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

To register you must:

be a US citizen;
be 18 years old by the end of this year;
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.

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 when you mail this form.

If we are unable to verify your identity before Election Day, you will be asked for ID when you vote for the first time.

Send or deliver this form

Fill out the form below. Your information will be checked for any errors upon submission of this form, and you will be given an opportunity to correct any issues. Once complete, a PDF version of your voter registration form will be generated for display or download (depending on your system). Please note that you will need to sign and date your form before submitting it to your local board of elections by mail or in person.

By signing the voter registration portion of the form, you will be attesting to the following information:

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 if it is not true, I can be convicted and fined up to $5,000 and/or jailed for up to four years.

If you also choose to complete and sign the organ donation portion of this form, you will be certifying that you are:

16 years of age or older;
consenting to donate all of your organs and tissues for transplantation, research, or both;
authorizing the Board of Elections to provide your name and identifying information to NYS Donate Life Registry for enrollment;
and authorizing the Registry to allow access to this information to federally regulated organ procurement organizations and NYS-licensed tissue and eye banks and othes approved by the NYS Commissioner of Health upon your death.

Once you have printed and signed your form, it must be submitted to your local board of elections. Address information for all county boards is contained within the PDF version of your completed voter registration form.

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

Find answers or tools on our website www.elections.ny.gov

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

Qualifications

Are you a citizen of the U.S.? * If you answer No, you cannot register to vote.
Yes

No

Will you be 18 years of age or older on or before election day? * If you answer No, you cannot register to vote unless you will be 18 by the end of the year.
Yes

No

Your name *
First name *

Middle Initial

Last name *

Suffix

Date of Birth
Birth Month * Two digit number representing the month you were born.

Birth Day * Two digit number representing the day you were born.

Birth Year * Four digit number representing the year you were born.

Gender (optional)
Male

Female

Telephone (optional)
Area Code Three digits only.

Prefix Three digits only.

Line Number Four digits only.

Email (optional)
Email Address

The address where you live * Address * Cannot be a PO Box.

Apartment Number

City/Town/Village *

Zip Code * Five digits only.

New York State County *

The address where you receive mail
Skip if same as the address where you live as stated above.

Address or P.O. Box

Apartment Number

City/Town/Village

Zip Code Five digits only.

Voting history
Have you voted before?

Yes, I have voted before.

No, I have not voted before.

What year? Please provide the year in which you last voted.

Voting information that has changed
Skip if this has not changed or you have not voted before.

Your name was

Your address was

Your previous state or New York State County was

Identification *
Please see the "Verifying your identity" section in the instructions at the beginning of this form for more information.

You must make 1 selection

I will provide my New York State DMV number below

I will provide the last four digits of my Social Security number below

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

New York State DMV number The nine digit ID number at the top of your license, permit or non-driver ID.

Last four digits of your Social Security number Four digits only.

Political party enrollment *
To vote in a primary election, you must be enrolled in one of these listed parties — except the Independence Party, which permits non-enrolled voters to participate in certain primary elections.

You must make 1 selection

Democratic party

Republican party

Conservative party

Working Families party

Green party

Libertarian party

Independence party

SAM party

Other

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

If you selected "Other" above, please specify the other party name below.

Other Party Name:

Optional questions
I need to apply for an Absentee Ballot.

I would like to be an Election Day worker.

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

Your name
First name

Middle Initial

Last name

Suffix

Your address
Address

Apartment Number

City

Zip Code Five digits only.

Date of Birth
Birth Month Two digit number representing the month you were born.

Birth Day Two digit number representing the day you were born.

Birth Year Four digit number representing the year you were born.

Gender
Male

Female

Eye color
Please specify your eye color

Height information
Please specify your height in feet and inches below.

Feet

Inches

Identification information

Email Address

DMV or ID NYC#