ARIZONA VOTER REGISTRATION FORM
FILL OUT COMPLETELY WITH A BLACK/BLUE PEN (RED SHADED BOXES
ARE REQUIRED). TO BE ELIGIBLE TO VOTE A “FULL BALLOT,”
COMPLETE BOX 9, 10 OR 11 OR PROVIDE OTHER PROOF OF CITIZENSHIP -
SEE BACK FOR DETAILS AND ADDITIONAL INSTRUCTIONS.
FOR MORE INFORMATION
Permanent Early Voting List (PEVL)
Receive your early ballot by mail!
, I want to be added to PEVL and automatically get an early ballot by
mail for every election for which I am eligible.
(To be on PEVL, your mailing address in Box 7 must be in Arizona.)
, I do not want to be added to PEVL. I understand CHECKING THIS
BOX will remove my name from PEVL if it was previously included.
Residential Address (where you live – no P.O. Box/business address
If no street address, describe location using mileage, cross streets, parcel #,
subdivision name/lot, or landmarks. Draw a map and/or provide latitude/longitude or
geocode in Box 23 if located in a rural area without a traditional street address.
Mailing Address (where you get mail, if not delivered to residential address)