Political Party Affiliation Declaration Form - New Jersey
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1New Jersey
Political Party Affiliation Declaration Form
Please print clearly in ink. All information is required unless marked optional.
I, being a registered voter at the address listed below, do hereby declare
that I wish to affiliate with the following political party or political group:
Democratic
Republican
Conservative*
Green*
Libertarian*
Natural Law Party*
Reform Party*
U.S. Constitution Party*
Socialist Party of New Jersey*
OR
I, being a registered voter at the address listed below, do hereby declare
that I do not want to be affiliated with any political party or group.
Unaffiliated**
Last Name
First Name
Middle Initial
Date of Birth (month)
(day)
(year)
New Jersey Residence:
Street
Apt. No.
Municipality
County
Zip Code
Signature or mark of registered voter
Date
*If you are a registered member of the Green Party, Libertarian Party, Natural
Law Party, Reform Party, U.S. Constitution Party, Conservative Party or the
Socialist Party of New Jersey you can participate in the convention of that
party, according to its bylaws, but you cannot vote in either the Democratic or
Republican Primary.
**If you are a previously affiliated voter who is changing to an unaffiliated
voter, you must file a declaration form no later than 55 days before the primary
election in order to be registered as unaffiliated for the primary election.
Declaration must be filed no later than 55 days preceding the primary in which
the voter wishes to vote. An unaffiliated voter can affiliate with the Democratic
or Republican Party on the day of the primary.
Elections.NJ.Gov
NJ Division of Elections - 02/27/16
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