NJ State Seal New Jersey

Voter Registration Application

Please print clearly in ink. All information is required unless marked optional

Declaration- I swear or affirm that:
  • I am a U.S. Citizen
  • I live at the above address
  • I am at least 17 years old, and under- stand that I may not vote until reaching the age of 18.
  • I will have resided in the State and county at least 30 days before the next election
  • l I am not on parole, probation or serving a sentence due to a conviction for an indictable offense under any federal or state laws
  • I understand that any false or fraudulent registration may subject me to a fine of up to $15,000, imprisonment up to 5 years, or both pursuant to R.S. 19:34-1

    • Check boxes that apply:

    New Registration Name Change Address Change Signature Update Political Party Affiliation or Non-Affiliation Change

    Are you a U.S. Citizen? (If No, DO NOT complete this form)

    Are you at least 17 years of age? (If No, DO NOT complete this form)

    Your Name

    Gender

    Date of Birth
    Home Address
    Mailing Address if different from above
    NJ Driver’s License Number or MVC Non-driver ID Number
    If you do not have a Driver’s license
    “I swear or affirm that I DO NOT have a NJ Driver’s License, MVC Non-driver ID or a Social Security Number.”
    Last Address Registered to Vote
    Former Name if Making Name Change
    Important Instructions 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 governmental 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 most of your time.

    10) You may declare a political party affiliation or you may declare to be unaffiliated, regardless of any prior party 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.

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

    If Chose Option "Yes"
    Electronic Signature

    Submit Here!