol Secretary of State Helena, MT 59620-2801 Updated: 09-12-2006 P.O. Box 1767 Jefferson City, MO 65102-1767 Nebraska Registration Deadline — 28 days before the election. Montana Updated: 03-01-2006 6. ID Number. Your completed Updated: 03-01-2006 Registration Deadline — The voter registration form must third Friday before the election contain your state issued driver's Registration Deadline — 30 days (or delivered by 6 p.m. on the license number. Your completed before the election. second Friday before the election). voter registration form must also include the last four digits 6. ID Number. You must provide 6. ID Number. You must provide of your social security number. your Montana driver's license your Nebraska driver's license (Section 115.155, RSMo). If you number. If you do not have a number. If you do not have a do not have a driver's license or Montana driver's license number Nebraska driver's license number a social security number, please then you must list the LAST FOUR then you must list the last four write "NONE" on the form. A DIGITS OF YOUR SOCIAL digits of your social security unique identifying number will SECURITY NUMBER. If you number. be assigned by the State. Any have neither a driver's license, nor 7. Choice of Party. You must electronic media, printouts or a social security number, please register with a party if you want to mailing labels provided under this write “NONE” on the form. The take part in that party’s primary section shall not include telephone state of Montana will assign to you election, caucus, or convention. numbers and social security a unique identifying number. 8. Race or Ethnic Group. Leave numbers of voters. (Section 7. Choice of Party. Montana does blank. 115.157, RSMo). not require party registration to 9. Signature. To register in 7. Choice of Party. You do not have participate in any election. Nebraska you must: to register with a party if you want 8. Race or Ethnic Group. Leave • be a citizen of the United States to take part in that party’s primary blank. • be a resident of Nebraska election, caucus, or convention.

12 State Instructions

• be at least 18 years of age or will a Nonpartisan Ballot for the be 18 years of age on or before the Primary Election. New Hampshire first Tuesday after the first Monday 8. Race or Ethnic Group. Leave Updated: 03-01-2006 of November blank. • not have been convicted of a 9. Signature. To register in Nevada Registration Deadline — New felony, or if convicted, have had you must: Hampshire town and city clerks your civil rights restored • be a citizen of the United States will accept this application only as • not have been officially found to • have attained the age of 18 years a request for their own absentee be mentally incompetent on the date of the next election voter mail-in registration form, • have continuously resided in the which must be received by your Mailing address: State of Nevada, in your county, at city or town clerk by 10 days before Nebraska Secretary of State least 30 days and in your precinct the election. Suite 2300, State Capitol Bldg. at least 10 days before the next Lincoln, NE 68509-4608 election New Hampshire town and city clerks • have your civil rights restored if will accept this application only as a Nevada you were convicted of a felony request for their own absentee voter • not be determined by a court of mail-in registration form. You need Updated: 05-07-2010 law to be mentally incompetent to fill in only Box 1 and Box 2 or 3. • claim no other place as your legal Registration Deadline — The residence The application should be mailed deadline for mail-in registration to your town or city clerk at your is the fifth Saturday before any Mailing address: zip code. These addresses are primary or general election. Secretary of State listed on the Secretary of State In person registration remains Elections Division web site at www.state.nh.us/sos/ available until 9:00 p.m. on the 101 North Carson Street clerks.htm third Tuesday preceding any Suite 3 primary or general election. You Carson City, NV 89701-4786 It should be mailed in plenty of may register to vote in person only time for your town or city clerk to by appearing at the office of the Applications may be returned to mail you their own form and for County Clerk/Registrar of Voters. the Secretary of State’s office at you to return that form to them by the address above, but to avoid 10 days before the election. 6. ID Number. You must supply a possible delays, you are advised Nevada’s Driver’s License Number to return your completed voter or Nevada ID Card Number if you registration applications directly to New Jersey have been issued one. If you do not your local county election official. Updated: 03-28-2008 have a Driver’s License Number or Nevada ID Card Number, you Local county addresses: Registration Deadline — 21 days must supply the last four digits of To meet registration deadlines, before the election. your Social Security Number. If especially during the two weeks you do not have a Social Security before the close of the mail-in 6. ID Number. The last four digits Number, please contact your registration deadline, return of your Social Security number OR County Clerk/Registrar of Voters completed applications to your New Jersey Driver's License to be assigned a unique identifier. your respective County Clerk/ number is required for voter 7. Choice of Party. You must Registrar of Voters. A complete registration. If you do not possess register with a party if you list of County Clerk/Registrar of either of these identifications, want to take part in that party’s Voters and registration deadlines please write "NONE" on the form. primary election, caucus, or is available on Nevada’s website: The State will assign a number that convention. If you register with www.nvsos.gov. will serve to identify you for voter a minor political party, or as a registration purposes. Nonpartisan you will receive

