Fillable Voter Registration English

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Voter Registration English

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Country of origin: US
File type: PDF

U.S.A. forms for City of Evans Colorado

BROWSE CITY OF EVANS COLORADO (CO) FORMS

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Colorado Voter Registration Form
Fill out all fields marked with an asterisk (*). Follow the instructions for other fields. If you do not provide all of the required information, you will not be registered to vote.
For office use only
Voter ID Number: ________________________
Your eligibility to vote
Are you a citizen of the United States?*
Yes No
If you answered "No", do not complete this form.
Helping with elections
I would like to be an election judge.
Yes No
Your name
Last name* First name* Middle name Suffix
Previous name if you are currently registered to vote with a different name*
Your identifying information
Your birthdate* (MM/DD/YYYY)
Your gender
Female Male
You must select one of the following and provide the requested information*
I have a valid Colorado Driver's License or Colorado ID card (issued by the Dept. of Revenue) and that number is
-
-
I have not been issued a Colorado Driver's License or ID card, but I have a Social Security Number and the last 4 digits are
-
-
I do not have a Colorado Driver's License, ID card, or a Social Security Number.
Your contact information
Your home address
Street address (No P.O. Boxes)* Apt. or Unit City or Town* ZIP Code* Colorado County
When did you move to this address?* (MM/DD/YYYY)
Address where you receive your mail (required if different from your home address)
Mailing address Apt. or Unit City or Town State
ZIP Code
Address where you would like your ballot mailed (if different from your home or mailing address)
Address Apt. or Unit City or Town State
ZIP Code
Your former home address
If you are changing your registration to a new address, you must provide the address where you were formerly registered to vote.*
Street Address (No P.O. Boxes) Apt. or Unit City or Town State ZIP Code
Your phone number
Area code Phone number
Election information by email
(You will not receive a ballot by email).
Would you like to receive election information by email?
Yes No
Email address
Select or change your political party affiliation
Circle only one. (Required if you want to vote in a party's Primary Election or participate in a party caucus).
American Constitution Democratic Green Libertarian Republican Unity Unaffiliated
Warning: A violation of the self-affirmation you are about to make is a criminal act under the laws of this state and will subject you to the penalties provided by law. It is a Class
1 misdemeanor to swear or affirm falsely as to your qualifications to vote.
I am aware that if I register to vote in Colorado I am also considered a resident of Colorado for motor vehicle registration and operation purposes and for income tax purposes.
Self-Affirmation: I affirm that I am a citizen of the United States; I have been a resident of the state of Colorado for at least twenty-two days immediately prior to an election in
which I intend to vote; and I am at least sixteen years old and understand that I must be eighteen years old to be eligible to vote. I further affirm that my present address as stated
herein is my sole legal place of residence, that I claim no other place as my legal residence, and that I understand that I am committing a felony if I knowingly give false information
regarding my place of present residence. I certify under penalty of perjury that I meet the registration qualifications; that the information I have provided on this application is true to
the best of my knowledge and
belief; and that I have not, nor will I, cast more than one ballot in any election.
Signature or Mark*
Date*
Sign or mark below
(If you are unable to sign, you must make a mark and a witness to the mark must sign here).
Witness Signature
Date
Secretary of State Approved 08-21-14
Form 100
[Article 2, Title 1, C.R.S.]
Print Form
Will I need identification to vote?
If you vote in person, yes. If you are voting by mail for the first
time, you may need to provide a photocopy of your ID.
A complete list of acceptable forms of identification is at the
bottom of this page.
How do I get a mail ballot?
If you register to vote at least eight days before an election
conducted by your county clerk and recorder, the clerk will
automatically mail you a ballot. If you register after the eighth day
before an election conducted by your county clerk and recorder,
you must visit one of the Voter Service and Polling Centers in your
county to get a ballot.
May I register to vote if I was arrested for or convicted
of a crime?
Yes, if you
• Are on probation for either a misdemeanor or felony
• Are a pretrial detainee awaiting trial
• Are currently in jail serving a misdemeanor sentence only
• Have served your sentence for a felony conviction,
including any period of parole
Once you have served your complete sentence, you are
automatically eligible to register to vote. If you were previously
registered, that registration will have been canceled and you must
re-register if you wish to vote.
What information will I receive by email?
By choosing to receive election information by email, you will
receive information about upcoming election activities by email.
But ballots and some mailings will be sent by mail. Under
Colorado law, your email address is protected. It will not be shared
with anyone.
Who should I contact if I have more questions?
Contact your county clerk and recorder. You can find a list with
contact information at www.govotecolorado.com.
You may also contact the Secretary of State's office
Phone: 303-894-2200
Fax: 303-869-4861
Email: State.ElectionDivision@sos.state.co.us
How do I turn in this form?
Sign the form. Then mail, deliver, or scan the signed form and
email it to your county clerk and recorder. You may find a list with
contact information at www.govotecolorado.com.
You may also mail it to:
Colorado Department of State
Elections Division
1700 Broadway, Suite 200
Denver, CO 80290
Am I eligible to register to vote?
You are eligible to register to vote if you:
• Are a United States citizen
• Are 16 years of age, but you must be 18 years of age or
older on the date of the election at which you intend to
vote.
• Are a Colorado resident for at least 22 days immediately
before the election at which you intend to vote
• Are not serving a sentence (including parole) for a felony
conviction
If I don't know my Colorado driver's license or Colorado
ID card number may I provide my Social Security
Number instead?
No. If you have a Colorado Driver's License or ID card issued by
the Colorado Department of Revenue, you must provide that
number for your application to be complete.
If I don't have a Colorado driver's license or Colorado
ID card may I still register to vote?
Yes. An applicant who is qualified to vote in this state but does not
have a driver's license, state-issued identification card, or social
security number may still register to vote. In such cases, the
person may be required to provide an acceptable form of
identification from the list below.
How will I know if my registration was processed?
If you are registering to vote for the first time in the state of
Colorado, your application will be processed within 2 weeks.
Approximately 20 days after your county clerk and recorder
receives your registration form, you will receive an official
information card by mail or email based upon your request.
If you are using this form to update an existing Colorado voter
registration, you can check your status by visiting www.
govotecolorado.com and clicking on the “Verify/Update My Voter
Registration” link.
Other frequently asked questions
about registering and voting
Information about this
registration
Acceptable forms of identification when voting
If your form of identification shows your address, that address must be in the state of Colorado.
• A valid Colorado driver's license
•
A valid identification card issued by the Department of Revenue
•
A valid U.S. passport
•
A valid employee identification card with a photograph of the eligible elector issued by any branch, department, agency, or entity of the United States government or of this
state, or by any county, municipality, board, authority, or other political subdivision of this state
•
A valid pilot's license issued by the Federal Aviation Administration or other authorized agency of the United States
•
A valid U.S. military identification card with a photograph of the eligible elector
•
A copy of a current utility bill, bank statement, government check, paycheck, or other government document that shows the name and address of the elector. For
examples, please visit: www.govotecolorado.com.
•
A valid Medicare or Medicaid card issued by the Centers for Medicare and Medicaid Services
•
A certified copy of a U.S. birth certificate for the elector issued in the United States
•
Certified documentation of naturalization
•
A valid student identification card with a photograph of the eligible elector issued by an institute of higher education in Colorado
•
A valid veteran identification card issued by the United States department of veterans affairs veterans health administration with a photograph of the eligible elector.
•
A valid identification card issued by a federally recognized tribal government certifying tribal membership.
•
Verification that a person is committed to the department of human services, but is eligible to register and vote
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Voter Registration English

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Completed 12 July 2020

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