New Jersey
Political Party Afliation Declaration Form
NJ Division of Elections - 02/27/16
Elections.NJ.Gov
*If you are a registered member of the Green Party, Libertarian Party, Natural
Law Party, Reform Party, U.S. Constitution Party, Conservative Party or the
Socialist Party of New Jersey you can participate in the convention of that
party, according to its bylaws, but you cannot vote in either the Democratic or
Republican Primary.
**If you are a previously afliated voter who is changing to an unafliated
voter, you must le a declaration form no later than 55 days before the primary
election in order to be registered as unafliated for the primary election.
Declaration must be led no later than 55 days preceding the primary in which
the voter wishes to vote. An unafliated voter can afliate with the Democratic
or Republican Party on the day of the primary.
I, being a registered voter at the address listed below, do hereby declare
that I wish to afliate with the following political party or political group:
OR
I, being a registered voter at the address listed below, do hereby declare
that I do not want to be afliated with any political party or group.
Democratic Republican Conservative*
Green* Libertarian* Natural Law Party*
Reform Party*
U.S. Constitution Party* Socialist Party of New Jersey*
Unafliated**
Last Name
First Name Middle Initial
Date of Birth (month) (day) (year)
New Jersey Residence:
Street Apt. No.
Municipality
County Zip Code
Signature or mark of registered voter Date
Please print clearly in ink. All information is required unless marked optional.
