Idaho Voter Registration Form
You can use this form to:
• register to vote in the state of Idaho.
• let us know that your name or address has changed.
• affi liate with a political party or change your status to unaffi liated.
To register to vote in Idaho you must:
• be a U.S. Citizen,
• have resided in Idaho and in the county for thirty (30) days prior to the day of election, and
• be at least 18 years old.
You cannot register to vote in Idaho if:
• you have been convicted of a felony and have not had your civil rights restored.
Persons convicted of a felony in Idaho have their rights automatically restored upon completion
of sentencing including probation or parole.
How to register to vote:
You may mail or deliver your completed card to your county. County addresses are on the back of this form.
• If mailed, your county elections offi ce will mail you a card to let you know that your registration was received.
Political Party:
• If no political party is selected, you will be registered as unaffi liated (no political party preference).
Questions?
• Call one of the county election offi ces listed on the back of this form.
IMPORTANT! If mailed, this card must be postmarked by the 25th day before an election. If you
are a fi rst-time voter in Idaho, a copy of a current and valid photo identifi cation or a copy of a
current utility bill, bank statement, government check, paycheck or government document that
shows your name and address must be submitted with this form or shown at the polls prior to voting.
Detach Here
Use Black Pen - Please Print Clearly
Idaho felon’s rights are automatically restored
upon completion of all sentencing conditions
including probation or parole.
ERM-1 Registration Card, Rev. 2011
\ \
month day year
Residence Address (Do not use PO Box or business address. If no street address, describe location of
residence by cross streets, section, township, range, or other physical description.)
Mailing address if different from above
Address where previously registered
UNDER PENALTY OF LAW: By signing this card, I certify that I am a
citizen of the United States and that I shall have been a resident of Idaho and
the county for 30 days before the next election at which I vote; that I am at least
18 years of age on election day; and I declare under oath or affi rmation that the
information supplied herein is true.
X
Signature - Sign on line below.
month day year
Date of
Signature
\ \
Residence in Idaho
Yrs.____Months____
Date of Birth
Telephone Number
(Optional)
City County State
City County Zip
City State Zip
Check box if
name change
Previous Name
Idaho Voter Registration Form
Are you a citizen of the United States of America?
Will you be at least 18 years of age on election day?
No
Yes
WARNING: Any elector who supplies any information knowing it to be false is guilty of perjury
which is punishable by imprisonment and a fi ne of up to $50,000.
Yes
No
If you checked ‘No’ for
either question, do not
complete this form.
Male
Enter Idaho Drivers License #
If no Idaho Drivers License, enter
last 4 digits of Social Security #
First Name
Last Name
Middle Name
(Print clearly in black ink.)
I have not been issued an
Idaho DL number or SSN.
Yes
No
1
2
3
4
10
5
8
9
Do you have any legal disqualifi cations?
Female
Constitution
Political Party (Select one):
Republican
Democratic
Unaffi liated - (No party preference)
Libertarian
7
Precinct
Clerk Date
6
OFFICIAL USE ONLY
Click here to clear form.
County Address Phone
COUNTY ELECTION OFFICES
FIND YOUR COUNTY'S ADDRESS AND WRITE IT
IN THE ADDRESS SECTION BELOW.
PLACE
STAMP
HERE
IDAHO
CITY ZIP
TO: COUNTY ELECTIONS DEPARTMENT
Detach Here
Ada 400 N. Benjamin St., Ste. 100, Boise 83704 287-6860
Adams PO Box 48, Council 83612-0048 253-4561
Bannock PO Box 6094, Pocatello 83205-6094 236-7334
Bear Lake PO Box 190, Paris 83261-0190 945-2212
Benewah 701 W. College Ave, Ste. 101 St Maries 83861 245-3212
Bingham 501 N Maple St #205, Blackfoot 83221-1776 782-3164
Blaine 206 1st Ave South #200, Hailey 83333-8429 788-5510
Boise PO Box 1300, Idaho City 83631-1300 392-4431
Bonner 1500 Hwy 2, Ste. 337, Sandpoint 83864-1794 255-3631
Bonneville 605 N Capital Ave, Idaho Falls 83402-3582 529-1363
Boundary PO Box 419, Bonners Ferry 83805-0419 267-2242
Butte PO Box 737, Arco 83213-0737 527-3021
Camas PO Box 430, Fairfi eld 83327-0430 764-2242
Canyon 1102 E Chicago, Caldwell 83605-3522 454-7563
Caribou PO Box 775, Soda Springs 83276-0775 547-4324
Cassia 1459 Overland Ave, Burley 83318-1862 878-5240
Clark PO Box 205, Dubois 83423-0205 374-5304
Clearwater PO Box 586, Orofi no 83544-0586 476-5615
Custer PO Box 385, Challis 83226-0385 879-2360
Elmore 150 S 4th E #3, Mountain Home 83647-3000 587-2131
Franklin 39 W Oneida, Preston 83263-1232 852-1090
Fremont 151 W 1st N #12, St Anthony 83445-1548 624-7332
Gem 415 E Main, Rm. #202, Emmett 83617-3096 365-4561
Gooding PO Box 417, Gooding 83330-0417 934-5479
Idaho 320 W Main Rm. #5, Grangeville 83530-1948 983-2751
Jefferson 210 Courthouse Way, Ste. 100, Rigby 83442-5294
745-7756
Jerome 300 N Lincoln Rm 301, Jerome 83338-2344 644-2714
Kootenai PO Box 9000, Coeur d’Alene 83816-9000 446-1030
Latah PO Box 8068, Moscow 83843-0568 883-2249
Lemhi 206 Courthouse Drive, Salmon 83467-3900 756-2815
Ext. 224
Lewis 510 Oak Street Rm #1, Nezperce 83543-5065 937-2661
Lincoln 111 West B Street Suite C, Shoshone 83352-5364
886-7641
Madison PO Box 389, Rexburg 83440-0389 359-6219
Minidoka PO Box 368, Rupert 83350-0368 436-9511
Nez Perce PO Box 896, Lewiston 83501-0896 799-3020
Oneida 10 Court Street, Malad 83252-1200 766-4116
Owyhee PO Box 128, Murphy 83650-0128 495-2421
Payette 1130 3rd Ave N Rm 104, Payette 83661-2473 642-6000
Power 543 Bannock Ave, American Falls 83211-1200 226-7611
Shoshone 700 Bank Street #120, Wallace 83873-2348 752-1264
Teton 150 Courthouse Dr #208, Driggs 83422-5164 354-8780
Twin Falls PO Box 126, Twin Falls 83303-0126 736-4004
Valley PO Box 1350, Cascade 83611-1350 382-7100
Washington PO Box 670, Weiser 83672-0670 414-2092
County Address Phone