Register voter basic information

Register to Vote

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Note: All fields marked with an asterisk (*) are required.

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BASIC INFORMATION

Your Name:*

Date of Birth: *

Gender:

Male Female

Application PDF form and acknowledgment will be sent to this email address

PERSONAL IDENTIFICATION

For identification purposes, the Board requires that you provide either your DMV issued ID number or the last four digits of your Social Security Number.

This information will not be made public.

I do not have either a DMV-issued ID or a Social Security Number (If you do not have a DMV-issued ID number or a Social Security Number, your completed application must be submitted to the Board of Elections either by mail, email, or in person)

I consent to the use of my digital signature at the DMV as my signature for this application

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