Fillable OKLAHOMA VOTER REGISTRATION APPLICATION (Oklahoma)

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OKLAHOMA VOTER REGISTRATION APPLICATION (Oklahoma)

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OKLAHOMA VOTER REGISTRATION APPLICATION
You may use this form to:
 Register to vote for the first time in Oklahoma.
 Change your address for voter registration within Oklahoma.
 Change your name.
 Change your political party.
 Change your mailing address.
IMPORTANT INFORMATION
PLEASE READ CAREFULLY
WARNING
All answers on this application must be true. It is a felony to submit false information on this form.
You can be prosecuted if you do. If you are convicted, you can be imprisoned for not more than five
years, fined not more than $50,000.00, or both.
 Voter registration is closed for 24 days before an election. If you apply when registration is closed, your
application will be processed when registration reopens after the election.
 If you mail this application, it must be postmarked no later than the 25
th
day before the election in which
you wish to vote.
 You cannot vote until your application is approved by the County Election Board. When it is approved,
you will receive a Voter Identification Card in the mail.
 If you do not receive a Voter Identification Card within 30 days, contact your local County Election Board
or check the State Election Board’s website at http://elections.ok.gov.
 If you have questions about registering to vote, call your local County Election Board or the State Election
Board at (405) 521-2391, or visit the State Election Board’s website at http://elections.ok.gov.
 Voter registration records are subject to public disclosure under the Oklahoma Open Records Act, Title 51
O. S. 2011, §§ 24A.1-29.
 If you received this application form in a public assistance office or a tag agency, it is your choice to use
the form. If you want to use this form to register to vote, you can fill it out and leave it with the public
assistance office or tag agency. The application form will be submitted to election officials for you. Or,
you can take it with you and put a stamp on it to mail to the State Election Board. You also may take it
with you and deliver it in person to your local County Election Board office.
 The name and location of the public assistance office or tag agency where you got the application form
will remain confidential. It will not appear in your voter registration information. Also, if you decide not to
use this form to register to vote, your decision not to register will remain confidential. It will not affect the
service you receive from the public assistance office or tag agency where you got the form.
OKLAHOMA VOTER REGISTRATION APPLICATION
USE BLUE OR BLACK INK. After you complete this
application, tear off the instructions page and mail the
application to Oklahoma State Election Board, PO Box
528800, Oklahoma City, OK 73152-8800.
You may also drop off the form at your county election
board or at the State Election Board.
SECTION 1 — NAME
Provide your full legal name on your voter registration
application.
SECTION 3 — IDENTIFICATION NUMBER
Your registration cannot be completed without an
identification number. Your options include:
 Your Oklahoma driver license number
 The last four numbers of your Social Security Number,
if you do not have a driver license.
 A check mark in box C, only if you do not have an
Oklahoma driver license number and you have never
been issued a Social Security number.
SECTION 4 — POLITICAL PARTY
 If you register in a political party recognized in
Oklahoma, you may vote only in that party’s primary
elections.
 All registered voters may vote in general elections,
regardless of their party affiliation.
 No Party (Independent) voters generally may not vote
in party primaries. However, every two years, political
parties may opt to allow No Party voters to vote in
primary elections during the following two years. Visit
the State Election Board’s website – https://
www.ok.gov/elections/faqs.html#c98 – to find out if any
parties allow No Party voters in their primaries at this
time.
 If you write in a political party not recognized in
Oklahoma, or if you leave your political affiliation blank,
you will be registered as a No Party (Independent)
voter.
 You may be unable to change your political party at
certain times in even-numbered years.
SECTION 5 — STREET ADDRESS OR DIRECTIONS TO
YOUR HOME
 You must register to vote at your address of residence.
If you have a street address or 911 address, this is
your address of residence.
 A rural route or a post office box is NOT an address of
residence.
 If you do not have a street address or 911 address,
you may write directions to your home or provide the
legal description (section, township, range) of your
home.
SECTION 8 — HAVE YOU BEEN REGISTERED
BEFORE?
 If you have been registered before, enter information
about the place you were last registered. If you have
never been registered before, leave this space blank.
 Enter your former name if it has changed since you
last registered.
 Enter your former political party if you are changing
your political party.
SECTION 9 — OATH
 Read the oath carefully. Si gn and date it in ink. If
you cannot sign your name, make your mark and give
the name of the person who helped you.
 Who can register — You can register to vote if you
are both a citizen of the United States and a resident of
the State of Oklahoma, and 18 years old or older.
 Felons — A convicted felon may not register for a
period of time equal to the time of the original
sentence. A convicted felon who has been pardoned
may register.
 Persons Judged Incapacitated — Persons judged
incapacitated by a court may not register to vote.
OKLAHOMA VOTER REGISTRATION APPLICATION
USE BLUE OR BLACK INK
Fold the application and place it in an envelope.
Mail it to:
OKLAHOMA STATE ELECTION BOARD
P.O. BOX 528800
Oklahoma City, OK 73152-8800
CEB Use Only
Voter ID
Precinct Activation Date
1. Last Name (Print) First Name (Print) Middle Name (Print)
Suffix (Print)
Jr., Sr., II, etc.
2. Birth Date
Month Day Year
3. Identification Number (See In structions.)
a. Oklahoma Driver License Number b. Last Four Numbers of Social Security Number c. I do not have a driver license
(Required) (Required if no driver license) or a Social Security Number.
4. Political Party Dem o c r at i c Part y Rep ublic an Part y L ib er t ar i an Par t y No Part y Ot h er
(See Instructions.)
5. Street or 911 Address or directions to your home Ci t y St at e ZIP c o d e
(Do not use a rural route or PO Box. See Instructions.)
6. Mailing Address Ci t y St at e ZIP c o d e 7. County of Residence
8. Have you been registered before? (See
Instructions)
Yes No
If you marked YES above, please give the
following information.
9. Oath (See In s t r u c t i o n s .)
Are you a citizen of the United States of America?
Will you be 18 years of age on or before election day?
If you check NO in response to either of these questions,
DO NOT sign or submit this form.
I swear or affirm that:
 I am a citizen of the United States and I am a resident of the State of
Oklahoma.
 I am 18 years old or older, or I will be 18 on or before the date of the
next election.
 I have not been convicted of a felony, or if I have been convicted of a
felony, a period of time equal to the original sentence has expired, or I
have been pardoned.
 I am not now under judgment as an incapacitated person. I am not
under judgment as a partially incapacitated person prohibited from
voting.
 The information I have given is true. I reside at the address given. I
understand that submitting false information on this form is a felony
punishable by not more than 5 years in prison, by a fine of not more than
$50,000.00, or both.
X
Signature or Mark of Applicant Date
YES NO
YES NO
Former Name Former Party
Former Residence Address
City County State
Voter ID Number
If someone helped you fill out this application, the
helper should write his/her name and address here
.
*OK93140270W*
OK93140-270-W
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OKLAHOMA VOTER REGISTRATION APPLICATION (Oklahoma)

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Completed 17 September 2020

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