Fillable ARIZONA VOTER REGISTRATION FORM (Arizona Secretary of State)

Fill Online, Printable, Fillable, Blank ARIZONA VOTER REGISTRATION FORM (Arizona Secretary of State) Form

Use Fill to complete blank online ARIZONA SECRETARY OF STATE (AZ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

ARIZONA VOTER REGISTRATION FORM (Arizona Secretary of State)

On average this form takes 10 minutes to complete

The ARIZONA VOTER REGISTRATION FORM (Arizona Secretary of State) form is 3 pages long and contains:

  • 2 signatures
  • 14 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Arizona Secretary of State

BROWSE ARIZONA SECRETARY OF STATE (AZ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
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.
REGISTER ONLINE
WWW.SERVICEARIZONA.COM
FOR MORE INFORMATION
WWW.AZSOS.GOV
BOX FOR OFFICE USE ONLY
1
Permanent Early Voting List (PEVL)
Receive your early ballot by mail!
Yes
, 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.)
No
, 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.
2
Last Name
First Name
Jr./Sr./III
3
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.
4
Apt./Unit/Space
5
City
6
Zip
7
Mailing Address (where you get mail, if not delivered to residential address)
8
Last 4 Digits of
Social Security #
9
AZ Driver License or
Nonoperating License #
10
Tribal ID #
11
Alien Registration,
Naturalization Certificate, or
Citizenship Certificate #
12
Birth Date
(MM/DD/YYYY)
13
State or Country
of Birth
14
Party Preference
15
Telephone Number
Is this a cellphone?
16
Occupation
Republican
Democratic
Other
____________
None / No Party
Yes
No
17
If you were registered to vote in another state, list
former address (including county and state)
18
Former Name(s)
(if applicable)
19
Father’s Name or Mother’s Maiden Name
20
Are you willing to work
at a polling place on
Election Day?
Yes
No
21
E-Mail
22
Are you a citizen of the United States of America
?
If you checked
“No” to either of
these questions,
DO NOT
submit
this form.
Yes
No
Will you be at least 18 years old by Election Day?
Yes
No
22
V
OTER DECLARATION – By signing below, I swear or affirm that the above information is
true, that I am a RESIDENT of Arizona, I have NOT been convicted of a FELONY (or my
civil rights have been restored - see back for details), and I have NOT been adjudicated
INCAPACITATED with my voting rights revoked.
SIGNATURE
DATE
23
If no street address, draw a map and/or provide the
latitude/longitude:
or
geocode here:
24
If you are unable to complete or sign the form, the form can be completed at
your direction. The person who assisted you must sign here.
SIGNATURE OF PERSON ASSISTING
DATE
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

ARIZONA VOTER REGISTRATION FORM (Arizona Secretary of State)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document