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Idaho Voter Registration Form

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Idaho Voter Registration Form
Idaho Voter Registration Form
Idaho Voter Registration Form
You can use this form to:
• register to vote in the state of Idaho.
• let us know that your name or address has changed.
• affi liate with a political party or change your status to unaffi liated.
To register to vote in Idaho you must:
• be a U.S. Citizen,
• have resided in Idaho and in the county for thirty (30) days prior to the day of election, and
• be at least 18 years old.
You cannot register to vote in Idaho if:
• you have been convicted of a felony and have not had your civil rights restored.
Persons convicted of a felony in Idaho have their rights automatically restored upon completion
of sentencing including probation or parole.
How to register to vote:
You may mail or deliver your completed card to your county. County addresses are on the back of this form.
• If mailed, your county elections offi ce will mail you a card to let you know that your registration was received.
Political Party:
• If no political party is selected, you will be registered as unaffi liated (no political party preference).
Questions
• Call one of the county election offi ces listed on the back of this form.
IMPORTANT! If mailed, this card must be postmarked by the 25th day before an election. If you
are a fi rst-time voter in Idaho, a copy of a current and valid photo identifi cation or a copy of a
current utility bill, bank statement, government check, paycheck or government document that
shows your name and address must be submitted with this form or shown at the polls prior to voting.
Detach Here
Use Black Pen - Please Print Clearly
Idaho felon’s rights are automatically restored
upon completion of all sentencing conditions
including probation or parole.
ERM-1 Registration Card, Rev. 2011
\ \
month day year
Residence Address (Do not use PO Box or business address. If no street address, describe location of
residence by cross streets, section, township, range, or other physical description.)
Mailing address if different from above
Address where previously registered
UNDER PENALTY OF LAW: By signing this card, I certify that I am a
citizen of the United States and that I shall have been a resident of Idaho and
the county for 30 days before the next election at which I vote; that I am at least
18 years of age on election day; and I declare under oath or affi rmation that the
information supplied herein is true.
X
Signature - Sign on line below.
month day year
Date of
Signature
\ \
Residence in Idaho
Yrs.____Months____
Date of Birth
Telephone Number
(Optional)
City County State
City County Zip
City State Zip
Check box if
name change
Previous Name
Idaho Voter Registration Form
Are you a citizen of the United States of America
Will you be at least 18 years of age on election day
No
Yes
WARNING: Any elector who supplies any information knowing it to be false is guilty of perjury
which is punishable by imprisonment and a fi ne of up to $50,000.
Yes
No
If you checked ‘No’ for
either question, do not
complete this form.
Male
Enter Idaho Drivers License #
If no Idaho Drivers License, enter
last 4 digits of Social Security #
First Name
Last Name
Middle Name
(Print clearly in black ink.)
I have not been issued an
Idaho DL number or SSN.
Yes
No
1
2
3
4
10
5
8
9
Do you have any legal disqualifi cations
Female
Constitution
Political Party (Select one):
Republican
Democratic
Unaffi liated - (No party preference)
Libertarian
7
Precinct
Clerk Date
6
OFFICIAL USE ONLY
Click here to clear form.
Idaho Voter Registration Form
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