13 State Instructions

7. Choice of Party. New Jersey's 6. ID Number. Your full social voter registration form does not security number is required. New York provide a check-off for political This registration card containing Updated: 06-19-2014 party affiliation. A newly registered your social security number will voter or voter who has never voted become part of the permanent voter Registration Deadline — 25 days in a political party primary election registration records of your locality, before the election. can declare party affiliation at which are open to inspection the polling place on the day of a by the public in the office of the 6. ID Number. Federal law requires primary election. In New Jersey, a county clerk. However, your social that you provide your driver’s primary election is only held for security number and date of birth license number to register to vote. the Democratic and Republican will remain confidential and will If you do not have a driver’s license parties. A voter may also file a not be disclosed to the public. then you will have to provide at least political party declaration form to Computerized listings of limited the last four digits of your social become a member of a political voter registration information security number. If you have neither, party. If a declared voter wished (without social security number please write “NONE” on the form. to change party affiliation he or or birth date) are available to the A unique identifying number will be she must file a declaration form 50 general public, and are furnished assigned to you by your State. days before the primary election, upon request to incumbent election 7. Choice of Party. You must in order to vote. officeholders, candidates, political enroll with a party if you want 8. Race or Ethnic Group. Leave parties, courts and non-profit to vote in that party’s primary blank. organizations promoting voter election or caucus. 9. Signature. To register in New participation and registration, for 8. Race or Ethnic Group. Leave Jersey you must: political purposes only (§1-5-19B, blank. • be a citizen of the United States NMSA 1978). 9. Signature. To register in New • be at least 18 years of age by the 7. Choice of Party. You must York you must: time of the next election register with a party if you want to • be a citizen of the United States • be a resident of this State and take part in that party’s primary • be a resident of the county, or of county at your address at least 30 election, caucus, or convention. the City of New York, at least 30 days before the next election 8. Race or Ethnic Group. Leave days before an election • not be serving a sentence or on blank. • be 18 years old by December 31 of parole or probation as the result of a 9. Signature. To register in New the year in which you file this form conviction of any indictable offense Mexico you must: (Note: You must be 18 years old by the under the laws of this or another • be a citizen of the United States date of the general, primary, or other state or of the United States • be a resident of the State of New election in which you want to vote) Mexico • not be in jail or on parole for a Mailing address: • be 18 years of age at the time of felony conviction New Jersey Department of Law the next election • not currently be judged and Public Safety • not have been denied the right incompetent by order of a court of Division of Elections to vote by a court of law by reason competent judicial authority PO BOX 304 of mental incapacity and, if I • not claim the right to vote Trenton, NJ 08625-0304 have been convicted of a felony, I elsewhere have completed all conditions of New Mexico probation or parole, served the Mailing address: entirety of a sentence or have been NYS Board of Elections Updated: 03-01-2006 granted a pardon by the Governor. 40 North Pearl Street, Suite 5 Albany, NY 12207-2729 Registration Deadline — 28 days Mailing address: before the election. Bureau of Elections 325 Don Gaspar, Suite 300 North Carolina Santa Fe, NM 87503

14 State Instructions

Updated: 03-01-2006 Mailing address: North Dakota Secretary of State of Ohio Registration Deadline — Updated: 03-01-2006 Elections Division Postmarked 25 days before 180 E. Broad Street — 15th Floor the election or received in the North Dakota does not have voter Columbus, OH 43215 elections office or designated voter registration. registration agency site by 5:00 p.m. 25 days before the election. Oklahoma Ohio Updated: 10-29-2003 6. ID Number. Provide your North Updated: 03-01-2006 Carolina driver’s license number, Registration Deadline — 25 days or North Carolina Department Registration Deadline — 30 days before the election. of Motor Vehicles ID number. If before the election. you do not have a driver's license, 6. ID Number. The last four digits then list the last four digits of your of your social security number social security number. 6. ID Number. Your social security number is requested. Providing are required. (Oklahoma Title 26, 7. Choice of Party. You must Section 4-112) In addition, your register with a party to vote in that this number is voluntary. This information allows the Board of Oklahoma driver’s license number party’s primary unless that party is requested. allows unaffiliated voters to vote Elections to verify your registration if necessary (O.R.C. 3503.14). [Federal 7. Choice of Party. You must in its primary. If you indicate a register with a party if you want to political party that is not a qualified law requires that you provide your driver’s license number to register take part in that party’s primary party, or indicate no party, you will election, caucus, or convention. be listed as “Unaffiliated”. to vote. If you do not have a driver’s license then you will have to provide 8. Race or Ethnic Group. Leave 8. Race or Ethnic Group. You are blank. required to fill in this box. However, at least the last four digits of your social security number. If you don’t 9. Signature. To register in your application will not be rejected Oklahoma you must: if you fail to do so. See the list of have either number you will have to write “NONE” on the form and the • be a citizen of the United States choices under the Application and a resident of the State of Instructions for Box 8 (on page 2). State will assign you a number.] 7. Choice of Party. You do not Oklahoma 9. Signature. To register in North • be 18 years old on or before the Carolina you must: register with a party if you want to take part in that party’s primary date of the next election • be a citizen of the United States • have not been convicted of a • be a resident of North Carolina election. Party affiliation is established by voting at a primary election. felony, for which a period of time and the county in which you live for equal to the original sentence has at least 30 days prior to the election 8. Race or Ethnic Group. Leave blank. not expired, or for which you have • be 18 years of age by the day of not been pardoned the next general election 9. Signature. To register in Ohio you must: • not now be under judgment as an • have your rights of citizenship incapacitated person, or a partially restored if you have been convicted • be a citizen of the United States • be a resident of Ohio incapacitated person prohibited of a felony from registering to vote • not be registered or vote in any • be 18 years old on or before other county or state election day. If you will be 18 on or before the day of the general election, Mailing address: Oklahoma State Election Board Mailing address: you may vote in the primary election for candidates only. Box 528800 State Board of Elections Oklahoma City, OK 73152-8800 P.O. Box 27255 • not be convicted of a felony and Raleigh, NC 27611-7255 currently incarcerated • not be found incompetent by a court for purposes of voting

