If you are an individual voter receiving services from a State or Public Agency, print an agency PDF or use the form below to have one mailed to you.  Are you representing a State or Public Agency? Please use the State/Public Agency Request Form. The form below is intended only for individual voters and voter registration drives. Contact Name Mailing Address Mailing Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Phone Email Organization Number of Voter Registration Forms You can request up to 250 total forms. If you need more than 250 total forms, contact the Elections Division. English Chinese Spanish Vietnamese Submit
