I, being a registered voter at the address listed below, do hereby declare that I wish to affi liate with
the following political party:
ER-2, Approved Secretary of State, May 2011
Idaho Political Party Affi liation Declaration Form
I, being a registered voter at the address listed below, do hereby declare that I do not wish to be
affi liated with any political party.
Democratic Republican Constitution Libertarian
Unaffi liated (No party preference)
_____________________________________________________ ________________________
Signature Date
Last Name: Suffi x:
First Name: Middle Name:
Date of Birth:
Residence Address:
Street Address City Zip Code
I, being a registered voter at the address listed below, do hereby declare that I wish to affi liate with
the following political party:
ER-2, Approved Secretary of State, May 2011
Idaho Political Party Affi liation Declaration Form
I, being a registered voter at the address listed below, do hereby declare that I do not wish to be
affi liated with any political party.
Democratic Republican Constitution Libertarian
Unaffi liated (No party preference)
_____________________________________________________ ________________________
Signature Date
Last Name: Suffi x:
First Name: Middle Name:
Date of Birth:
Residence Address:
Street Address City Zip Code
Return this form to your County Clerk.
A current list of County Clerk's office addresses can be found at: www.idahovotes.gov/clerk.htm