Ga Voter Registration Form PDF Details

Fulfilling one's civic duty in Georgia begins with the State of Georgia Application for Voter Registration, a vital step for residents aiming to participate in the democratic process. This comprehensive application requires individuals to provide detailed personal information, starting with their legal name, residential and, if different, mailing addresses to ensure accurate registration. To assist in the identification and verification process, it mandates the provision of either a Georgia Driver's License number, State ID number, or for those without these forms of ID, the last four digits of their Social Security number, ensuring everyone has the opportunity to register. Furthermore, the form seeks optional details such as telephone contact, gender, and race, not as requirements but to comply with the Voting Rights Act of 1965. Applicants are also asked to affirm their eligibility to vote through an oath, covering citizenship, age, and legal qualifications, and to signify if assistance was required in completing the application due to physical disability or illiteracy. Interestingly, the form includes a section for those interested in serving as a poll officer, indicating that this willingness has no impact on the registration application itself. For residents without standardized addresses, it even provides a space for a map or diagram to assist officials in identifying their voting precinct. The form outlines specific documentation requirements for first-time registrants in Georgia submitting their applications via mail, stressing the importance of enclosing a copy of an identifying document. Ultimately, it emphasizes that registration is not official until approved, advising applicants to anticipate their voter precinct card in the mail and to follow up if it does not arrive within a specified timeframe.

QuestionAnswer
Form NameGa Voter Registration Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesga registration provide, register to vote in georgia, voter registration form ga, ga application voter

Form Preview Example

STATE OF GEORGIA APPLICATION FOR VOTER REGISTRATION

Fill out the bottom half of this application by following these directions. Print clearly and use blue or black ink.

1.LEGAL NAME. Your full legal name including any suffix such as Sr., Jr., III, is required on this form.

2.ADDRESS. Provide residential address. This information is required.

3.MAILING ADDRESS. If mailing address is different from residential address, complete the mailing address section.

4.PERSONAL INFORMATION. A telephone number is helpful to registration officials if they have a question about your application. Gender and race are requested and are needed to comply with the Voting Rights Act of 1965, but are not mandated by law.

5.VOTER IDENTIFICATION NUMBER. Federal law requires you to provide your full GA Drivers License number or GA State issued ID number. If you do not have a GA Drivers License or GA ID you must provide the last 4 digits of your Social Security number. Providing your full Social Security number is optional. Your Social Security number will be kept confidential and may be used for comparison with other state agency databases for voter registration identification purposes. If you do not possess a GA Drivers License or Social Security number please check the appropriate box and a unique identifier will be provided for you.

6.OATH. Federal law requires that you answer the citizenship and age questions. Read the oath and sign your name. If you cannot complete this application unassisted because of physical disability or illiteracy, you must either sign or make your mark on the signature line, and the person assisting you MUST sign the signature space for person assisting voter.

7.POLL OFFICER QUESTION. Your willingness to be a poll worker will have no bearing on your application for registration.

8.NAME/ADDRESS CHANGE. Complete these sections to change the name or address of your current voter registration.

9.MAP/DIAGRAM: If you live in an area without house numbers and street names, please include a drawing of your location to assist us in locating your appropriate voting precinct.

10.DELIVERY INSTRUCTIONS: Verify that you have completed and signed the application. Enclose a copy of your ID if you are submitting this form by mail and registering for the first time in Georgia. Fold the application in half, remove the tape at the top, and press the edges together. The application is ready for you to mail (postage is prepaid) or deliver to your county voter registration office.

11.You are NOT officially registered to vote until this application is approved. You should receive a voter precinct card in the mail. If you do not receive this acknowledgement within two to four weeks after mailing this form, please contact your county voter registration office. You can find your poll location and other election information on the Secretary of State’s website at www.sos.state.ga.us/elections.

REQUIREMENT: If you are submitting this form by mail and you are registering for the first time in Georgia, enclose a copy of one of the

following with your application: A copy of a current and valid photo ID, a copy of a current utility bill, bank statement, government check, paycheck, or other government document that shows your name and address. Those who are entitled to vote by absentee ballot under the Uniform and Overseas Citizens Absentee Voting Act are exempt from this requirement.

Place copy of

 

 

 

 

 

 

 

 

 

 

 

Trim copy of

ID in pocket

 

 

 

 

 

 

 

 

 

 

 

ID to size

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTY PRECINCT

MUNICIPAL PRECINCT

DISTRICT COMBO

 

DDS APLICATION NO.

 

REGISTRATION NO.

