Ny Voter Registration Form PDF Details

The New York State Voter Registration Form is a pivotal document for residents who wish to participate in the democratic process. With this form, individuals not only register to vote in elections but also have the capability to update their name or address, affiliate with a political party, or modify their party membership. Importantly, it opens the door for 16 and 17-year-olds to pre-register, preparing them for civic engagement as soon as they reach voting age. To be eligible, registrants must be U.S. citizens, at least 18 years old by election day (or meet age requirements for pre-registration), not be imprisoned or on parole for a felony conviction (with certain exceptions), not claim voting rights in another jurisdiction, and not be adjudged incompetent by a court. The form requires submission to the county’s Board of Elections either through mail or in person, and this must happen at least 25 days prior to the election the individual wishes to vote in. To help ensure a smooth process, the form asks for identification information, which could be verified through DMV or social security numbers, or, for those without such IDs, through alternate means such as a photo ID or a utility bill. The importance of accurate, honest completion of the form is underscored by the stark reminder that falsifying information is a crime. Furthermore, the form provides a way for New Yorkers to commit to organ and tissue donation, amplifying its impact on the community. Assistance and further information, including multilingual support, are readily accessible, demonstrating New York's commitment to an inclusive and participatory electoral process.

QuestionAnswer
Form NameNy Voter Registration Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameschange my political party affiliation ny, how to change political parties, change political party, voter registration new york

Form Preview Example

CLEAR FORM

New York State Voter Registration Form

Register to vote

With this form, you register to vote in elections in New York State. You can also use this form to:

change the name or address on your voter registration

become a member of a political party

change your party membership

pre-register to vote if you are 16 or 17 years of age

To register you must:

be a US citizen;

be 18 years old (you may pre-register at 16 or 17 but cannot vote until you are 18);

not be in prison or on parole for a felony conviction (unless parole pardoned or restored rights of citizenship);

not claim the right to vote elsewhere;

not found to be incompetent by a court.

Send or deliver this form

Fill out the form below and send it to your county’s address on the back of this form, or take this form to the office of your County Board of Elections.

Mail or deliver this form at least 25 days before the election you want to vote in. Your county will notify you that you are registered to vote.

Questions?

Call your County Board of Elections listed on the back of this form or

1-800-FOR-VOTE (TDD/TTY Dial 711)

Find answers or tools on our website

www.elections.ny.gov

Verifying your identity

We’ll try to check your identity before Election Day, through the DMV number (driver’s license number or non-driver ID number), or the last four digits of your social security number, which you’ll fill in below.

If you do not have a DMV or social security number, you may use a valid photo ID, a current utility bill, bank statement, paycheck, government check or some other government document that shows your name and address. You may include a copy of one of those types of ID with this form— be sure to tape the sides of the form closed.

If we are unable to verify your identity before

Election Day, you will be asked for ID when you vote for the first time.

Información en español: si le interesa obtener este

中文資料:若您有興趣索取中文資料表格,

한국어: 한국어 양식을 원하시면

যদি আপদি এই ফর্মটি বাংলাতে পপতে চাি োহতল

formulario en español, llame al 1-800-367-8683

請電: 1-800-367-8683

1-800-367-8683 으로 전화 하십시오.

1-800-367-8683 িম্বতে পফাি কেুি

It is a crime to procure a false registration or to furnish false information to the Board of Elections.

Please print in blue or black ink.

 

1

Are you a citizen of the U.S.?

 

Yes

No

For board use only

 

 

 

 

 

 

 

 

 

If you answer No, you cannot register to vote.

 

 

 

 

 

A) Will you be 18 years of age or older on or before election day?

Yes

No

 

Qualifications

 

B) Are you at least 16 years of age and understand that you must be 18 years of

 

 

2

age on or before election day to vote, and that until you will be eighteen years of

 

 

age at the time of such election your registration will be marked “pending” and you

 

 

 

 

 

 

will be unable to cast a ballot in any election.

 

Yes

No

 

 

 

If you answer NO to both of the prior questions, you cannot register to vote.

