If you are not registered to vote where you live now, would you like to apply to register to vote here today?
IF YOU DO NOT CHECK A BOX, YOU WILL BE CONSIDERED TO HAVE DECIDED NOT TO REGISTER TO
VOTE AT THIS TIME. YOU MAY REGISTER AT A FUTURE DATE AT YOUR CONVENIENCE.
- Applying to register or declining to register to vote will not affect the amount of assistance that you will be provided by this agency.
- If you would like help in filling out the voter registration form, we will help you. The decision whether to seek or accept helpis yours. You may fill out the voter registration form in private.
- If you believe that someone has interfered with your right to register or to decline to register to vote, your right to privacy in deciding whether to register or in applying to register to vote, or your right to choose your own political party preference or other political preference, you may file a complaint with the Secretary of State by calling toll-free (800) 345-VOTE (8683) or you may write to: Secretary of State, 1500 - 11th Street, Sacramento, CA, 95814. For more information on elections and voting, please visit the Secretary of State’s website at www.sos.ca.gov.
