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Voter Registration 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
  • Place 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 2 — Home Address
  • Place your home address (legal address) in this box.
  • 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.
• Box 4 — Date of Birth
  
  • Indicate your date of birth in this order — Month, Day, Year.
  • Be careful not to use today’s date!
• 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.
• Box 6 — ID Number
  
  • Federal law requires that states collect an identification number from each registrant.
  • You must refer to your state's specific instructions for item 6 regarding the information on what number is acceptable for your state.
  • If you have neither a driver’s license nor a social security number, please indicate this on the form, and a number will be assigned to you by your state.
• Box 7 — Choice of Party
  
  • In some states, you must register with a party if you want to take part in that party’s primary election, caucus, or convention.
  • To find out if your State requires this, see item 7 in the instructions under your