Your name

 

Last name

 

 

 

 

 

Suffix

3

First name

 

 

 

 

 

Middle Initial

 

 

 

 

 

 

 

 

 

M M

D D

Y Y Y

Y

 

 

 

More information

4

Birth date

/

/

5

Gender

 

 

 

 

 

 

 

 

 

 

Items 5, 6 & 7 are optional

6

Phone

7

Email

 

 

 

 

 

 

 

Address (not P.O. box)

 

 

 

 

 

The address

8

Apt. Number

 

 

Zip code

 

 

where you live

 

 

 

 

 

 

 

 

City/Town/Village

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New York State County

 

 

 

 

 

The address where

 

Address or P.O. box

 

 

 

 

 

 

 

 

 

 

 

 

 

you receive mail

9

P.O. Box

 

 

Zip code

 

 

Skip if same as above

 

City/Town/Village

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Voting history

10

Have you voted before?

Yes

No

 

11

What year?

Voting information

 

Your name was

 

 

 

 

 

 

that has changed

12

Your address was

 

 

 

 

 

 

Skip if this has not changed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or you have not voted before

 

Your previous state or New York State County was

 

 

 

Identification

 

New York State DMV number

 

 

 

 

You must make 1 selection

13

Last four digits of your Social Security number

x x x

– x x

 

For questions, please refer to

 

 

 

 

 

 

 

 

Verifying your identity above.

 

I do not have a New York State driver’s license or a Social Security number.

I wish to enroll in a political party

Affidavit: I swear or affirm that

Political party

You must make 1 selection

Political party enrollment is optional but that, in order to

vote in a primary election of 14 a political party, a voter must

enroll in that political party,

Democratic party Republican party Conservative party Working Families party Green party Libertarian party Independence party

I am a citizen of the United States.

I will have lived in the county, city or village

 

for at least 30 days before the election.

I meet all requirements to register

 

to vote in New York State.

• This is my signature or mark in the box below.

• The above information is true, I understand that

unless state party rules allow otherwise.

SAM party Other

16

if it is not true, I can be convicted and fined up

to $5,000 and/or jailed for up to four years.

I do not want to enroll in any political party and wish to be an independent voter

 

 

No party

 

 

 

Optional questions

 

I need to apply for an Absentee ballot.

15

I would like to be an Election Day worker.

 

 

 

 

 

Sign

Date

Rev. 12/09/19

Address and stamp this section

Your address

Before mailing, remove tape, fold and seal

Your County Board of Elections address (select from below)

Place

First-Class

Stamp

Here

New York City

Chenango

Franklin

Lewis

Oneida

Putnam

5 Court St.

355 West Main St.

7660 N. State St.

Union Station

25 Old Route 6

32 Broadway, 7th Fl.

Norwich, NY 13815

Ste. 161

Lowville, NY 13367

321 Main St.

Carmel, NY 10512

New York, NY 10004

(607) 337-1760

Malone, NY 12953

(315) 376-5329

3rd Fl.

(845) 808-1300

(212) 487-5300

 

(518) 481-1663

 

Utica, NY 13501

 

 

 

 

 

 

Clinton

 

Livingston

(315) 798-5765

Rensselaer

Albany

Cnty Government Ctr.

Fulton

County Govt. Ctr.

 

Ned Pattison

260 S. Pearl St.

Ste. 104

2714 St. Hwy 29

6 Court St.

Onondaga

Government Ctr.

Albany, NY 12202

137 Margaret St.

Ste. 1

Room 104

1000 Erie Blvd West

1600 Seventh Ave.

(518) 487-5060

Plattsburgh, NY 12901

Johnstown, NY 12095

Geneseo, NY 14454

Syracuse, NY 13204

Troy, NY 12180

 

(518) 565-4740

(518) 736-5526

(585) 243-7090

(315) 435-3312

(518) 270-2990

Allegany

 

 

 

 

 

8 Willets Ave.

Columbia

Genesee

Madison

Ontario

Rockland

Belmont, NY 14813

401 State St.

County Building #1

County Office Bldg.

