National Voter Registration Application Form For U.s. Citizens Page 13
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25State Instructions
Springfield, IL 62704
*If you fail to meet the voter
Kansas
registration deadlines above you
can register and vote by following
Indiana
Updated: 10-25-2013
the guidelines for election day
registration. You can find these
Updated: 03-01-2006
Registration Deadline —
on the Iowa Secretary of State’s
Postmarked or delivered 21 days
website:
Registration Deadline — 29 days
before the election
elections/EDRbrochure.pdf.
before the election.
6. ID Number. Your completed
6. ID Number. Your ID number is
6. ID Number. Your state voter ID
voter registration form must
your Iowa driver's license number
number is your ten digit Indiana
contain your state issued driver's
(or Iowa non‑driver identification
issued driver's license number. If you
license number or nondriver's
number) if you have one, if not
do not possess an Indiana driver's
identification card number. If you
then the last four digits of your
license then provide the last four
do not have a driver's license or
social security number. The ID
digits of your social security number.
nondriver's identification card, you
number you provide will be
Please indicate which number was
must include the last four digits
verified with the Iowa Department
provided. (Indiana Code 3‑7‑13‑13)
of your social security number. If
of Transportation or the Social
7. Choice of Party. Leave blank.
you do not have a driver's license
Security Administration.
8. Race or Ethnic Group. Leave
or a nondriver's identification card
7. Choice of Party. You may, but
blank.
or social security number, please
do not have to, register with a party
9. Signature. To register in Indiana
write "NONE" on the form. A
in advance if you want to take part
you must:
unique identifying number will be
in that party’s primary election.
• be a citizen of the United States
assigned by the State. The number
You may change or declare a party
• have resided in the precinct at least
you provide will be used for
affiliation at the polls on primary
30 days before the next election
administrative purposes only and
election day.
• be at least 18 years of age on the
will not be disclosed to the public.
8. Race or Ethnic Group. Leave
day of the next general election
(KSA 25‑2309).
blank.
• not currently be in jail for a
7. Choice of Party. You must
9. Signature. To register in Iowa
criminal conviction
register with a party if you want to
you must:
take part in that party’s primary
• be a citizen of the United States
Mailing address:
election, caucus, or convention.
• be a resident of Iowa
Election Division
8. Race or Ethnic Group. Leave
• be at least 17‑1/2 years old (you
Office of the Secretary of State
blank.
must be 18 to vote)
302 West Washington Street,
9. Signature. To register in Kansas
• not have been convicted of a
Room E‑204
you must:
felony (or have had your rights
Indianapolis, IN 46204‑2743
• be a citizen of the United States
restored)
• be a resident of Kansas
• not currently be judged by a
Iowa
• be 18 by the next election
court to be "incompetent to vote"
• have completed the terms of your
• not claim the right to vote in
sentence if convicted of a felony;
Updated: 03-28-2008
more than one place
a person serving a sentence for a
• give up your right to vote in any
Registration Deadline — Must be
felony conviction is ineligible to vote
other place
delivered by 5 p.m. 10 days before
• not claim the right to vote in any
the election, if it is a state primary
other location or under any other
Mailing address:
or general election; 11 days before
name
Elections Division
all others.* Registration forms
• not be excluded from voting by a
Office of the Secretary of State
which are postmarked 15 or
court of competent jurisdiction
Lucas Building‑1st Floor
more days before an election are
321 E. 12th Street
considered on time even if received
Des Moines, IA 50319
after the deadline.
8
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