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New York State Voter Registration Form

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New York State Voter Registration Form
New York State Voter Registration Form
New York State Voter Registration Form
Register to vote
With this form, you register to vote in elections in
New York State. You can also use this form to:
change the name or address
on your voter registration
become a member of a political party
change your party membership
To register you must:
be a US citizen;
be 18 years old by the end of this year;
not be in prison or on parole
for a felony conviction;
• not claim the right to vote elsewhere.
Send or deliver this form
Fill out the form below and send it to your
county’s address on the back of this form,
or take this form to the office of your County
Board of Elections.
Mail or deliver this form at least 25 days before
the election you want to vote in. Your county will
notify you that you are registered to vote.
Questions
Call your County Board of Elections
listed on the back of this form or
1-800-FOR-VOTE (TDD/TTY Dial 711)
Find answers or tools on our website
www.elections.ny.gov
Verifying your identity
We’ll try to check your identity before Election
Day, through the DMV number (drivers license
number or non-driver ID number), or the last
four digits of your social security number,
which you’ll fill in below.
If you do not have a DMV or social security
number, you may use a valid photo ID, a current
utility bill, bank statement, paycheck, government
check or some other government document that
shows your name and address. You may include a
copy of one of those types of ID with this form—
be sure to tape the sides of the form closed.
If we are unable to verify your identity before
Election Day, you will be asked for ID when
you vote for the rst time.
Last name
First name
16
Apt. Number
I need to apply for
an Absentee ballot.
I would like to be an
Election Day worker.
Middle Initial
Sufx
City/Town/Village
Zip code
Zip code
Afdavit: I swear or afrm that
• I am a citizen of the United States.
• I will have lived in the county, city or village
for at least 30 days before the election.
• I meet all requirements to register
to vote in New York State.
• This is my signature or mark in the box below.
• The above information is true, I understand that
if it is not true, 3 Day Notice to Pay or Quit 3 Day Notice to Pay or Quit