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DEADLINE ALERT: October 5, 2015 is the last day to register before the November 3rd election.

Your registration is not complete until processed and accepted by your county voter registration office.

To vote in the next election, you must complete your application by 10/05/2015. You can submit your application:

  • On this web site
  • Delivered to your county voter registration office
  • By mail to your county voter registration office, postmarked by 10/05/2015
  • If you are on active duty in the military, or you are a hospitalized or bedridden veteran, you can register at any time. See www.fvap.gov for more information

If you have one, please have your PA driver's license or PennDOT ID available to reference as you complete the application.



1.Your Name

2.Eligibility *
If you answer "No" to either question, you cannot register to vote.

To register you must:
  • Be a United States citizen, be a resident of Pennsylvania and your election district for at least 30 days before the next election
  • Be at least 18 years of age on the day of the next election.



3. Reason *
If you are currently registered to vote, you do not have to use this application unless you have moved or changed your name.
Please check at least one box.

4. About you

Phone and email are optional, and used if information is missing on this form
5. Your address
Enter the address of your residence. You may not use a P.O. Box address.
If you live in a rural area or are homeless and do not have a street address or a permanent residence, after you complete this online form, you can print it out, use the map on the printed form to show where you live or spend most of your time, and mail it to your county voter registration office.
PA

6. The address where you receive mail
Skip if the same as your residence address above.

7. Identification*
If you have a PA driver's license or PennDOT ID card number, you must use it.

8. Political party
To vote in a primary, you must register with either the Democratic or Republican party.




(Optional) If you require assistance with voting, complete this section.

Do you require help to vote?


10. Voting information that has changed
Skip if this information has not changed or if this is the first time you are registering to vote.
For change of address, include street, city, state, and zip code of your previous address.

11. Declaration
I declare that
  • I am a United States citizen and will have been a citizen for at least 1 month on the day of the next election.
  • I will be at least 18 years old on the day of the next election.
  • I will have lived at the address in section 5 for at least 30 days before the election.
  • I am legally qualified to vote.
I affirm that this information is true. I understand that this declaration is the same as an affidavit, and, if this information is not true, I can be convicted of perjury, and fined up to $15,000, jailed for up to 7 years, or both.
By checking the box below, you are signing the application electronically. In doing so:
  • You agree you have read and accept the terms of the declaration above.
  • You understand that your electronic signature on this application will constitute the legal equivalent of your signature for this voter registration application.
  • You agree to conduct this voter registration transaction by electronic means and that all laws of the Commonwealth of Pennsylvania will apply to this transaction.
If you provided your PA driver's license or PennDOT ID number, you understand that the signature from your PennDOT record will constitute your signature on your voter registration record. You understand that you do not have to register electronically, and may use a paper or other non-electronic form of this voter registration application.

PENALTY FOR FALSIFYING DECLARATION
WARNING: If a person signs an official registration application knowing a statement declared in the application to be false, makes a false registration, or furnishes false information, the person commits perjury. Perjury is punishable, upon conviction, by a term of imprisonment not exceeding seven years, or a fine not exceeding $15,000, or both, at the discretion of the court.
Submitting an application containing false information may also subject a person to other penalties, including loss of the right of suffrage, under state or federal law.

12. Help with this form
If someone helped you with this form, fill in the information in this section
If you helped a voter complete this voter registration application, you must also sign the application.
By checking the box, you are signing the application electronically. In doing so:
  • You understand that your electronic signature on this application will constitute the legal equivalent of your signature.
  • You agree to sign this application by electronic means and that all laws of the Commonwealth of Pennsylvania will apply.
(Optional) If you check either of these boxes, your county voter registration office will contact you.

I would like to be a poll worker on Election Day






     


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