Fillable State of Michigan Voter Registration Application (Sterling Heights, MI)

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State of Michigan Voter Registration Application (Sterling Heights, MI)

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The State of Michigan Voter Registration Application (Sterling Heights, MI) form is 2 pages long and contains:

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  • 2 check-boxes
  • 27 other fields

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File type: PDF

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State of Michigan Voter Registration Application
and Michigan Driver’s License/State Identification Card Address Change Form Instructions
Track your registration status, find your city/township clerk, view your polling location, and more at Michigan.gov/Vote.
1
qualifications
To register to vote in Michigan you must be:
• A Michigan resident (at the time you
register) and a resident of your city or
township for at least 30 days (when you
vote).
• A United States citizen.
• At least 18 years of age (when you vote).
• Not currently serving a sentence in jail or
prison.
residential & mailing address
You may only register to vote in one place. If
you have more than one place of residence,
you may register to vote in the place where
you are currently located or the place you
intend to return. For example, students
attending college may register in their
hometown or at their campus address, and
temporary in-patient residents of nursing
homes may register at their home address or
at the medical facility.
If you would prefer to receive mail related to
your voter registration or driver’s
license/state identification card at an address
other than your residential address (ex. PO
Box), you may provide a mailing address
where indicated on the form. If you provide a
mailing address, it won’t appear on your voter
information card or driver’s license/state
identification card.
criminal convictions and registering to vote
If you have a past criminal conviction and are
no longer in jail or prison, you can register
and vote. You also can register and vote if you
are in jail and awaiting trial or sentencing. If
you are currently serving a sentence in jail or
prison you can’t register or vote.
deliver to your city or township clerk
Mail or deliver this completed application
directly to your city or township clerk. Find
your city or township clerk’s address at
Michigan.gov/Vote.
registering by mail – special requirements for first-time voters
Are you registering to vote in Michigan for the first time?
If you have never voted in Michigan and choose to submit this form
by mail or through a voter registration drive, you must meet the
federal identification requirement as explained below.
federal requirement – provide identification
To comply with the identification requirement, you must:
(1) Enter your Michigan-issued driver’s license number
or Michigan-issued state ID card number where requested on
this form.
or
(2) If you do not have a Michigan-issued driver’s license or
Michigan-issued state ID card, provide the last four digits of
your Social Security number.
or
(3) Send one of the following forms of identification when mailing
this form to your county, city or township clerk: a COPY of a
current and valid photo identification (such as a driver’s license
or state ID card from any state) or a COPY of a paycheck stub,
utility bill, bank statement or a government document that lists
your name and address.
***DO NOT SEND ORIGINAL ID DOCUMENTS BY MAIL***
If this requirement applies to you and you don’t provide the
information identified above, you must provide an acceptable form
of identification before you vote in the first election in which you
wish to participate.
Note: The identification requirement doesn’t apply if you: (1)
personally hand-deliver this form to your county, city or township
clerk’s office instead of mailing this form or submitting it through a
voter registration drive, (2) are disabled or (3) are eligible to vote
under the federal Uniformed and Overseas Citizens Absentee Voting
Act.
questions?
Contact your city or township clerk if you have any questions.
Your application isn’t valid until accepted by your city or township
clerk. If your application is accepted, your clerk will mail you a voter
information card within 3 weeks. You can verify your voter
registration status by going to Michigan.gov/Vote.
ED-121 (1-2020)
instructions
If you have a Michigan driver’s license
or state ID card, you can register to
vote online. Start the process at
Michigan.gov/Vote.
Complete this form to register to vote
or update your registration
information
1
.
Please print all information
clearly using black or blue pen.
Sign the form.
Mail or drop off the form to
your city/township clerk.
Find your city/township clerk and more
information at Michigan.gov/Vote.
Phone number/email provided will be
used for official election purposes only.
1
Name changes must be completed at an
SOS branch office.
The voter registration
deadline is 15 days before
election day, IF you submit
this form through a voter
registration drive or deliver it
to a county clerk or secretary
of state office. If you mail the
form, it must be postmarked
at least 15 days before the
election.
You can register any time up
through Election Day by
going to your city or
township clerk office with
residency verification.
If you have a Michigan driver’s license
(DL) or state identification card (SID),
you must use the same address for
voter registration and DL/SID.
This form will also change your DL/SID
address. You’ll be mailed a sticker
with your new address to put on your
DL/SID.
If you have never voted in person in
Michigan and choose to submit this
form by mail or through a voter
registration drive, review the
instructions on page 1. You might
need to provide additional ID.
More instructions can be found on
page 1.
State of Michigan Voter Registration Application
and Michigan Driver’s License/State Identification Card Address Change Form
qualifications
yes
no
I am a United States citizen.
yes
no
I am at least 17.5 years old and will vote only after I turn 18.
If you are not a US citizen, DON’T complete this form
Michigan-issued driver’s license/Michigan-issued state ID card #
- -- -
If you don’t have a Michigan-issued driver’s license or Michigan-issued state ID
card, provide the last four digits of your Social Security number:
x x x – x x –
I don’t have a valid Michigan-issued driver’s license, a Michigan-issued state ID card, or
a Social Security number.
personal information *required information
first*
middle
suffix
_ _
male female
date of birth*
address where you live – house number & street name*
apt/lot #
MI
city*
zip
phone
email
mailing address (if different than where you live) city
state
zip
Complete to join permanent
absent voter application list:
I want to vote absentee in all future elections.
Automatically send me an application for every election.
signature
I certify that:
• I am a United States citizen.
• I am a Michigan resident and will vote only
after I have lived in my city or township for
at least 30 days.
• I am at least 17.5 years old and will vote
only after I turn 18.
• I authorize the cancellation of any previous
registration.
The information I have provided is true to the best of my knowledge under penalty of perjury. If I
have provided false information, I may be subject to a fine or imprisonment or both under federal
or state laws.
X
signature date
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State of Michigan Voter Registration Application (Sterling Heights, MI)

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Completed 9 April 2021

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