Voter Registration Form

Online voter registration form for the state of Virginia.
* 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:

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 Virginia you must:
• be a citizen of the United States
• be a resident of Virginia and of the precinct in which you want to vote
• be 18 years old by the next May or November general election
• not have been convicted of a felony, or have had your civil rights restored
• not currently be declared mentally incompetent by a court of law

Register To Vote Newsletter | receipt

E-Mail *:

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

NEWSLETTER - Please send me the Register to Vote newsletter.

(send copy in plain text)