EL-131 (REV 2016-09)
Wisconsin Voter Registration Application Instructions
Each section on the front side of this document corresponds to the sections below (1-12)
These do
cuments
constitute proof of
residence if they contain
the voter’s current and
complete first and last
name and residential
address, and are valid on
the day used to register
to vote.
Electronic versions are
also a
cceptable
A WI Driver License/ID Card, if not expired or cancelled; may be used even if driving privileges have been revoked
Any other official identification card or license issued by a Wisconsin governmental body or unit
An employee ID card with a photograph, but not a business card
A real property tax bill or receipt for the current year or the year preceding the date of the election
A residential lease (Does not count as proof of residence if elector submits form by mail)
A picture ID from a university, college or technical college coupled with a fee receipt or an on-campus housing listing
provided by the university, college or technical college
A utility bill for the period commencing not earlier than 90 days before the day registration is made
(Homeless voters only) A letter from an organization that provides services to the homeless that identifies the voter
and describes the location designated as the person’s residence for voting purposes
A contract/intake document prepared by a residential care facility indicating that the occupant resides in the facility
A bank statement
A paycheck
A check or other document issued by a unit of government
1
Fill in the circle (New WI Voter, Name Change, Address Change) describing why you are completing the form.
A “New WI Voter” is anyone who is not currently registered to vote in Wisconsin. You can check your voter
registration status at MyVote Wisconsin website (https://myvote.wi.gov)
Indicate your county and municipality of residence (e.g. Town of Eaton, Manitowoc County).
2
If you have been issued a WI driver license or WI DOT-issued ID that is unexpired, you must provide the number
,
even if your driving privileg
es have been revoked. If you are unsure of the number, please cal
l DMV at
(608
) 266-23
53.
If you have been issued a WI driver license or WI DOT-issued ID that is currently expired or has been canc
elled,
plea
se provide the number. You must also provide the last 4 digits of your Social Security num
ber.
If you have not been issued a WI driver license or WI DOT-issued ID, you must provide the la
st 4 digits of your
Social Se
curity number.
If you have not been issued a WI driver license, a WI DOT-issued ID, or a Social Security number, indi
cate that
fact by filling in the approp
riate circle.
If you are registering to vote on Election Day and have been issued a WI driver license or ID, but are unabl
e or
unwilling to provide the number, your
vote will not be counted unless you pr
ovide the number to the election
insp
ectors by 8:00 p.m. on Election Day or to your municipal clerk by 4:00 p.m. the Friday following Election
Day.
3
Provide your current and complete name including your last name, first name, middle nam
e, and suffix (Jr., Sr.,
etc.), if any.
Please verify you have provided your name as it appears on the document, the number of whic
h you
provided in Box 2, if the name on that document is still your current and complete name.
Provide your month, day, and year of birt
h.
Providing your phone number and/or email address is optional and is subject to open records requests.
A “military elector” is a person, or the spouse or dependent of a person who is a member of a uniform
ed service
or merch
ant marine, a civilian officially attached to a uniformed service and serving outside th
e United States, or
a Peace
Corp volunteer. Military electors are not required to register as a prerequisite to voting at any elect
ion.
A “permanent overseas elector” is a US citizen, at least 18 years old, who does not qualify as a resid
ent of this
state, but wh
o was last domiciled in this state, or whose parent was last domiciled in this state immediatel
y prior
to the parent’
s departure from the United States, and who is not registered to vote in any other state.
4
Provide your home address (legal voting residence) in Wisconsi
n.
Provide your full street name, including the type (St, Ave, etc.) and any pre-and/or post-directional (N, S, etc.).
Provide the city name and zip that appears on mail delivered to your home add
ress.
You may not enter a PO Box as a residential address. A rural route box without a number should not be used.
5
If your mailing address is different from your home address, provide it here. A PO Box is acceptable as a
mailing
address. Oversea
s electors should provide their complete overseas address here.
6
Provide your previous first, last and middle names, along with a su
ffix, if any.
7
Provide the most recent address where you were previously regist
ered to vote, if any.
8
If you need assistance when voting, you may describe the assistance required (e.g. curbside voting, braill
e
material
s).
If you are interested in being a poll worker for your municipality, you may fill in the circle to indicate your interest.
If you do not have a street address, use the map to sh
ow where you live.
9
If you answer “No” to either question in this section, you are not eligible to vote in Wisconsi
n.
Please note, for question 2, you must either be at least 18 y
ears old, or will be at least 18 years old at the time
of the next election to be e
ligible to vote. If you are completing on Election Day you must be 18 years ol
d today.
12
Assistant: If you are unable to sign this form due to a physical disability, you may have an assistant do so on
your behalf. That assistant must provide his or her signature and address in the space provided. By signing,
the assistant certifies that he or she signed the form at your request.