 

CHANGE OF ADDRESS

 

 

 

 

 

 

OFFICE USE

ONLY

 

 

 

 

 

 

 

 

OTHER___________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHANGE OF NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

LAST NAME

 

FIRST NAME

 

 

MIDDLE OR MAIDEN NAME

 

 

SUFFIX

Jr.

Sr.

II

 

 

 

 

 

 

 

 

 

 

 

 

III

IV

V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

RESIDENCE ADDRESS: House No. and street name

 

APT. NO.

CITY

 

 

COUNTY

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GA.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS (If different from residence address): Post-office box or route

 

CITY

 

 

STATE

ZIP CODE

 

 

 

 

 

3

 

TELEPHONE NUMBER

DATE OF BIRTH: MM/DD/YYYY GENDER

 

RACE/ ETHNICITY:

 

 

4

 

 

Male

Female

Black

White

Hispanic/Latino

 

(

)

Asian/Pacific Islander

American Indian

Other________________________________________

 

 

 

 

VALID GA. DRIVER’S LICENSE OR GA. I.D. NO.

 

 

 

 

 

 

 

 

 

 

 

FULL SOCIAL SECURITY NUMBER (OPTIONAL)

 

Check if you do not have a GA

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If no GA Driver’s License or GA. I.D. No., must

 

 

 

 

 

 

 

Last 4 Digits (Required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver’s License, GA. I.D. No. or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

provide last 4 digits of your Social Security

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I SWEAR OR AFFIRM:

(Your answer is required under federal law)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you a citizen of the United States of America? Check One:

Yes

 

 

 

 

No

 

 

 

 

 

 

 

WARNING: Any person who registers to vote knowing that

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will you be 18 years of age on or before election day? Check One: Yes

 

 

 

No

 

 

 

 

 

 

such person does not possess the qualifications required by

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

law, who registers under any name other than such person’s

 

 

 

 

 

 

 

 

 

 

 

 

 

If you checked “No” in response to either of these questions, do not complete this form.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I SWEAR OR AFFIRM THAT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

own name, or who knowingly gives false information in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

registering shall be guilty of a felony.

 

 

 

 

 

 

 

 

 

 

 

 

 

I reside at the address listed above.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O.C.G.A. § 21-2-561

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am eligible to vote in Georgia.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am not serving a sentence for having been convicted of a felony involving moral turpitude.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I have not been judicially declared to be mentally incompetent.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of person helping illiterate or disabled voter

 

 

 

 

May we contact you about working as an Election

 

 

CHANGE OF NAME: If you are changing your name, list the name under which you were previously registered:

Military

 

 

 

 

 

Day poll officer? Yes

 

No

 

 

 

Last Name

 

 

 

 

 

Suffix

 

 

 

 

 

 

First

 

Middle or Maiden Name

Active

 

 

 

7

 

If you would like to receive additional information

 

8

CHANGE OF ADDRESS: If you are changing your address or if you were previously registered to vote, list your previous

Duty?

 

 

 

by email, please provide your e-mail address:

 

address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

COUNTY

 

 

STATE

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How to Edit Ga Voter Registration Form Online for Free

When you wish to fill out voter registration, you won't need to download and install any sort of software - simply try using our PDF editor. We at FormsPal are focused on making sure you have the best possible experience with our tool by consistently introducing new capabilities and enhancements. With these improvements, using our editor becomes better than ever before! To get started on your journey, consider these basic steps:

Step 1: Access the form inside our tool by clicking on the "Get Form Button" at the top of this webpage.

Step 2: This tool will let you modify your PDF form in various ways. Transform it by adding customized text, adjust original content, and add a signature - all within a couple of clicks!

As for the blank fields of this precise PDF, this is what you need to know:

1. The voter registration usually requires particular details to be typed in. Be sure that the following fields are finalized:

Completing part 1 of how to register to vote in georgia

2. Your next part is to submit the following fields: I SWEAR OR AFFIRM THAT I reside at, Signature of person helping, X Signature, t you about working as an, Date May we contac Day poll, to receive additional infor, Yes, Election, mation, CHANGE OF NAME If you are changing, Suffix, First, Middle or Maiden Name, CHANGE OF ADDRESS If you are, and CITY.

The way to complete how to register to vote in georgia part 2

As to mation and First, be certain that you take another look in this section. Both of these are considered the most significant ones in this page.

Step 3: Make sure your information is right and press "Done" to continue further. Sign up with FormsPal right now and immediately get access to voter registration, available for downloading. All modifications you make are preserved , enabling you to change the pdf later on as needed. With FormsPal, you can fill out forms without worrying about personal data incidents or records getting distributed. Our secure system helps to ensure that your private information is maintained safe.

Ga Voter Registration Form isn’t the one you’re looking for?

Related Documents