Voter Registration

by registertovote.org
You are not registered until you review, sign, stamp, and mail your completed form!

INSTRUCTIONS
Take these easy steps to complete your voter registration 1. Sign it: You must sign the voter registration form before you mail it 2. Add ID Number: Federal law requires that states collect from each registrant an identification number. You must refer to your state's specific instructions for item 6 regarding information on what number is acceptable for your state. If you have neither a driver license nor asocial security number, please indicate this on the form and a number will assigned to you by your state. 3. Review it: Review the entire form to make sure all of you your information is accurate. 4. Stamp it: Place a first class stamp on your envelope or mailer. 5. Mail it: Mail your completed form to the address that corresponds with your county. A list of addresses is included in this packet. 6. Vote: On election day, go to your local polling place and vote.

HOW TO MAKE A MAILER

Fold the form and address sheet in half. Make sure the address is visible on the outside. Tape or staple the folded form at the bottom to create the mailer. Alternately, place your form in an envelope and hand address it.

If you need to make changes or corrections to your voter registration application, please visit http://www.registertovote.org

FIRST TIME VOTERS WHO REGISTER BY MAIL If you are registering to vote for the first time in your jurisdiction and are mailing this registration application, Federal law requires you to show proof of identification the first time you vote. Proof of identification includes: A current and valid photo identification or a current utility bill, bank statement, government check, paycheck, or government document that shows your name and address. Voters may be exempt from this requirement if they submit a copy of this identification with their mail in voter registration form. If you wish to submit a copy, please keep the following in mind: Your state may have additional identification requirements which may mandate you show identification at the polling place even if you meet the Federal proof of identification. Do not submit original documents with this application, only copies.

Aguilar

Andrew
Chula Vista

Rafael
CA

593 Fig Ave

91910

20

1992

Libertarian

Andrew

Aguilar

GENERAL INSTRUCTIONS
______________________________________________________________

Who Can Use This Application If you are a U.S. citizen who lives or has an address within the United States, you can use the application in this booklet to: Register to vote in your State, Report a change of name to your voter registration office, Report a change of address to your voter registration office, or Register with a political party. Exceptions Please do not use this application if you live outside the United States and its territories and have no home (legal) address in the country, or if you are in the military stationed away from home. Use the Federal Postcard Application available to you from military bases, American embassies, or consular offices. New Hampshire town and city clerks will accept this application only as a request for their own absentee voter mail-in registration form. North Dakota does not have voter registration. Wyoming law does not permit mail registration. How to Find Out If You Are Eligible to Register to Vote in Your State Each State has its own laws about who may register and vote. Check the information under your State in the State Instructions. All States require that you be a United States citizen by birth or naturalization to register to vote in federal and State elections. Federal law makes it illegal to falsely claim U.S. citizenship to register to vote in any federal, State, or local election. You cannot be registered to vote in more than one place at one time. How to Fill Out this Application Use both the Application Instructions and State Instructions to guide you in filling out this application. First, read the Application Instructions. These instructions will give you important information that applies to everyone using this application. Next, find your State under the State Instructions. Use these instructions to fill out Boxes 6, 7, and 8. Also refer to these instructions for information about voter eligibility and any oath required in Box 9. When to Register to Vote Each State has its own deadline for registering to vote. How to Submit Your Application Mail your application to the address listed under your State in the State Instructions. Or, deliver the application in person to your local voter registration office. The States that are required to accept the national form will accept copies of the application printed from the computer image on regular paper stock, signed by the applicant, and mailed in an envelope with the correct postage. First Time Voters Who Register by Mail If you are registering to vote for the first time in your jurisdiction and are mailing this registration application, Federal law requires you to show proof of identification the first time you vote. Proof of identification includes: A current and valid photo identification or A current utility bill, bank statement, government check, paycheck, or government document that shows your name and address.

Voters may be exempt from this requirement if they submit a COPY of this identification with their mail in voter registration form. If you wish to submit a COPY, please keep the following in mind: Your state may have additional identification requirements which may mandate you show identification at the polling place even if you meet the Federal proof of identification. Do not submit original documents with this application, only COPIES.

