Secretary of State Approved 06-12-19
Form 100
[Article 2, Title 1, C.R.S.]
Colorado Voter Registration Form Fill out all fields marked with an asterisk (*)
Eligibility
1
* Are you a citizen of the United States?
Yes No
If you answered "No", do not complete this form.
Name
2
* Last Name
* First Name
Middle Name Suffix
Identification
Provide your birth date
and your identification
information.
3
*MM *DD *YYYY
Remember to write
your birth date below.
- -
I have a valid CO Driver's License or ID card.
Write that number here:
-
-
I do not have a CO Driver's License or ID card.
Write the last four digits of your SSN here:
- -
I do not have a Colorado Driver's License, ID card, or a Social Security Number.
The address
where you live
4
* Address (no P.O. Boxes) Unit Number * City or Town
State
* Zip Code
Colorado County
I am homeless. This is a location I regularly return to. I have also provided a mailing address in Section 5.
5
The address
where you
receive mail
Same as above
Address
City or Town
State Zip Code
6
The address to
mail your ballot
The County will mail your
ballot here until you say
otherwise.
Address
City or Town
State
Zip Code
Same as above
7a
or
7b
Political affiliation
Choose only 7a or 7b
American Constitution Approval Voting Democratic Green Libertarian Republican Unity
I would like to be a member of the following political party:
Democratic
Republican
American Constitution Green Libertarian
Unity
I would like to be Unaffiliated, but I want to receive the following party's ballot in the next primary election:
All Major Parties' Ballots
8
Updating a
current record?
If so, you must provide the
applicable changes here.
I am not updating a current record I am no longer overseas
I am no longer absent from Colorado due to military service
Previous home address
Previous mailing address
Previous party affiliation
Previous legal name
9
Declaration
Warning: It is a Class 1 misdemeanor to swear or affirm falsely as to your qualifications to register to vote.
Self-Affirmation: I affirm that I am a citizen of the United States; I have been a resident of Colorado for at least twenty-two days immediately
before an election I intend to vote in; I am at least sixteen years old; and I understand that I must be at least seventeen and turning eig
hteen on or
before the date of the next general election to be eligible to vote in a primary election, and at least eighteen to be eligible to vote in any other
election. I further affirm that the residence address I provided is my sole legal place of residence. I certify under penalty of perjury that the
information I have provided on this application is true to the best of my knowledge and belief; and that I have not, nor will I, cast more than one ballot
in any election.
* Signature or mark
Witness Signature
* Date Date
If you are unable to sign, you must make a mark and have the mark witnessed by another person.
Optional
information
10
Phone number with area code
Gender Identity
I would like to be an election judge
Email address
I want to receive election information by email:
(You will not receive a ballot by email)
Will I need identification to vote?
If you vote in person, yes. If you are voting by mail for the first time,
you may need to provide a photocopy of your ID.
A complete list of acceptable forms of identification can be found at
www.govotecolorado.com.
How do I get a mail ballot?
If you register to vote at least eight days before an election conducted
by your county clerk and recorder, the clerk will automatically mail you
a ballot. If you register after the eighth day before Election Day, you
must visit one of the Voter Service and Polling Centers in your county
to get a ballot.
May I register to vote if I was arrested for or convicted of a
crime?
Yes, if you
Are on probation for either a misdemeanor or felony;
Are a pretrial detainee awaiting trial;
Are currently in jail serving a misdemeanor sentence only; OR
Are no longer serving a term of imprisonment due to a felony
conviction.
If you were previously registered and were incarcerated due to a felony
conviction, that registration will have been canceled and you must
re-register if you wish to vote.
What information will I receive by email?
By choosing to receive election information by email, you may receive
information about upcoming election activities and other election
correspondence by email from your county clerk and recorder. But
ballots and some mailings will still be sent by regular mail. Under
Colorado law, your email address is protected. It will not be shared
with anyone.
Will my information be publicly available?
Some of the information you provide on this form is public information
as required by law. Your social security number, driver's license
number, month and day of birth, signature, and email are confidential.
You may be eligible to keep more of your voter information private.
For details contact your county clerk and recorder.
Who should I contact if I have more questions?
Contact your county clerk and recorder. You can find a list with contact
information at www.govotecolorado.com.
You may also contact the Secretary of State's office
Phone: 303-894-2200
Fax: 303-869-4861
Email: State.ElectionDivision@sos.state.co.us
How do I turn in this form?
Sign the form. Then mail, deliver, or scan the signed form and email it
to your county clerk and recorder. You may find a list with contact
information at www.govotecolorado.com.
You may also mail it to:
Colorado Department of State
Elections Division
1700 Broadway, Suite 200
Denver, CO 80290
Am I eligible to register to vote?
You are eligible to register to vote if you:
Are a United States citizen
Are 16 years old, but you must be at least 17 to vote in a
primary election if you will be 18 on or before the next general
election
Are 16 years old, but you must be at least 18 to vote in any
other election
Are a Colorado resident for at least 22 days immediately before
the election you intend to vote in
Are not currently serving a term of imprisonment for a felony
conviction
If I don't know my Colorado driver's license or Colorado ID
card number may I provide my Social Security Number
instead?
No. If you have a Colorado Driver's License or ID card issued by the
Colorado Department of Revenue, you must provide that number.
If I don't have a Colorado driver's license, Colorado ID
card, or social security number, may I still register to vote?
Yes. An applicant who is qualified to vote in this state but does not
have a driver's license, state-issued identification card, or social security
number may still register to vote. In such cases, the person may be
required to provide an acceptable form of identification. A list of
acceptable forms of identification can be found at
www.govotecolorado.com.
How will I know if my registration was processed?
If you are registering to vote for the first time in the state of Colorado,
your application will be processed within 2 weeks. Approximately 20
days after your county clerk and recorder receives your registration
form, you will receive an official information card by mail.
If you are using this form to update an existing Colorado voter
registration, you can check your status by visiting
www.govotecolorado.com and clicking on “Find My Registration”.
If you are pre-registering to vote, you will receive an official
information card by mail and may check your status once you become
eligible to vote.
Other frequently asked questions about
registering and voting
Information about this
registration
Information for unaffiliated voters
I am registered as unaffiliated. Will I be able to vote in the primary election?
Yes. Unaffiliated voters are eligible to vote in the primary election, but you may only vote one party's ballot.
Do I have to choose in advance which party's ballot I want to vote?
No, but you can if you want to. You have several options:
1. You may choose which party's ballot you want to get in the mail for the next primary election by checking the box next to that party in Section 7b of this
form; or
2. If you would rather receive a packet containing the Democratic and Republican party ballots, check "All Major Parties' Ballots" in Section 7b of this form. If you
check "All Major Parties' Ballots" in section 7b of this form, remember that you must choose which ballot to vote. Only vote and return one party's ballot.
3. You can also appear in person at any Voter Service and Polling Center in your county and choose the party's ballot you want to vote.
Does selecting a preference in Section 7b mean that I am joining that party?
No. An unaffiliated voter who selects a ballot preference will remain unaffiliated.
Can I participate in a party's caucus meeting if I am unaffiliated?
No. To participate in a party caucus meeting you must join that party before the party's caucus. However, you are still eligible to vote in any participating party's
primary election.