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Voter Registration Application - State of Michigan

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Voter Registration Application - State of Michigan
Voter Registration Application - State of Michigan
State of Michigan
Voter Registration Application and Michigan Driver License/
Personal Identification Card Address Change Form
1 You can use this form to:
Register to vote in Michigan.
Change your name or address on your voter registration.
If you have never voted in Michigan and choose to submit this form by mail,
you must appear in person to vote in the first election in which you
wish to participate. This requirement does not apply if (1) you personally
hand deliver this form to your county, city or township clerk’s office instead
of mailing the form (2) you are 60 years of age or more (3) you are disabled
or (4) you are eligible to vote under the Uniformed and Overseas Citizens
Absentee Voting Act.
2 To register to vote in Michigan you must be:
A resident of Michigan and the city or township where you are applying to
register to vote.
A citizen of the United States of America.
At least 18 years of age (by election day).
Not serving a sentence in jail or prison.
3 Voter registration and driver license address must be the same
Michigan law states that the same address must 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.
4 Identifying the city or township where you live
Every person residing in Michigan lives in either a city or a township. If you
do not know the name of your city or township, please describe your location
in the space provided for If no house or street address. Providing cross
streets/roads and landmarks will help the clerk correctly identify your city or
township.
5 Mailing address option provided
If you would prefer to receive mail related to your voter registration or driver
license/personal identification card at an address other than your residential
address, provide a mailing address where indicated on the form. If you
provide a mailing address, it will not appear on your voter I.D. card or driver
license/personal identification card.
6 Mail or hand deliver this form to your city or township clerk
If you live within the city limits of one of the cities listed on the reverse side
of this sheet, mail or hand deliver the application directly to the clerk of that
city. If you do not live within one of the listed cities but you know or can
locate the address of your city or township clerk, mail or hand deliver the
application directly to that clerk. Otherwise, mail or hand deliver the
application to your county clerk. (The addresses of Michigan’s 83 county
clerks are also listed on the reverse side of this sheet.) The county clerk will
forward it to your city or township clerk. Completed applications must be
received or postmarked by the close of registration for an election in order to
be effective for that election.
Are you registering to vote in
Michigan for the first time
If you have never voted in Michigan
and choose to submit this form by mail,
you must meet a new identification
requirement provided under federal
law. To comply with the identification
requirement, you must:
(1) accurately enter your state issued
driver license number or personal
ID card number where requested
on this form.
or
(2) send one of the following forms of
identification when mailing this form
to your county, city or township
clerk: a COPY of a current and
valid photo identification (such as a
driver license or personal ID card)
or a COPY of a paycheck stub,
utility bill, bank statement or a
government document which lists
your name and address.
DO NOT SEND ORIGINAL
DOCUMENTS BY MAIL.
If you are subject to the identification
requirement and do not meet the
requirement as explained above, an
acceptable form of identification will be
requested before you vote in the first
election in which you wish to
participate.
Note: The identification requirement
does not apply if (1) you personally
hand deliver this form to your county,
city or township clerk’s office instead of
mailing this form (2) you are disabled
or (3) you are eligible to vote under the
Uniformed and Overseas Citizens
Absentee Voting Act.
Contact your city or township clerk
if you have any questions
Your application is not valid until
accepted by the clerk of the city or
township in which you reside. If you do
not receive a voter I.D. card within
three weeks or have any questions,
contact your clerk.
ED-121 (Rev. 4-04)
Voter Registration Application - State of Michigan
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