APPLICATION INSTRUCTIONS
______________________________________________________________ Before filling out the body of the form, please answer the questions on

the top of the form as to whether you are a United States citizen and whether you will be 18 years old on or before Election Day. If you answer no to either of these questions, you may not use this form to register to vote. However, state specific instructions may provide additional information on eligibility to register to vote prior to age 18. Box 1 Name Put in this box your full name in this order Last, First, Middle. Do not use nicknames or initials. Note: If this application is for a change of name, please tell us in Box A (on the bottom half of the form) your full name before you changed it. Box 2 Home Address Put in this box your home address (legal address). Do not put your mailing address here if it is different from your home address. Do not use a post office box or rural route without a box number. Refer to state-specific instructions for rules regarding use of route numbers. Note: If you were registered before but this is the first time you are registering from the address in Box 2, please tell us in Box B (on the bottom half of the form) the address where you were registered before. Please give us as much of the address as you can remember. Also Note: If you live in a rural area but do not have a street address, or if you have no address, please show where you live using the map in Box C (at the bottom of the form). Box 3 Mailing Address If you get your mail at an address that is different from the address in Box 2, put your mailing address in this box. If you have no address in Box 2, you must write in Box 3 an address where you can be reached by mail. Box 4 Date of Birth Put in this box your date of birth in this order Month, Day, Year. Be careful not to use todays date! Box 5 Telephone Number Most States ask for your telephone number in case there are questions about your application. However, you do not have to fill in this box. Box 6 ID Number Federal law requires that states collect from each registrant an identification number. You must refer to your state's specific instructions for item 6 regarding information on what number is acceptable for your state. If you have neither a drivers license nor a social security number, please indicate this on the form and a number will assigned to you by your state.

(Continued on next page.)

(Application Instructions continued.) Box 7 Choice of Party In some States, you must register with a party if you want to take part in that partys primary election, caucus, or convention. To find out if your State requires this, see item 7 in the instructions under your State. If you want to register with a party, print in the box the full name of the party of your choice. If you do not want to register with a party, write no party or leave the box blank. Do not write in the word independent if you mean no party, because this might be confused with the name of a political party in your State. Note: If you do not register with a party, you can still vote in general elections and nonpartisan (nonparty) primary elections. Box 8 Race or Ethnic Group A few States ask for your race or ethnic group, in order to administer the Federal Voting Rights Act. To find out if your State asks for this information, see item 8 in the instructions under your State. If so, put in Box 8 the choice that best describes you from the list below: American Indian or Alaskan Native Asian or Pacific Islander Black, not of Hispanic Origin Hispanic Multi-racial White, not of Hispanic Origin Other Box 9 Signature Review the information in item 9 in the instructions under your State. Before you sign or make your mark, make sure that: (1) You meet your States requirements, and (2) You understand all of Box 9. Finally, sign your full name or make your mark, and print todays date in this order Month, Day, Year. If the applicant is unable to sign, put in Box D the name, address, and telephone number (optional) of the person who helped the applicant.

INSTRUCTIONS FOR CALIFORNIA

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Registration Deadline 15 days before the election. Box 6 -- ID Number When you register to vote, you must provide your California driver's license or California identification card number, if you have one. If you do not have a driver's license or ID card, you must provide the last four digits of your Social Security Number (SSN). If you do not include this information, you will be required to provide identification when you vote. Box 7 -- Choice of Party Please enter the name of the political party with which you wish to register. If you do not wish to register with any party, enter 'Decline to State' in the space provided. California law allows voters who 'decline to state' an affiliation with a qualified political party or who affiliate with a nonqualified political party to vote in the primary election of any qualified political party that files a notice with the Secretary of State allowing them to do so. You can call 1-800-345-VOTE or visit www.ss.ca.gov to learn which political parties are allowing nonaffiliated voters to participate in their primary election. Box 8 -- Race or Ethnic Group Leave blank. Box 9 -- Signature To register in California you must: be a citizen of the United States be a resident of California be at least 18 years of age at the time of the next election not be imprisoned or on parole for the conviction of a felony not currently be judged mentally incompetent by a court of law Signature is required. If you meet the requirements listed above, please sign and date the registration card in the space provided. Mailing Address: Secretary of State Elections Division 1500 11th Street 5th floor Sacramento, CA 95814