15 State Instructions

social Security Number. If you do 7. Choice of Party. In Rhode Island, Oregon not have a Social Security Number, a person must register with a party Updated: 03-01-2006 please write “NONE” in the box. if he/she wishes to take part in that 7. Choice of Party. You must register party's primary election. A person Registration Deadline — 21 days with a party if you want to take part who fails to register with a party at before the election. in that party’s primary election. the time of registration may, if he/ 8. Race or Ethnic Group. You she chooses, register with a party 6. ID Number. Federal law requires are requested to fill in this box. on the day of that party's primary that you provide your driver’s See the list of choices under the and take part in that party's primary license number to register to vote. Application Instructions for Box 8 election. If a person does not If you do not have a driver’s license (on page 2). register with a party, he/she can still then you will have to provide at 9. Signature. To register in vote in general elections and non- least the last four digits of your Pennsylvania you must: partisan primary elections. social security number. If you have • be a citizen of the United States 8. Race or Ethnic Group. Leave neither, you will need to write at least one month before the next blank. “NONE” on the form. A unique election 9. Signature. To register in Rhode identifying number will instead be • be a resident of Pennsylvania and Island you must: assigned to you by your State. your election district at least 30 • be a citizen of the United States 7. Choice of Party. You must days before the election • be a resident of Rhode Island for register with a party if you want to • be at least 18 years of age on the 30 days preceding the next election take part in that party’s primary day of the next election • be 18 years old by election day election. • not be currently incarcerated in a 8. Race or Ethnic Group. Leave Mailing address: correctional facility due to a felony blank. Office of the Secretary of conviction 9. Signature. To register in Oregon the Commonwealth • not have been lawfully judged to you must: 210 North Office Bldg. be mentally incompetent • be a citizen of the United States Harrisburg, PA 17120-0029 • be a resident of Oregon Mailing address: • be at least 18 years old by Rhode Island Rhode Island State Board of election day Elections Updated: 03-28-2008 50 Branch Ave. Mailing address: Providence, RI 02904-2790 Secretary of State Registration Deadline — 30 days Elections Division before the election. South Carolina 141 State Capitol Salem, OR 97310-0722 6. ID Number. The applicant Updated: 03-01-2006 shall be required to provide his/ her Rhode Island driver's license Registration Deadline — 30 days Pennsylvania number if the applicant has been before the election. Updated: 03-01-2006 issued a current and valid Rhode Island driver's license. In the case 6. ID Number. Your full social Registration Deadline — 30 days of an applicant who has not been security number is required. It is before an election or primary. issued a current and valid driver's required by the South Carolina license he/she must provide the Code of Laws and is used for 6. ID Number. You must supply last four (4) digits of his/her social internal purposes only. Social a Driver's License Number, if you security number. An applicant, security number does not appear have one. If you do not have a who has neither, will be assigned a on any report produced by the Driver's License Number, you must unique identifying number by the State Election Commission nor supply the last four digits of your State of Rhode Island. is it released to any unauthorized

16 State Instructions individual. (South Carolina Title 6. ID Number. Your driver’s license • be a citizen of the United States 7-5-170) number is requested. If you do not • be a resident of Tennessee 7. Choice of Party. You do not have have a valid driver's license, you • be at least 18 years old on or to register with a party if you want must provide the last four digits of before the next election to take part in that party’s primary your social security number. • not have been convicted of a election, caucus, or convention. 7. Choice of Party. You must felony, or if convicted, have had 8. Race or Ethnic Group. You are register with a party if you want to your full rights of citizenship required to fill in this box. Your take part in that party’s primary restored (or have received a application may be rejected if you election, caucus, or convention. pardon) fail to do so. See the list of choices 8. Race or Ethnic Group. Leave • not be adjudicated incompetent under the Application Instructions blank. by a court of competent for Box 8 (on page 2). 9. Signature. To register in South jurisdiction (or have been restored 9. Signature. To register in South Dakota you must: to legal capacity) Carolina you must: • be a citizen of the United States • be a citizen of the United States • reside in South Dakota Mailing address: • be at least 18 years old on or • be 18 years old by the next Coordinator of Elections before the next election election Tennessee Tower, Seventh Floor • be a resident of South Carolina, • not be currently serving a 312 Rosa L. Parks Ave. your county and precinct sentence for a felony conviction Nashville, TN 37243-1102 • not be confined in any public which included imprisonment, prison resulting from a conviction served or suspended, in an adult Texas of a crime penitentiary system • never have been convicted of • not have been adjudged mentally Updated: 03-01-2006 a felony or offense against the incompetent by a court election laws, or if previously Registration Deadline — 30 days convicted, have served your entire Mailing address: before the election. sentence, including probation or Elections, Secretary of State parole, or have received a pardon 500 E. Capitol 6. ID Number. You must provide for the conviction Pierre, SD 57501-5070 your driver’s license number to • not be under a court order register to vote. If you do not have a declaring you mentally Tennessee driver’s license then you will have to incompetent provide at least the last four digits of • claim the address on the Updated: 06-19-2014 your social security number. If you application as your only legal place have neither, please write “NONE” of residence and claim no other Registration Deadline — 30 days on the form. A unique identifying place as your legal residence before the election. number will instead be assigned to you by your State. Mailing address: 6. ID Number. Your full social 7. Choice of Party. You do not have State Election Commission security number is required. Social to register with a party if you want P.O. Box 5987 security number, if any, is required for to take part in that party’s primary Columbia, SC 29250-5987 purposes of identification and to avoid election, caucus, or convention. duplicate registration (TCA 2.2.116). 8. Race or Ethnic Group. Leave South Dakota 7. Choice of Party. You do not blank. have to register with a party if you 9. Signature. To register in Texas Updated: 03-01-2006 want to take part in that party’s you must: primary election, caucus, or • be a citizen of the United States Registration Deadline — Received convention. • be a resident of the county 15 days before the election. 8. Race or Ethnic Group. Optional. in which the application for 9. Signature. To register in registration is made Tennessee you must:

17 State Instructions

• be at least 17 years and 10 months you may be restricted from voting 9. Signature. To register in old (you must be 18 to vote) in the primary. Vermont you must: • not be finally convicted of a 8. Race or Ethnic Group. Leave • be a citizen of the United States felony, or if a convicted felon, blank. • be a resident of Vermont you must have fully discharged 9. Signature. To register in Utah • be 18 years of age on or before your punishment, including any you must: election day incarceration, parole, supervision, • be a citizen of the United States • have taken the following Oath: period of probation or be pardoned. • have resided in Utah for 30 days You solemnly swear (or affirm) • have not been declared mentally immediately before the next election that whenever you give your incompetent by final judgment of a • be at least 18 years old on or vote or suffrage, touching any court of law before the next election matter that concerns the state of • not be a convicted felon currently Vermont, you will do it so as in Mailing address: incarcerated for commission of a your conscience you shall judge Office of the Secretary of State felony will most conduce to the best Elections Division • not be convicted of treason good of the same, as established by P.O. Box 12060 or crime against the elective the Constitution, without fear or Austin, TX 78711-2060 franchise, unless restored to civil favor of any person [Voter’s Oath, rights Vermont Constitution, Chapter II, Utah • not be found to be mentally Section 42] incompetent by a court of law By signing in Box 9, you are Updated: 03-28-2008 attesting that you have sworn or Mailing address: affirmed the Vermont voter’s oath Registration Deadline — 30 days Office of the Lieutenant as printed above. before the election for mail-in Governor applications; 15 days before the P.O. Box 142325 Mailing address: election for walk-in registrations at Salt Lake City, UT 84114 Office of the Secretary of State the county clerk’s office. Director of Elections Vermont 26 Terrace Street 6. ID Number. Your completed Montpelier, VT 05609-1101 voter registration form must Updated: 07-29-2008 contain your state issued driver's Virginia license number or nonoperating Registration Deadline — Delivered identification number. If you to the town clerk before 5:00 PM on Updated: 11-30-2011 do not have a driver's license or the Wednesday before the election. nonoperating identification, you Registration Deadline — Delivered must include the last four digits 6. ID Number. You must provide 22 days before the election. of your social security number. If your Vermont Driver's license you do not have a driver's license number, or if none, the last 4 digits 6. ID Number. Your full social or a nonoperating identification of your Social Security number. security number is required. Your or a social security number, please If you do not have a Vermont social security number will appear write "NONE" on the form. A Driver's license or a Social Security on reports produced only for unique identifying number will be number, please write “NONE” on official use by voter registration assigned by the State. the form. The Secretary of State's and election officials and, for jury 7. Choice of Party. Declaring a office will assign you a unique selection purposes, by courts. party is not required in order to identifying number. Article II, §2, Constitution of register to vote. However, Utah's 7. Choice of Party. Vermont does Virginia (1971). election law allows each political not require party registration to 7. Choice of Party. You do not party to choose whom it will allow participate in any election. have to register with a party if you to vote in its primary election. If 8. Race or Ethnic Group. Leave want to take part in that party’s you do not affiliate with a party, blank.

