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x

Mr.

Weedens

Jeffrey

1297 Rogers Ave

04/25/1981

Brooklyn

(917) 754-0416
564961365

Republican

NY

11210

Jeffrey Weedens
1297 Rogers Ave
Brooklyn, NY 11210

NYS Board of Elections


40 Steuben Street
Albany, NY 12207-2108

General Instructions
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.

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.
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
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.

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 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.

Box 7 Choice of Party


In some States, you must register with a party if you
want to take part in that partys primary election,
caucus, or convention. To find out if your State requires
this, see item 7 in the instructions under your State.
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 statespecific
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
Multiracial
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 todays 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 States 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 todays 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.

Revised 03/01/2006

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
partys 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 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 non-partisan 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 non-operating
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 and valid
driver license or non-operating
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.

State Instructions
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

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 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
partys 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

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 drivers license or
California identification card
number, if you have one. If you
do not have a drivers license or
4

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.sos.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
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

State Instructions
Colorado

Connecticut

Updated: 03-28-2008

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.

Registration Deadline 14 days


before the election.

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 partys primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
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

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 partys 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.
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: 02-07-2012

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 partys 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
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:
State of Delaware
Office of the State Election
Commissioner
905 S. Governors Ave., Suite 170
Dover, DE 19904

State Instructions
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 applicants drivers license
number or the last four digits
of the applicants 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 partys 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: 11-30-2011

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. If you have not
been issued any of these numbers,
you must write the word NONE.
7. Choice of Party. You must
register with a party if you want to
take part in that partys primary
election, caucus, or convention.
8. Race or Ethnic Group. You are
requested, but not required, 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
pre-register if you are at least 16)
not be adjudicated mentally
incapacitated with respect to
voting in Florida or any other
State, or if you have, you must first
have your voting rights restored.
not be a convicted felon, or if you are,
you must first have your civil rights
restored if they were taken away.
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 all information in
this application is true.
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
6

Georgia
Updated: 08-15-2013

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 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 partys 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

State Instructions
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
2 Martin Luther King Jr. Drive
Suite 802 Floyd West Tower
Atlanta, Georgia 30334

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.
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 partys 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: 08-14-2012

Registration Deadline 28 days


prior to each election.
6. ID Number. Your drivers
license number is required to
register to vote. If you do not have
a drivers 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.
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
2329 S. MacArthur Boulevard
Springfield, IL 62704

State Instructions
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 States
website: www.sos.state.ia.us/pdfs/
elections/EDRbrochure.pdf.
6. ID Number. Your ID number is
your Iowa driver's license number
(or Iowa non-driver identification
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 partys 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
8

Kansas
Updated: 10-25-2012

Registration Deadline
Postmarked or delivered 21 days
before the election
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 partys 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 by a
court of competent jurisdiction

State Instructions
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 partys 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

Louisiana
Updated: 08-14-2012

Registration Deadline 30 days


before the election.
6. ID Number. You must provide
your Louisiana drivers license
number or Louisiana special
identification card 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. If the applicant
has neither a Louisiana drivers
license, a Louisiana special
identification card, or a social
security number, the applicant
shall attach one of the following
items to his application: (a) a
copy of a current and valid photo
identification; or (b) a copy of a
current utility bill, bank statement,
government check, paycheck, or
other government document that
shows the name and address of
applicant. 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

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, except for a
resident in a nursing home or
veterans home who may select
to use the address of the nursing
home or veterans home or the
home where he has a homestead
exemption. A college student may
elect to use his home address or his
address while away at school.)
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
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

Maine
Updated: 08-14-2012

Registration Deadline Delivered


21 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.

State Instructions
7. Choice of Party. You must
register with a party if you want to
take part in that partys 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)
Mailing address:
Elections Division
Bureau of Corporations,
Elections and Commissions
101 State House Station
Augusta, ME 04333-0101

Maryland
Updated: 06-26-2008

Registration Deadline 9:00


p.m. 21 days before the election.
6. ID Number. If you have a
current, valid Maryland drivers
license or a Motor Vehicle
Administration identification card,
you must enter the drivers license
or identification number. If you do
not have a current, valid Maryland
drivers 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 3-202, 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 partys 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
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.