List of County Registrars in the State of California

Alameda Alameda Registrar of Voters 1225 Fallon Street, Room G1 Oakland, CA 94612-4229 Phone: (510) 272-6973 Alpine County Clerk, Registrar of Voters P.O. Box 158 Markleeville, CA 96120-0158 Phone: (530) 694-2281 Amador Registrar of Voters 810 Court Street Jackson, CA 95642-2132 Phone: (209) 223-6465 Butte County Clerk, Registrar of Voters 25 County Center Drive, Suite 110 Oroville, CA 95965-3366 Phone: (530) 538-7762 Calaveras County Clerk, Elections Department 891 Mountain Ranch Road San Andreas, CA 95249-9713 Phone: (209) 754-6375 Colusa County Clerk-Elections Department 546 Jay Street, Ste. 200 Colusa, CA 95932-2400 Phone: (530) 458-0500 Contra Costa County Clerk - Elections Department P.O. Box 271 Martinez, CA 94553-0027 Phone: (925) 335-7800 Del Norte County Clerk-RecorderElections 981 H Street Room 160 Crescent City, CA 95531-3457 Phone: (707) 464-7216 El Dorado Registrar of Voters 2850 Fairlane Court Placerville, CA 95667-4100 Phone: (530) 621-7483 Fresno County Clerk, Registrar of Voters 2221 Kern Street Fresno, CA 93721-2613 Phone: (559) 600-3023 Glenn County Clerk-Elections 516 W. Sycamore Street Willows, CA 95988-2740 Phone: (530) 934-6414 Humboldt County Clerk-Elections 3033 H Street, Room 20 Eureka, CA 95501-4409 Phone: (707) 445-7678 Imperial County Clerk, Courthouse 940 W Main Street, Rm 202 El Centro, CA 92243-2865 Phone: (760) 482-4226 Inyo County Clerk-Elections 168 N. Edwards, PO Drawer F Independence, CA 93526-0606 Phone: (760) 878-0224 Kern County Clerk - Elections Office 1115 Truxtun Avenue, 1st Floor Orange Orange Registrar of Voters 1300 S. Grande Ave Bldg. C Santa Ana, CA 92705-4434 Phone: (714) 567-7560 Placer County Registrar of Voters 2956 Richardson Dr. Auburn, CA 95603-2640 Phone: (530) 886-5623 Plumas County Clerk - Elections 520 Main Street, Room 102 Quincy, CA 95971-9366 Phone: (530) 283-6256 Riverside Registrar of Voters 2724 Gateway Drive Riverside, CA 92507-0918 Phone: (951) 486-7210 County of Sacramento Voter Registration and Elections 7000 65th Street Sacramento, CA 95823-2315 Phone: (916) 875-6451 San Benito County Clerk, Court House 440 Fifth Street, Room 206 Hollister, CA 95023-3843 Phone: (831) 636-4016 San Bernardino Registrar of Voters 777 E. Rialto Avenue San Bernardino, CA 92415 Phone: (909) 387-8300 San Diego Registrar of Voters 5201 Ruffin Road, Suite I San Diego, CA 92123-1693 Phone: (858) 694-3408 San Francisco Elections, City Hall 1 Dr. Carlton B. Goodlett Place Room 48 San Francisco, CA 94102-4608 Phone: (415) 554-4411 San Joaquin Registrar of Voters 44 N San Joaquin Street, Suite 350 Stockton, CA 95202-2924 Phone: (209) 468-2890 San Luis Obispo County Clerk-Elections 1055 Monterey Street, Room D120 San Luis Obispo, CA 93408-1003 Phone: (805) 781-5228 San Mateo County Clerk - Elections 40 Tower Road San Mateo, CA 94402-4098 Phone: (650) 312-5222 Santa Barbara County Clerk-Elections, Courthouse 130 E. Victoria Street, Suite 200 Santa Barbara, CA 93101-2019 Phone: (805) 568-2200 Santa Clara Registrar of Voters 1555 Berger Drive, Building 2 San Jose, CA 95112-2716 Phone: (408) 282-3016 Santa Cruz County Clerk - Elections 701 Ocean Street, Room 210