18 State Instructions primary election, caucus, or • be a legal resident of Washington • not be under conviction, convention. State, your county and precinct for probation, or parole for a felony, 8. Race or Ethnic Group. Leave 30 days immediately preceding the treason or election bribery blank. election in which you want to vote • not have been judged “mentally 9. Signature. To register in • be at least 18 years old by election incompetent” in a court of Virginia you must: day competent jurisdiction • be a citizen of the United States • not be convicted of infamous • be a resident of Virginia and of crime, unless restored to civil Mailing address: the precinct in which you want to rights Secretary of State vote Building 1, Suite 157-K • be 18 years old by the next May Mailing address: 1900 Kanawha Blvd. East or November general election Secretary of State Charleston, WV 25305-0770 • not have been convicted of a Elections Division felony, or have had your civil rights P.O. Box 40229 Wisconsin restored Olympia, WA 98504‑0229 • not currently be declared mentally Updated: 08-05-2013 incompetent by a court of law West Virginia Registration Deadline — Mailing address: Updated: 09-12-2006 Postmarked at least twenty days Virginia State Board of Elections before the election; or completed 1100 Bank Street, 1st floor Registration Deadline — 21 days in the office of the town, village, or Richmond, VA 23219 before the election. city clerk up to 5:00 pm or the close of business whichever is later, on Washington 6. ID Number. Enter your driver's the Friday before the election; or license number. If you do not have completed at the polling place on Updated: 9-24-2012 a driver’s license number, enter the Election Day last four numbers of your social Registration Deadline — 29 days security number. If you do not 6. ID Number. Provide your before the election (or delivered have a driver's license number driver license or DOT-issued ID in‑person to the local voter or a social security number, an card number. If you do not have a registration office until 8 days identification number will be current and valid DOT-issued driver before the election). assigned to you. license or ID card, provide the last 4 7. Choice of Party. You must register digits of your social security number 6. ID Number. You must provide with a party if you want to take part 7. Choice of Party. Not required. your Washington driver’s license or in that party’s primary election, 8. Race or Ethnic Group. Not state ID card number. If you do not caucus, or convention (unless you required. have a Washington driver's license, request the ballot of a party which 9. Signature. To register in or state ID card, you must provide allows independents to vote) Wisconsin you must: the last four digits of your Social 8. Race or Ethnic Group. Leave • be a citizen of the United States Security Number. Failure to provide blank. • be a resident of Wisconsin and this information may prevent your 9. Signature. To register in West have resided at the registration registration from being processed. Virginia you must: address for at least 28 days. 7. Choice of Party. You are not • be a citizen of the United States • be 18 years old required to designate your party • live in West Virginia at the above • not have been convicted of affiliation to register in Washington. address treason, felony or bribery, or if you 8. Race or Ethnic Group. Leave • be 18 years old, or to vote in have, your civil rights have been blank. the primary be 17 years old and restored 9. Signature. To register in turning 18 before the general • not have been found by a court to Washington you must: election be incapable of understanding the • be a citizen of the United States objective of the electoral process

19 State Instructions

• 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: Government Accountability Board 212 East Washington Avenue, Third Floor P.O. Box 7984 Madison, WI 53707-7984

Wyoming

Updated: 03-01-2006

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