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

Mailing address:
Secretary of the Commonwealth
Elections Division, Room 1705
One Ashburton Place
Boston, MA 02108

Massachusetts
Updated: 03-01-2006

Registration Deadline 20 days


before the election.
6. ID Number. Federal law requires
that you provide your drivers
license number to register to vote.
If you do not have a current and
valid Massachusetts drivers 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.
10

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

State Instructions
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

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 drivers
license or state ID number to
register to Vote. If you do not have
a Minnesota drivers 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.

11

Mailing address:
Secretary of State
60 Empire Drive, Suite 100
St. Paul, MN 55103-1855

Mississippi
Updated: 05-07-2010

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
dont 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 partys 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

State Instructions
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
Local county addresses:
You also may return completed
applications to the county circuit
clerk/registrar where you reside.
A complete list of county circuit
clerk/registrars is available on
Mississippis website at www.sos.
ms.gov.

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 partys 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
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

9. Signature. To register in
Montana you must:
be a citizen of the United States
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 States Office
P.O. Box 202801
State Capitol
Helena, MT 59620-2801

Nebraska
Updated: 03-01-2006

Registration Deadline 30 days


before the election.

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 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.

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 partys 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

Updated: 03-01-2006

12

State Instructions
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: 05-07-2010

Registration Deadline The


deadline for mail-in registration
is the fifth Saturday before any
primary or general election.
In person registration remains
available until 9:00 p.m. on the
third Tuesday preceding any
primary or general election. You
may register to vote in person only
by appearing at the office of the
County Clerk/Registrar of Voters.
6. ID Number. You must supply a
Nevadas Drivers License Number
or Nevada ID Card Number if you
have been issued one. If you do not
have a Drivers License Number
or Nevada ID Card Number, you
must supply the last four digits of
your Social Security Number. If
you do not have a Social Security
Number, please contact your
County Clerk/Registrar of Voters
to be assigned a unique identifier.
7. Choice of Party. You must
register with a party if you
want to take part in that partys
primary election, caucus, or
convention. If you register with
a minor political 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
Applications may be returned to
the Secretary of States office at
the address above, but to avoid
possible delays, you are advised
to return your completed voter
registration applications directly to
your local county election official.
Local county addresses:
To meet registration deadlines,
especially during the two weeks
before the close of the mail-in
registration deadline, return
completed applications to
your respective County Clerk/
Registrar of Voters. A complete
list of County Clerk/Registrar of
Voters and registration deadlines
is available on Nevadas website:
www.nvsos.gov.

13

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,
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 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.

State Instructions
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 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 partys 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
Santa Fe, NM 87503
14

New York
Updated: 06-19-2014

Registration Deadline 25 days


before the election.
6. ID Number. Federal law requires
that you provide your drivers
license number to register to vote.
If you do not have a drivers 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 partys 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
40 North Pearl Street, Suite 5
Albany, NY 12207-2729

State Instructions
North Carolina

North Dakota

Updated: 03-01-2006

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.

North Dakota does not have voter


registration.

6. ID Number. Provide your North


Carolina drivers 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
partys 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
not be registered or vote in any
other county or state

Registration Deadline 30 days


before the election.