Alpine

Placer

Amador

Plumas

Butte

Riverside

Calaveras

Sacramento

Colusa

San Benito

Contra Costa

San Bernardino

Del Norte

San Diego

El Dorado

San Francisco

Fresno

San Joaquin

Glenn

San Luis Obispo

Humboldt

San Mateo

Imperial

Santa Barbara

Inyo

Santa Clara

Kern

Santa Cruz

Kings

Lake

Bakersfield, CA 93301-4617 Phone: (805) 868-3590 Kings County Elections Dept., Govt. Center 1400 W. Lacey Boulevard Hanford, CA 93230-5997 Phone: (559) 582-3211, ext. 4890 Lake County Clerk, Registrar of Voters 255 N. Forbes Street Lakeport, CA 95453-4747 Phone: (707) 263-2372 Lassen County Clerk, Registrar of Voters 220 S. Lassen Street, Ste. 5 Susanville, CA 96130-4343 Phone: (530) 251-8217 Los Angeles Registrar-Recorder/County Clerk 12400 Imperial Highway Norwalk, CA 90650-8357 Phone: (562) 466-1323 or (800) 8152666 Madera County Clerk-Elections 200 W. 4th Street Madera, CA 93637-3548 Phone: (559) 675-7720 Marin County Registrar of Voters 3501 Civic Center, Room 121 San Rafael, CA 94903-4183 Phone: (415) 499-6448 Mariposa County Clerk, Registrar of Voters P.O. Box 247 Mariposa, CA 95338-0247 Phone: (209) 966-2007 Mendocino County Clerk-Elections 501 Low Gap Road, Room 1020 Ukiah, CA 95482-3738 Phone: (707) 463-4371 Merced County Clerk-Elections 2222 M Street, Room 14 Merced, CA 95340-3729 Phone: (209) 385-7541 Modoc County Clerk-Elections 204 South Court Street Alturas, CA 96101-4020 Phone: (530) 233-6205 Mono County Clerk-Elections Library Bldg. 74 School St. Annex 1 Bridgeport, CA 93517 Phone: (760) 932-5534 Monterey County Elections 1370 S. Main St. # B Salinas, CA 93901-2109 Phone: (831) 796-1495 Napa County Clerk, Registrar of Voters 900 Coombs Street, Room 256 Napa, CA 94559-2900 Phone: (707) 299-1470 Nevada County Clerk - Elections 950 Maidu Avenue Nevada City, CA 95959-8600 Phone: (530) 470-2740

Shasta

Santa Cruz, CA 95060-4076 Phone: (831) 454-2409 Shasta County Clerk-Elections 1643 Market Street Redding, CA 96001-1022 Phone: (530) 225-5730 Sierra County Clerk-Elections 100 Courthouse Square, Room 11 P.O. Drawer D, Room 11 Downieville, CA 95936-0398 Phone: (530) 289-3295 Siskiyou County Clerk-Elections 510 N. Main St. Yreka, CA 96097-9910 Phone: (530) 842-8084 Solano Registrar of Voters 675 Texas Street, Suite 2600 Fairfield, CA 94533-6338 Phone: (707) 784-6675

Sierra

Lassen

Siskiyou

Los Angeles

Solano

Madera

Sonoma

Marin

Stanislaus

Mariposa

Sutter

Sonoma County Clerk, Registrar of Voters 435 Fiscal Drive Santa Rosa, CA 95403-2820 Phone: (707) 565-6800 Stanislaus County Clerk, Registrar of Voters 1021 I Street, Suite 101 Modesto, CA 95354-2331 Phone: (209) 525-5201 Sutter County Clerk-Elections 1435 Veterans Memorial Circle Yuba City, CA 95993-3011 Phone: (530) 822-7122 Tehama County Clerk-Elections P.O. Box 250 Red Bluff, CA 96080-0250 Phone: (530) 527-8190 County Clerk - Elections P.O. Box 1215 Weaverville, CA 96093-1258 Phone: (530) 623-1220 County Registrar of Voters 5951 S. Mooney Blvd. Visalia, CA 93277-9394 Phone: (559) 624-7303 County Clerk - Elections 2 South Green Street Sonora, CA 95370-4696 Phone: (209) 533-5552 Ventura County Clerk-Elections 800 S. Victoria Avenue, L-1200 Ventura, CA 93009-1200 Phone: (805) 654-2734 Yolo County Clerk-Registration 625 Court Street, Room B05 Woodland, CA 95695-3475 Phone: (530) 666-8133 Yuba County Clerk, Courthouse 915 8th Street, Suite 107 Marysville, CA 95901-5273 Phone: (530) 749-7855

Mendocino

Tehama

Merced

Trinity

Modoc

Tulare

Mono

Tuolumne

Monterey

Ventura

Napa

Yolo

Nevada

Yuba