National Voter Registration Application Form For U.s. Citizens Page 11
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25State Instructions
Mailing address:
Florida, and that all information in
Florida
State of Delaware
this application is true.”
Office of the State Election
Updated: 11-30-2011
Mailing address:
Commissioner
905 S. Governors Ave., Suite 170
State of Florida
Registration Deadline — 29 days
Dover, DE 19904
Department of State
before the election.
Division of Elections
The R.A. Gray Building
District of Columbia
6. ID Number. If you have one,
500 South Bronough St, Rm 316
you must provide your Florida
Tallahassee, Florida 32399‑0250
Updated: 10-29-2003
driver's license number or Florida
identification card number. If you do
Registration Deadline — 30 days
Georgia
not have a Florida driver's license or
before the election.
identification card, you must provide
Updated: 08-15-2013
the last four digits of your social
6. ID Number. Federal law now
security number. If you have not
requires that all voter registration
Registration Deadline — The
been issued any of these numbers,
applications must include either
fifth Monday before any general
you must write the word “NONE. ”
the applicant’s driver’s license
primary, general election, or
7. Choice of Party. You must
number or the last four digits
presidential preference primary, or
register with a party if you want to
of the applicant’s social security
regularly scheduled special election
take part in that party’s primary
number in order to be processed.
pursuant to the Georgia Election
election, caucus, or convention.
7. Choice of Party. You must
Code. In the event that a special
8. Race or Ethnic Group. You are
register with a party if you want to
election is scheduled on a date
requested, but not required, to fill
take part in that party’s primary
other that those dates prescribed
in this box. See the list of choices
election, caucus, or convention.
by the Georgia Election Code,
under the Application Instructions
8. Race or Ethnic Group. Leave
registration would close on the 5th
for Box 8 (on page 2).
blank.
day after the call.
9. Signature. To register in Florida
9. Signature. To register in the
you must:
District of Columbia you must:
6. ID Number. Federal law requires
• be a citizen of the United States
• be a citizen of the United States
you to provide your full GA Drivers
• be a legal resident of both the
• be a District of Columbia
License number or GA State issued
State of Florida and of the county
resident at least 30 days preceding
ID number. If you do not have a GA
in which you seek to be registered
the next election
Drivers License or GA ID you must
• be 18 years old (you may
• be at least 18 years old on or
provide the last 4 digits of your
pre‑register if you are at least 16)
preceding the next election
Social Security number. Providing
• not be adjudicated mentally
• not be in jail for a felony
your full Social Security number
incapacitated with respect to
conviction
is optional. Your Social Security
voting in Florida or any other
• not have been judged “mentally
number will be kept confidential
State, or if you have, you must first
incompetent” by a court of law
and may be used for comparison
have your voting rights restored.
• not claim the right to vote
with other state agency databases
• not be a convicted felon, or if you are,
anywhere outside D.C.
for voter registration identification
you must first have your civil rights
purposes. If you do not possess
restored if they were taken away.
Mailing address:
a GA Drivers License or Social
• swear or affirm the following:
District of Columbia Board of
Security number, a unique identifier
“I will protect and defend the
Elections & Ethics
will be provided for you.
Constitution of the United States
7. Choice of Party. You do not
441 4th Street, NW, Suite 250
and the Constitution of the State
Washington, DC 20001‑2745
have to register with a party to take
of Florida, that I am qualified to
part in that party’s primary, caucus
register as an elector under the
or convention.
Constitution and laws of the State of
6
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