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U.S Election Assistance Commission National Mail Voter Registration Form United States

Organisation : The U.S. Election Assistance Commission
Facility Name : National Mail Voter Registration Form
Country :  USA United States of America
Website :

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EAC National Mail Voter Registration Form

The National Mail Voter Registration Form can be used to register U.S. citizens to vote, to update registration information due to a change of name, make a change of address or to register with a political party. The national form also contains voter registration rules and regulations for each state and territory. Requests for updates to the state-specific instructions for this form must include the state election office’s letterhead and must have an original signature of the appropriate representative/staff member in that office (digital signatures are not permissible). Request letters should be addressed to the Executive Director of the U.S. Election Assistance Commission.

Who Can Use this Application?

If you are a U.S. citizen who lives or has an address within the United States, you can use the application in this booklet to:
** Register to vote in your State,
** Report a change of name to your voter registration office,
** Report a change of address to your voter registration office, or
** Register with a political party.

How to Find Out If You Are Eligible to Register to Vote in Your State?

Each State has its own laws about who may register and vote. Check the information under your State in the State Instructions. All States require that you be a United

States citizen by birth or naturalization to register to vote in federal and State elections. Federal law makes it illegal to falsely claim U.S. citizenship to register to vote in any federal, State, or local election. You cannot be registered to vote in more than one place at a time.

How to Fill Out this Application?

Use both the Application Instructions and State Instructions to guide you in filling out the application.
** First, read the Application Instructions. These in- structions will give you important information that applies to everyone using this application.

** Next, find your State under the State Instructions. Use these instructions to fill out Boxes 6, 7, and refer to these instructions for information about voter eligibility and any oath required for Box 9.

How to Submit Your Application?

Mail your application to the address listed under your State in the State Instructions. Or, deliver the application in person to your local voter registration office. The States that are required to accept the national form will accept copies of the application printed from the computer image on regular paper stock, signed by the applicant, and mailed in an envelope with the correct postage.

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 specifc instructions may provide additional information on eligibility to register to vote prior to age 18.

Box 1 — Name :
Put in this box 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 :
Put in this box your home address (legal address). Do not put your mailing address here if it is diferent from your home address. Do not use a post ofce box or rural route without a box number. Refer to state-specifc instructions for rules regarding use of route numbers.

Note: If you were registered before but this is the frst time you are registering from the address in Box 2, please tell us in Box B (on the bottom half of the form) the address where you were registered before. Please give us as much of the address as you can remember. Also Note: If you live in a rural area but do not have a street address, or if you have no address, please show where you live using the map in Box C (at the bottom of the form).

Box 3 — Mailing Address :
If you get your mail at an address that is diferent from the address in Box 2, put your mailing address in this box. If you have no address in Box 2, you must write in Box 3 an address where you can be reached by mail.

Box 4 — Date of Birth :
Put in this box 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 fll in this box.

Box 6 — ID Number :
Federal law requires that states collect from each registrant an identifcation number. You must refer to your state’s specifc instructions for item 6 regarding information on what number is acceptable for your state. If you have neither a drivers 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 fnd out if your State requires this, see item 7 in the instructions under your State. If you want to register with a party, print in the box the full name of the party of your choice.

If you do not want to register with a party, write “no party” or leave the box blank. Do not write in the word “independent” if you mean “no party,” because this might be confused with the name of a political party in your State.

Note: If you do not register with a party, you can still vote in general elections and nonpartisan (nonparty) primary elections.

Box 8 — Race or Ethnic Group :
A few States ask for your race or ethnic group, in order to administer the Federal Voting Rights Act. To fnd out if your State asks for this information, see item 8 in the instructions under your State. If so, put in Box 8 the choice that best describes you from the list below:
** American Indian or Alaskan Native
** Asian or Pacifc Islander
** Black, not of Hispanic Origin
** Hispanic
** Multi-racial
** White, not of Hispanic Origin
** Other

Box 9 — Signature :
Review the information in item 9 in the instructions under your State. Before you sign or make your mark, make sure that:
(1) You meet your State’s requirements,
(2) You understand all of Box 9.

Finally, sign your full name or make your mark, and print today’s date in this order — Month, Day, Year. If the applicant is unable to sign, put in Box D the name, address, and telephone number (optional) of the person who helped the applicant.

Download Registration form here :

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