New Jersey Voter Registration Application
All information is required unless marked optional.
NJ Form
1 Check boxes that apply:
New Registration
Address Change
Name Change
Signature Update
Political Party Affiliation
2 Are you a U.S. Citizen?
Yes
No
2 cont. Are you at least 17 years or older?
Yes
No
3 First Name
3 cont. Last Name
3 cont. Middle Name
4 Date Of Birth
5 NJ Driver’s License Number or MVC Non-driver ID Number
6 Home Address include Apt., Municipality, County,State, and zip code
7 Mail Address include Apt., Municipality, County,State, and zip code
8 Last Address Registered to Vote (DO NOT use PO Box)include Apt., Municipality, County,State, and zip code
9 Former Name if Making Name Change
A. Phone Number
B. Email
10 Do you wish to declare a political party affiliation?
Yes
No, I do not wish to be affiliated with any political party.
11 Gender
Male
Female
signiture
Important Instructions for sections 5, 6 and 10