Idaho Voter Registration Form
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1
2Idaho 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.
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.
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.
Use Black Pen - Please Print Clearly
Detach Here
Idaho Voter Registration Form
1
Last Name
(Print clearly in black ink.)
First Name
Middle Name
Enter Idaho Driver’s License #
2
If no Idaho Driver’s License, enter
last 4 digits of Social Security #
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.
I have not been issued an
Idaho DL number or SSN.
If you checked ‘No’ for
3
No
Are you a citizen of the United States of America?
Yes
either question, do not
Date of Birth
4
Will you be at least 18 years of age on election day?
Yes
No
complete this form.
\
\
month
day
year
Residence Address (Do not use PO Box or business address. If no street address, describe location of
5
residence by cross streets, section, township, range, or other physical description.)
Residence in Idaho
Male
Yrs.____Months____
Female
Telephone Number
(Optional)
6
Mailing address if different from above
City
County
Zip
Political Party (Select one):
7
Address where previously registered
City
State
Zip
Constitution
Democratic
Libertarian
Republican
Previous Name
8
City
County
State
Check box if
Unaffi liated - (No party preference)
name change
OFFICIAL USE ONLY
Idaho felon’s rights are automatically restored
9
Precinct
Do you have any legal disqualifi cations?
Yes
upon completion of all sentencing conditions
No
Clerk
Date
including probation or parole.
Signature - Sign on line below.
10
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
X
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
Date of
\
\
Signature
information supplied herein is true.
month
day
year
ERM-1 Registration Card, Rev. 2011
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