New Jersey Voter Registration

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Executive Summary

This document is a New Jersey Voter Registration Application, designed for individuals to register to vote, update their information (name, address, political party affiliation, signature), or request to vote by mail. Key instructions include providing identification information for first-time registrants, options for homeless individuals to provide a contact point, and guidelines for changing political party affiliation, which must be submitted no later than 55 days before a primary election to participate in that election. Applicants can also opt to receive mail-in ballots for all future elections. Eligibility requirements specify being a U.S. citizen, at least 17 years old (with voting age 18, or 17 for primary if 18 by general election), and a resident of the state and county for 30 days before an election. Individuals currently serving a sentence for an indictable offense are ineligible. The general registration deadline is 21 days before an election. The form also outlines penalties for false or fraudulent registration.

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Document Text

--- Document: New Jersey Voter Registration Document ---
1
Check all boxes that apply:  	o New Registration	
o Name Change
o Political Party Affiliation
o Address Change
o Signature Update
o Vote By Mail
NJ Division of Elections - 01/12/26
New Jersey 
Voter Registration Application
Important Instructions for sections 7, 8, 13 and 14
7) 	Registrants who are submitting this form by mail and are registering to vote for the first time: If you do not supply any of the information
	required by section 7, or the information you provide cannot be verified, you will be asked to provide a COPY of a current and valid
photo ID, or a document with your name and current address on it to avoid having to provide identification at the polling place.
		 Note: ID Numbers are Confidential and will not be released by any governmental agency. Any person who uses such numbers 
illegally shall be subject to criminal penalties. 
8) 	If you are homeless, you may complete section 8 by providing a contact point or the location where you spend most of your time.
13) 	You may declare a political party affiliation or you may declare to be unaffiliated, regardless of any prior party affiliation. If you are a
previously affiliated voter who wants to change political party affiliation or become unaffiliated, you must file this form no later than
55 days before the primary election in order to vote in the primary election. Completing section 13 is OPTIONAL and will not affect
the acceptance of your voter registration application.
14) 	If you wish to receive a Mail-In Ballot for all future elections, mark the appropriate box in section 14. You will continue to receive
Mail-In Ballots for all future elections until you request otherwise in writing to your County Clerk’s office.
Need More Information? Check boxes below if you would like to receive more information about:
o voting by mail
o polling place accessibility
o voting if you have a disability, including visual impairment
o becoming a poll worker 	 o available election materials in this alternative language:
Are you a U.S. Citizen?       o Yes  o No
(If No, DO NOT complete this form)	
Date of Birth (MM / DD / YYYY)
Last  Name
First  Name
Middle Name or Initial
Suffix (Jr., Sr., III)
Are you at least 17 years of age?       o Yes  o No
(If No, DO NOT complete this form)	
Gender  (Optional)    o Female     o Male 
Do you wish to declare a political party affiliation? 	 o Yes, the party name is 
 .                
(Optional)        	
o No, I do not wish to be affiliated with any political party.
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4
5
8
Clerk
Registration #
Office Time Stamp
o by mail
o in person
FOR  OFFICIAL 
 USE ONLY
Home Address (DO NOT use PO Box) 
Apt.  
Municipality (City/Town)  	County  
State  	Zip Code
9
10
Please print clearly in ink. All information is required unless marked optional.
Former Name if Making Name Change
11
Day Phone Number (Optional)
E-Mail Address (Optional)
6
Request for Mail-In Ballot for all future elections (Optional)
o I wish to receive a Mail-In Ballot for all future elections until I request otherwise in writing to the County Clerk’s office.
o Mail my ballot to the following address if different from Mailing Address above.
14
Mailing Address if different from above
Apt.
Municipality (City/Town)
Zip Code
State
Declaration - I swear or affirm that:
l I am at least 17 years old, and understand
that I may not vote until I am 18 years old,
except that I may vote in a primary election at
17 years old, if I will be 18 years old at the
following general election.
l I am a U.S. Citizen
l I live at the above home address
l I will have resided in the State and county
at least 30 days before the next election
l I am not serving a sentence of incarceration
as the result of a conviction of any indictable
offense under the laws of this or another 
state or of the United States.
l I understand that any false or fraudulent
registration may subject me to a fine of up
to $15,000, imprisonment up to 5 years, or
both pursuant to R.S. 19:34-1
Signature of Registrant: Sign or mark and date on lines below 
If applicant is unable to complete this form, print the  
name and address of individual who completed this form.
Name    
Date  (MM / DD / YYYY)
/        /
Address 
Date        /      /
               (MM / DD / YYYY)
X
If you DO NOT have a NJ Driver’s License or MVC Non-Driver 
ID, provide the last 4 digits of your Social Security Number.
NJ Driver’s License Number or MVC Non-driver ID Number	
7
o
“I swear or affirm that I DO NOT have a NJ Driver’s License, MVC Non-driver ID or a Social Security Number.”
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __
/       /
Mailing Address (If different from Home Address)
Apt.  
Municipality (City/Town)  	County  
State  	Zip Code
Last Address Registered to Vote (DO NOT use PO Box)	 Apt.  
Municipality (City/Town)  	County  
State  	Zip Code
Muni Code #
Party
Ward
District
3
12
68


New Jersey Voter Registration Information
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You can register to vote if:
n You are a United States citizen.
n You are at least 17 years of age.* 
n You will be a resident of the State and county 30 days before the election.
n I am not serving a sentence of incarceration as the result of a conviction of any indictable offense under the    
    laws of this or another state or of the United States.
  
*You may register to vote if you are at least 17 years old but cannot vote until reaching the age of 18, except that you may 
vote in a primary election if you are 17 and will be 18 at the time of the following general election.
Registration Deadline: 21 days before an election
Your County Commissioner of Registration will notify you if your application is accepted.  
If it is not accepted, you will be notified on how to complete and/or correct the application.
TAPE HERE
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Important: Print out at 100% - DO NOT REDUCE. Fold as illustrated to ensure proper mailing.
Put both pages
together as shown
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FOLD
New Jersey
Voter Registration 
1 fold top down
NJ DIVISION OF ELECTIONS
PO BOX 304
TRENTON NJ 08625-9983
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fold bottom up
2
Tape top shut
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You can register to vote if:
n You are a United States citizen
n You will be 18 years of age by the next election 
n You will be a resident of the county 30 days before the election
n You are NOT currently serving a sentence, probation or parole because of a felony conviction
Registration Deadline: 21 days before an election
Your County Commissioner of Registration will notify you if your application is accepted.
If it is not accepted, you will be notified on how to complete and/or correct the application.
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Questions? visit Elections.NJ.gov or call toll-free 1-877-NJVOTER (1-877-658-6837)