Idaho Voter Registration Form

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Idaho 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.
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
• 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 first-time voter in Idaho, a copy of a current and valid photo identification 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 office will mail you a card to let you know that your registration was received.
Questions?
• Call one of the county election offices listed on the back of this form.
Click here to clear form.
Use Black Pen - Please Print Clearly
Detach Here
Idaho Voter Registration Form
1
Last Name
(Print clearly in black ink.)
2
Enter Idaho Driver's License #
First Name
Middle Name
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 fine 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
4
Date of Birth
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
5
of residence by cross streets, section, township, range, or other physical description.)
Residence in Idaho
Male
Yrs.____Months____
Female
Telephone Number
(Optional)
Mailing address if different from above
City
County
Zip
OFFICIAL USE ONLY
Address where previously registered
City
State
Zip
Precinct
County
City
6
Previous Name
City
County
State
Check box if
name change
Deputy Clerk
Date Received
Idaho felon’s rights are automatically restored upon completion of all
7
Do you have any legal disqualifications?
Yes
No
sentencing conditions including probation or parole.
8
Signature - Sign on line below.
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 affirmation that the
Date of
information supplied herein is true.
Signature
month
day
year
ER-1 Registration Card, Rev. 2009

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