Pennsylvania Voter Registration Application

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Pennsylvania
Voter Registration Application
Register to vote
With this form, you can
Send or deliver this form
In the military?
register to vote in elections
To be registered in the next election, mail or
If you are on active duty or you are a hospitalized
deliver your application form to your county voter
or bedridden veteran, you can register at any time.
in Pennsylvania.
See for more information.
registration office at least 30 days before the
next election.
You can also use this form to:
College student in
Addresses for all Pennsylvania counties are listed
• Change the information on your
Pennsylvania?
on page 2.
Pennsylvania voter registration.
• Register with a political party or
If your registration is accepted, you will receive
If you are a college student who attends college
change the party you have selected.
a Voter Registration Card from your county by
in Pennsylvania, you can register where you live
nonforwardable mail.
while attending school.
If you are currently registered to vote, you do not
have to use this form unless you have moved or
Your registration is not complete until processed
For more information, see
changed your name.
and accepted by your county voter registration
You may only register and vote in one place.
office.
To register you must:
If you do not receive your Voter Registration
In prison or convicted
Card within 14 days, contact your county voter
• Be a United States citizen for at least
of a felony?
registration office.
one month before the next election.
If you meet all other requirements, you may
• Be a resident of Pennsylvania and
Verifying your identity
register and vote if:
your election district for at least 30
days before the next election.
• You are in prison awaiting trial but
When you vote for the first time in
have not been convicted.
• Be at least 18 years of age on the
your election district, you must show
day of the next election.
• You are in prison after being convicted
a form of identification.
of a misdemeanor only.
For a complete list of acceptable forms of
Register online
• You have been released from prison
photo and non-photo identification, visit
or a halfway house after completing
or call your County
The Voter Registration Application is available
your term of incarceration.
Board of Elections or 1-877-VOTESPA
online at
• You are on probation or released on parole.
(1-877-868-3772).
• You are under house arrest.
You should register at the address where you live,
except that you cannot use a prison or half-way
house address for your registration. See
for more information.
Questions?
Call your County Voter
For more information about
Información en español:
Registration Office
voting, visit our website:
Si le interesa obtener este formulario en
español, llame al 1-877-868-3772.
or call 1-877-VOTESPA
(1-877-868-3772).
PENALTY FOR FALSIFYING DECLARATION
Confidentiality
Warning: If a person signs an official registration application knowing a statement
If you decline to register to vote, the fact that
declared in the application to be false, makes a false registration, or furnishes false
you declined will remain confidential, and will
information, the person commits perjury.
be used for voter registration purposes only.
Perjury is punishable, upon conviction, by a term of imprisonment not exceeding seven
If you register to vote, the office at which you
years, or a fine not exceeding $15,000, or both, at the discretion of the court.
register will remain confidential and will be
used for voter registration purposes only.
Submitting an application containing false information may also subject a person to other
penalties, including loss of the right of suffrage, under state or federal law.

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