74 Ontario St.

11 New Hempstead Rd.

(585) 268-9294

Hudson, NY 12534

15 Main St.

N. Court St.

Canandaigua, NY

New City, NY 10956

 

(518) 828-3115

Batavia, NY 14020

PO Box 666

14424

(845) 638-5172

Broome

 

(585) 815-7804

Wampsville, NY

(585) 396-4005

 

Government Plaza

Cortland

 

13163

 

St. Lawrence

60 Hawley St.

112 River St.

Greene

(315) 366-2231

Orange

80 State Hwy 310

PO Box 1766

Suite 1

411 Main St.

 

75 Webster Ave

Canton, NY 13617

Binghamton, NY

Cortland, NY 13045

Ste. 437

Monroe

PO Box 30

(315) 379-2202

13902

(607) 753-5032

Catskill, NY 12414

39 Main St. W.

Goshen, NY 10924

Saratoga

(607) 778-2172

 

(518) 719-3550

Rochester, NY 14614

(845) 360-6500

 

Delaware

 

(585) 753-1550

 

50 W. High St.

Cattaraugus

3 Gallant Ave.

Hamilton

 

Orleans

Ballston Spa, NY

207 Rock City St.

Delhi, NY 13753

Rte. 8

Montgomery

14016 Route 31 West,

12020

Suite 100

(607) 832-5321

PO Box 175

Old Courthouse

Ste. 140

(518) 885-2249

Little Valley, NY 14755

Dutchess

Lake Pleasant, NY

9 Park St.

Albion, NY 14411

Schenectady

(716) 938-2400

12108

PO Box 1500

(585) 589-3274

 

47 Cannon St.

(518) 548-4684

Fonda, NY 12068

 

2696 Hamburg St.

Cayuga

Poughkeepsie, NY

 

(518) 853-8180

Oswego

Schenectady, NY

157 Genesee St.

12601

Herkimer

 

185 E. Seneca St.

12303

(Basement)

(845) 486-2473

109 Mary St.

Nassau

Box 9

(518) 377-2469

Auburn, NY 13021

Erie

Ste. 1306

240 Old Country Rd.

Oswego, NY 13126

Schoharie

(315) 253-1285

Herkimer, NY 13350

5th Fl.

(315) 349-8350

 

134 W. Eagle St.

(315) 867-1102

PO Box 9002

 

County Office Bldg.

Chautauqua

Buffalo, NY 14202

 

Mineola, NY 11501

Otsego

284 Main St.

7 North Erie St.

(716) 858-8891

Jefferson

(516) 571-8683

Ste. 2

PO Box 99

Mayville, NY 14757

Essex

175 Arsenal St.

 

140 County Hwy. 33W

Schoharie, NY 12157

(716) 753-4580

Watertown, NY 13601

Niagara

Cooperstown, NY

(518) 295-8388

 

7551 Court St.

(315) 785-3027

111 Main St.

13326

 

Chemung

PO Box 217

 

Ste. 100

(607) 547-4247

 

378 South Main St.

Elizabethtown, NY

 

Lockport, NY 14094

 

 

PO Box 588

12932

 

(716) 438-4040

 

 

Elmira, NY 14902

(518) 873-3474

 

 

 

 

(607) 737-5475

 

 

 

 

 

Schuyler

County Office Bldg. 105 9th St., Unit 13 Watkins Glen, NY 14891

(607) 535-8195

Seneca

One DiPronio Dr. Waterloo, NY 13165 (315) 539-1760

Steuben

3 E. Pulteney Sq. Bath, NY 14810 (607) 664-2260

Suffolk

Yaphank Ave.

PO Box 700

Yaphank, NY 11980

(631) 852-4500

Sullivan

Gov’t. Ctr.

100 North St.

PO Box 5012 Monticello, NY 12701 (845) 807-0400

Tioga

1062 State Rte. 38 PO Box 306 Owego, NY 13827 (607) 687-8261

Tompkins

Court House Annex 128 E. Buffalo St. Ithaca, NY 14850 (607) 274-5522

Ulster

284 Wall St. Kingston, NY 12401 (845) 334-5470

Warren

Cnty. Municipal Ctr. 3rd Floor Human Serv. Bldg 1340 St. Rte. 9 Lake George, NY 12845

(518) 761-6456

Washington

383Broadway Fort Edward, NY 12828

(518) 746-2180

Wayne

7376 State Rte. 31 PO Box 636 Lyons, NY 14489 (315) 946-7400

Westchester

25 Quarropas St. White Plains, NY 10601

(914) 995-5700

Wyoming

4 Perry Ave. Warsaw, NY 14569 (585) 786-8931

Yates Ste. 1124 417 Liberty St.

Penn Yan, NY 14527 (315) 536-5135

(Optional) Register to donate your organs and tissues

If you would like to be an organ and tissue donor upon your death,

you may enroll in the NYS Donate Life™ Registry online at www.donatelife.ny.gov or complete the form below.

You will receive a confirmation email or letter, which will also provide you an opportunity to limit your donation.

Last name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

By signing below,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

you certify that you are:

 

First name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• 16 years of age or older;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Initial

 

 

 

 

 

 

 

 

Suffix

 

 

 

 

 

 

 

 

 

 

 

 

• consenting to donate all of your organs and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tissues for transplantation, research, or both;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• authorizing the Board of Elections to provide

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

your name and identifying information to NYS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zip code

 

 

 

 

 

 

 

 

 

 

Donate Life™ Registry for enrollment;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• and authorizing the Registry to give access to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

this information to federally regulated organ

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

procurement organizations and NYS-licensed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tissue and eye banks and others approved by the

 

M

M

 

 

D

 

D

 

Y Y Y Y

 

 

 

Gender

M

 

 

F

 

 

 

Birth date

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NYS Commissioner of Health upon your death.

Eye color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Height

 

Ft.

 

 

 

 

In.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DMV or ID NYC #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sign

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How to Edit Ny Voter Registration Form Online for Free

If you desire to fill out change my political party affiliation ny, you don't have to install any applications - just make use of our PDF editor. Our tool is constantly developing to grant the best user experience attainable, and that is thanks to our resolve for continuous development and listening closely to user comments. Starting is simple! What you need to do is follow the following basic steps directly below:

Step 1: Click on the "Get Form" button in the top area of this page to get into our tool.

Step 2: With our handy PDF editor, you are able to do more than just complete forms. Edit away and make your forms appear sublime with customized text incorporated, or tweak the file's original input to excellence - all comes along with the capability to add almost any pictures and sign the PDF off.

It is actually straightforward to complete the form with our helpful tutorial! Here's what you need to do:

1. It is advisable to fill out the change my political party affiliation ny correctly, hence be careful while filling out the areas that contain these blanks:

Stage # 1 for filling out registration party

2. Once your current task is complete, take the next step – fill out all of these fields - The address where you receive mail, CityTownVillage, Voting history, Have you voted before, Yes, What year, Voting information that has, Identification You must make, For questions please refer to, Your name was, Your address was, Your was County State New York or, New York State DMV number, Last four digits of your Social, and x x x x x with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Yes, New York State DMV number, and Identification You must make inside registration party

3. The following section is focused on Political party enrollment is, Democratic party Republican party, I do not want to enroll in any, and wish to be an independent voter, No party, Optional questions, I need to apply for an Absentee, I would like to be an Election Day, Sign, Date, if it is not true I can be, and R e v - type in all of these blanks.

registration party conclusion process detailed (stage 3)

4. All set to fill in this next form section! Here you'll get all of these Your address, Place, FirstClass, Stamp Here, Your County Board of Elections, and Before mailing remove tape fold fields to complete.

Completing section 4 in registration party

5. This last stage to submit this PDF form is crucial. You must fill in the required blank fields, particularly Last name, First name, Middle Initial, Address, Suffix, Apt Number, Zip code, City, Birth date, Eye color, Email, By signing below you certify that, years of age or older, tissues for transplantation, and your name and identifying, prior to submitting. If not, it could give you an incomplete and possibly unacceptable form!

Suffix, Birth date, and Last name inside registration party

In terms of Suffix and Birth date, ensure you take another look in this section. These are considered the key fields in the PDF.

Step 3: Right after going through your fields and details, press "Done" and you are all set! Join us now and immediately gain access to change my political party affiliation ny, set for downloading. Each and every change you make is conveniently saved , helping you to customize the document at a later point as required. When using FormsPal, it is simple to fill out documents without being concerned about personal data leaks or entries getting distributed. Our secure platform helps to ensure that your personal data is kept safe.