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Fillable Form California Voter Registration Application

This application form is accomplished by a qualified voter of the state and must be submitted 15 days before the election day.

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What is the California Voter Registration Application Form?

The California Voter Registration Form is an application form used in the state of California. It is required to submit this document if you want to be legally registered as a voter in the state of California. A rule in the state of California states that the deadline for registration to vote is 15 days before the election day.

What are the qualifications and requirements for voter registration?

These are the qualifications if you want to be registered as a voter in the state of California.

  • You must be a citizen of the United States.
  • You must be a resident of the state of California.
  • You must be 18 years old or older on the day of the Election.
  • You are not currently serving state or federal prison term for the conviction of a felony.
  • You are not currently found mentally incompetent to vote by a court of law.

These are the qualifications to pre-register to vote in the state of California.

  • You must be 16 or 17 years old.
  • You must meet all the other eligibility requirements to vote.

If you pre-register, you will automatically be registered to vote once you are 18 years old.

If you are voting in person you must present either of these documents to any local or state election official. If you are voting by mail you must submit a COPY of one of these documents along with your absentee ballot.

  • A current and valid photo identification; or

  • A current utility bill, bank statement, government check, paycheck, or any other government-issued documents that show your name and address.

If you are submitting your registration by mail and submit a driver’s license number, when a state official matches the driver’s license number with an existing state record, you will not be required to present identification.

How to fill out the California Voter Registration Application Form?

There is a special note written in the instructions section, it says that you must provide your State or Country of birth in order for you to be validly registered. The form is missing this required field, provide your State or Country of birth underneath the line in Box 6.

Before filling out this form, please read and understand the General, Application, and State instructions.

Citizenship

Check YES if you are a citizen of the United States of America. Check NO if you are not a citizen.

Age requirement

Check YES if you are or will be 18 years old on election day. Check NO if you are not or will not be 18 years old on election day.

If you checked NO for either of the questions, do NOT fill out the form.

  1. Personal title

Circle your personal title. The options are Mr, Ms, Miss, and Mrs.

Name

Enter your name using the following format: Last, First, Middle.

Suffix

Circle one if applicable. The options are Jr, Sr, II, III, IV.

  1. Home Address

Enter your home address.

Apt. or Lot number

Enter your apartment or lot number.

City/Town

Enter the city or the town where your address is located.

State

Enter the state where your address is located.

ZIP Code

Enter the ZIP Code.

  1. Mailing Address

Enter your mailing address if different from your home address.

City/Town

Enter the city or the town where your mailing address is located.

State

Enter the state where your mailing address is located.

ZIP Code

Enter the ZIP Code of your mailing address.

  1. Date of Birth

Enter your birth date using the following format: Month-Day-Year.

  1. Telephone Number

Enter your telephone number if available.

  1. ID Number

Provide your California driver’s license or California identification card number, if available. If you do not have a driver’s license or id card, provide the last four digits of your Social Security Number. If you do not enter this information on this form, you will be required to present identification when you vote.

  1. Choice of Party

If you have a political party to register with, enter the name of the party. If you are not registering with a party, enter “Decline State.”

  1. Race or Ethnic Group

Leave this field blank.

  1. Signature

Provide your signature if you have the necessary documents required, meet the eligibility requirements of your state, and subscribe to any oath required. Make sure that you have not entered false information and the information you have provided is true to the best of your knowledge. If you provide any false or misleading information, you may be fined or imprisoned. If you are not a U.S. Citizen, you will be deported or denied entry to the United States.

Date

Enter the date when the form is being completed using the following format: Month-Date-Year.

Fill out these sections if they are applicable to you.

A. Change of name

If you have a new name and you entered it in this form, enter your former name using the following format: Last, First, Middle. Mark your personal title before entering your name. Circle your suffix if applicable.

B. Former Address

If you have registered to vote before and your address was different from the address you entered in this form, enter your former registered address.

Apt. or Lot number

Enter your former address’ apartment or lot number.

City/Town/Country

Enter the city, town, our country of your former address.

State

Enter the state of your former address.

ZIP Code

Enter the ZIP code.

C. If you live in a rural area and you do not have a street number or address. Draw on the map where your residence is located.

  • Provide the names of the streets or crossroads nearest to your residence.
  • Draw an X to show where your residence is.
  • Use a DOT as a representation for any landmark near your residence and write the name of the landmark.

D. If you are not able to sign this form alone, who helped you fill out this application?

Provide the name, address, and phone number of the person who helped you.

Where to submit this application form?

If you are mailing this application form, mail it to Riverside County, Registrar of Voters 2724 Gateway Drive Riverside, CA 92507.

If you are submitting this application physically, you may submit it to any Local or State election offices.

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