Mailing address:
State Board of Elections
P.O. Box 27255
Raleigh, NC 27611-7255

Ohio
Updated: 03-01-2006

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
drivers license number to register
to vote. If you do not have a drivers
license then you will have to provide
at least the last four digits of your
social security number. If you dont
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 partys primary
election. Party affiliation is established
by voting at a primary election.
8. Race or Ethnic Group. Leave
blank.
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
15

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 drivers license number
is requested.
7. Choice of Party. You must
register with a party if you want to
take part in that partys 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
Mailing address:
Oklahoma State Election Board
Box 528800
Oklahoma City, OK 73152-8800

State Instructions
Oregon
Updated: 03-01-2006

Registration Deadline 21 days


before the election.
6. ID Number. Federal law requires
that you provide your drivers
license number to register to vote.
If you do not have a drivers 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 partys 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
be at least 18 years old by
election day
Mailing address:
Secretary of State
Elections Division
141 State Capitol
Salem, OR 97310-0722

Pennsylvania
Updated: 03-01-2006

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 partys 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:
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.
16

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 nonpartisan 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

State Instructions
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 partys 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
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

6. ID Number. Your drivers 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 partys primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in South
Dakota you must:
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:
State Election Commission
P.O. Box 5987
Columbia, SC 29250-5987

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 partys
primary election, caucus, or
convention.
8. Race or Ethnic Group. Optional.

South Dakota
Updated: 03-01-2006

Registration Deadline Received


15 days before the election.

Mailing address:
Elections, Secretary of State
500 E. Capitol
Pierre, SD 57501-5070

Tennessee
Updated: 06-19-2014

Registration Deadline 30 days


before the election.

17

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, Seventh Floor
312 Rosa L. Parks Ave.
Nashville, TN 37243-1102

Texas
Updated: 03-01-2006

Registration Deadline 30 days


before the election.
6. ID Number. You must provide
your drivers license number to
register to vote. If you do not have a
drivers 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 partys 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

State Instructions
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)
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

Updated: 03-28-2008

election law allows each political


party to choose whom it will allow
to vote in its primary election. If
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

Registration Deadline 30 days


before the election for mail-in
applications; 15 days before the
election for walk-in registrations at
the county clerks office.

Mailing address:
Office of the Lieutenant
Governor
P.O. Box 142325
Salt Lake City, UT 84114

Mailing address:
Office of the Secretary of State
Elections Division
P.O. Box 12060
Austin, TX 78711-2060

Utah

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

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.
18

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 [Voters Oath,
Vermont Constitution, Chapter II,
Section 42]
By signing in Box 9, you are
attesting that you have sworn or
affirmed the Vermont voters oath
as printed above.
Mailing address:
Office of the Secretary of State
Director of Elections
26 Terrace Street
Montpelier, VT 05609-1101

Virginia
Updated: 11-30-2011

Registration Deadline Delivered


22 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
official use by voter registration
and election officials and, for jury
selection purposes, by courts.

State Instructions
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 partys
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

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:
Virginia State Board of Elections
1100 Bank Street, 1st floor
Richmond, VA 23219

Updated: 09-12-2006

Washington
Updated: 9-24-2012

Registration Deadline 29 days


before the election (or delivered
in-person to the local voter
registration office until 8 days
before the election).
6. ID Number. You must provide
your Washington drivers license or
state ID card number. If you do not
have a Washington driver's license,
or state ID card, you must provide
the last four digits of your Social
Security Number. Failure to 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.

Mailing address:
Secretary of State
Elections Division
P.O. Box 40229
Olympia, WA 98504-0229

West Virginia
Registration Deadline 21 days
before the election.
6. ID Number. Enter your driver's
license number. If you do not have
a drivers 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 partys primary election,
caucus, or convention (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

19

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

Wisconsin
Updated: 08-05-2013

Registration Deadline
Postmarked at least twenty days
before the election; or completed
in the office of the town, village, or
city clerk up to 5:00 pm or the close
of business whichever is later, on
the Friday before the election; or
completed at the polling place on
Election Day
6. ID Number. Provide your
driver license or DOT-issued ID
card number. If you do not have a
current and valid DOT-issued driver
license or ID card, provide the last 4
digits of your social security number
7. Choice of Party. Not required.
8. Race or Ethnic Group. Not
required.
9. Signature. To register in
Wisconsin you must:
be a citizen of the United States
be a resident of Wisconsin and
have resided at the registration
address for at least 28 days.
be 18 years old

State Instructions
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:
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.

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