Maryland Voter Registration Application Form Page 2
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After This Form Is Filled Out, You Must Sign And Mail It To Your County Board of Elections.
It Cannot Be Processed If It Is Faxed or E-mailed, Because It Requires An Original Signature.
MARYLAND VOTER REGISTRATION APPLICATION
WARNINg
QuesTIONs
Giving false information to obtain voter registration is
Visit the State Board of Elections website at
perjury and punishable by a fine of up to $1,000, or by
maryland.gov to verify your registration, find your polling
imprisonment for up to 5 years, or both.
place, and find out other important information. If you have
any questions, call your County Board of Elections or the
peRsONAL ReCORDs NOTICe/CONfIDeNTIALITY
State Board of Elections at the numbers listed on the back
of the application.
This form collects personal information for voter
registration purposes. If you are not registered to vote
If you register to vote, the identity of the office at which the
and you refuse to provide this information, you will not be
application is submitted will remain confidential and will be
allowed to vote in Maryland. you may update your voter
used only for voter registration purposes.
registration at any time at your County Board of Elections.
Except for items specified as confidential, voter registration
!
records are generally available for public inspection; they
Large type Voter Registration
may also be shared with jury commissioners/clerks or
other government agencies as provided by law. The law
Applications available upon
prohibits use of voter registration records for commercial
solicitation purposes. If you decline to register to vote, that
request to your County Board
fact will remain confidential and will be used only for voter
of Elections or the State Board
registration purposes.
of Elections.
If you register to vote, the identity of the office at which the
application is submitted will remain confidential and will be
used only for voter registration purposes.
County Board of elections
Allegany County
Carroll County
harford County
st. Mary’s County
701 Kelly Road, Suite 213
300 S. Center Street, Rm. 212
133 Industry Lane
P.O. Box 197
Cumberland, MD 21502-2887
Westminster, MD 21157-5248
Forest Hill, MD 21050-1621
Leonardtown, MD 20650-0197
301-777-5931
410-386-2080
410-638-3565
301-475-7844 ext. 1100
Anne Arundel County
Cecil County
howard County
somerset County
P.O. Box 490
200 Chesapeake Blvd.
9770 Patuxent Woods Drive, Suite 200
P.O. Box 96
Glen Burnie, MD 21060-0490
Suite 1900
Columbia, MD 21046
Princess Anne, MD 21853-0096
410-222-6600
Elkton, MD 21921-6395
410-313-5820
410-651-0767
410-996-5310
Baltimore City
Kent County
Talbot County
Charles County
Charles L. Benton Bldg.
135 Dixon Drive
P.O. Box 353
417 E. Fayette Street, Rm. 129
P.O. Box 908
Chestertown, MD 21620-1141
Easton, MD 21601-0353
Baltimore, MD 21202-3432
La Plata, MD 20646-0908
410-778-0038
410-770-8099
410-396-5550
301-934-8972
Montgomery County
Washington County
301-870-3167
Baltimore County
P.O. Box 4333
35 W. Washington Street
Dorchester County
106 Bloomsbury Avenue
Rockville, MD 20849-4333
Room 101
Baltimore, MD 21228
501 Court Lane, Rm. 105
240-777-VOTE (8683)
Hagerstown, MD 21740-4833
410-887-5700
P.O. Box 414
TDD 800-735-2258
240-313-2050
Cambridge, MD 21613-0414
Calvert County
prince george’s County
Wicomico County
410-228-2560
P.O. Box 798
1100 Mercantile Lane, Suite 115A
P.O. Box 4091
frederick County
Prince Frederick, MD 20678-0798
Largo, MD 20774
Salisbury, MD 21803-4091
410-535-2214
Winchester Hall
301-430-8020
410-548-4830
DC Line 301-855-1376
12 E. Church Street
Queen Anne’s County
Worcester County
Frederick, MD 21701-5447
Caroline County
P.O. Box 274
100 Belt Street
301-600-VOTE (8683)
Health & Public Services Bldg.
Centreville, MD 21617-0274
Snow Hill, MD 21863-1300
403 S. Seventh Street, Suite 247
garrett County
410-758-0832
410-632-1320
Denton, MD 21629-1335
Public Service Center
410-479-8145
2008 Maryland Highway, Suite 1
Mountain Lake Park, MD 21550-6349
301-334-6985
State Board of Elections • P.O. Box 6486 • Annapolis, MD 21401-0486 • maryland.gov • 800-222-8683 • MD Relay Service (800) 735-2258
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