Voter Registration Application Page 11
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25State Instructions
driver's license number or Florida
District of Columbia
Georgia
identification card number. If you do
not have a Florida driver's license or
Updated: 10-29-2003
Updated: 08-15-2013
identification card, you must provide
the last four digits of your social
Registration Deadline — 30 days
Registration Deadline — The
security number. If you have not
before the election.
fifth Monday before any general
been issued any of these numbers,
primary, general election, or
you must write the word “NONE. ”
6. ID Number. Federal law now
presidential preference primary, or
7. Choice of Party. You must
requires that all voter registration
regularly scheduled special election
register with a party if you want to
applications must include either
pursuant to the Georgia Election
take part in that party’s primary
the applicant’s driver’s license
Code. In the event that a special
election, caucus, or convention.
number or the last four digits
election is scheduled on a date
8. Race or Ethnic Group. You are
of the applicant’s social security
other that those dates prescribed
requested, but not required, to fill
number in order to be processed.
by the Georgia Election Code,
in this box. See the list of choices
7. Choice of Party. You must
registration would close on the 5th
under the Application Instructions
register with a party if you want to
day after the call.
for Box 8 (on page 2).
take part in that party’s primary
9. Signature. To register in Florida
6. ID Number. Federal law requires
election, caucus, or convention.
you must:
8. Race or Ethnic Group. Leave
you to provide your full GA Drivers
• be a citizen of the United States
blank.
License number or GA State issued
• be a legal resident of both the
9. Signature. To register in the
ID number. If you do not have a GA
State of Florida and of the county
District of Columbia you must:
Drivers License or GA ID you must
in which you seek to be registered
• be a citizen of the United States
provide the last 4 digits of your
• be 18 years old (you may
• be a District of Columbia
Social Security number. Providing
pre‑register if you are at least 16)
resident at least 30 days preceding
your full Social Security number
• not be adjudicated mentally
the next election
is optional. Your Social Security
incapacitated with respect to
• be at least 18 years old on or
number will be kept confidential
voting in Florida or any other
preceding the next election
and may be used for comparison
State, or if you have, you must first
• not be in jail for a felony
with other state agency databases
have your voting rights restored.
conviction
for voter registration identification
• not be a convicted felon, or if you are,
• not have been judged “mentally
purposes. If you do not possess
you must first have your civil rights
incompetent” by a court of law
a GA Drivers License or Social
restored if they were taken away.
• not claim the right to vote
Security number, a unique identifier
• swear or affirm the following:
anywhere outside D.C.
will be provided for you.
“I will protect and defend the
7. Choice of Party. You do not
Constitution of the United States
Mailing address:
have to register with a party to take
and the Constitution of the State
District of Columbia Board of
part in that party’s primary, caucus
of Florida, that I am qualified to
Elections & Ethics
or convention.
register as an elector under the
441 4th Street, NW, Suite 250
8. Race or Ethnic Group. You
Constitution and laws of the State of
Washington, DC 20001‑2745
are requested to fill in this box.
Florida, and that all information in
See the list of choices under the
this application is true.”
Application Instructions for Box 8
Florida
(on page 2).
Mailing address:
9. Signature. To register in
Updated: 11-30-2011
State of Florida
Georgia you must:
Department of State
• be a citizen of the United States
Registration Deadline — 29 days
Division of Elections
• be a legal resident of Georgia and
before the election.
The R.A. Gray Building
of the county in which you want to
500 South Bronough St, Rm 316
vote
6. ID Number. If you have one,
Tallahassee, Florida 32399‑0250
you must provide your Florida
6
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