Oklahoma Election Board - Voter Registration Application

ADVERTISEMENT

The Muscogee (Creek) Nation of Oklahoma
Election Board
Election Board
(918) 732-7631
Toll Free
P.O. Box 580
Okmulgee, OK 74447
1-800-482-1979
Ext 7683,
7684 , 7685 and 7631
VOTER REGISTRATION APPLICATION
REVISED 2011
LAST NAME
MAIDEN NAME
FIRST NAME
MIDDLE NAME
STREET OR POST OFFICE ADDRESS
CITY
STATE
ZIP CODE
COUNTY OR DISTRICT WITHIN CREEK NATION
ENROLLMENT NUMBER
SOCIAL SECURITY NUMBER
DATE OF BIRTH
GENDER
TELEPHONE NUMBER
NOTICE: Place an X in the square in front of the paragragh that applies.
NEW VOTER. I have not previously registered as a voter in the Creek Nation.
ABSENTEE VOTER.
OATH
I solemnly swear, that I am a qualified elector of the Muscogee (Creek) Nation, over eighteen (18) years
of age, am a person or descendant of a person whose name appears on the 1906 Dawes Commission Roll.
I swear that I reside at the address indicated, and that the information I have given is correct. Further, I
solemnly swear that I am not registered to vote in any other Tribal election and have furnished the
necessary information concerning other Tribal affiliation. I fully understand that a false answer in this
affidavit makes me subject to fine or imprisonment, or both for perjury.
Signature of Voter
Date
Voter's Mark

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go