New Jersey
Voter Registration Application

All information is required unless marked optional.


Check boxes that apply:
New Registration
Address Change
Political Party Affiliation or Non-Affiliation Change
Name Change
Signature Update


Citizenship/Personal Information
Are you a U.S Citizen?
Are you at least 17 years of age?
(If no, DO NOT complete this form)
(If no, DO NOT complete this form)





Please enter your Date of birth.


NJ Driver's License Number or MVC Non-driver ID Number

If you DO NOT have a NJ Driver's License or MVC Non-Driver ID, provide the last 4 digits of your Social Security Number.

"I swear or affirm that I DO NOT have a NJ Driver's License, MVC Non-Driver ID or a Social Security Number."


Home Adress(Do not use PO Box)
Apartment
Municipality
County
State
Zip-Code


Mailing Address if different from above
Apartment
Municipality
County
State
Zip-Code


Last Address Registered to Vote (DO NOT use PO Box)
Apartment
Municipality
County
State
Zip-Code


Former Name if Making Name Change

a. Day Phone Number (optional)

b. E-Mail Adress (optional)


Do you wish to declare a political party affiliation? (Optional)



Gender


Signature: Date

Important Intructions for sections 5, 6 and 10

5) Registrants who are submitting this form by mail and are registering to vote for the first time: if you do not have any of the information required by section 5, or the information you provide cannot be verified, you will be asked to provide a COPY of a current and valid photo ID, or a document with your name and current address on it to avoid having to provide identification at the polling place.

NOTE: ID numbers are confidential and will not be released by any government agency. Any person who uses such numbers illegally shall be subject to criminal penalties.

6) If you are homeless you may complete section 6 by providing a contact point or the location where you spend the most of your time.

10) You may declare a political party affiliation or you may declare to be unaffiliated, regardless of any prior affiliation. If you are a previously affiliated voter who wants to change political party affiliation or become unaffiliated, you must file this form no later than 55 days before the primary election in order to vote in the primary election. Completing section 10 is OPTIONAL and will not affect the acceptance of your voter registration application.

Need More Information? Check boxes below if you would like to receive more information about:

Voting by mail
Polling place accessibility
Becoming a poll worker
Voting if you have a disability, including visual impairment
Available election materials in this alternative language: