Voter Registration Form

Online voter registration form for the state of Nevada.
* Required fields. Change State

Requirements

Are you a citizen of the United States of America? *

Yes

Will you be 18 years old on or before election day? *

Yes

Full Name

Salutation: *

First Name: *

Middle Name:

Last Name: *

Suffix:

Home Address

Street Address: *

Apt/Lot:

City/Town: *

State:

Zip Code: *

Mailing Address (If different than Home Address)

Street Address:

Apt/Lot:

City/Town:

State:

Zip Code:

Personal Information

Telephone:

Type of ID: *

ID Number:

Date of Birth: *

Month, Day, Year

Choice of Party: *

Your state requires you to select a party to vote in all elections.

Change of Name (Optional)

Salutation:

First Name:

Middle Name:

Last Name:

Salutation:

Previously Registered At

Street Address:

Apt/Lot:

City/Town:

State:

Zip Code:

State Instructions

To register in Nevada you must:
• be a citizen of the United States
• have attained the age of 18 years on the date of the next election
• have continuously resided in the State of Nevada, in your county, at least 30 days and in your precinct at least 10 days before the next election
• not currently be laboring under any felony conviction or other loss of civil rights that would make it unlawful for you to vote
• not be determined by a court of law to be mentally incompetent
• claim no other place as your legal residence

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E-Mail *:

RECEIPT - Please send me a copy of this voter registration form for my files.

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