New York State Voter Registration Form

Register to vote

With this form, you register to vote in elections in New York State. You can also use this form to:

To register you must:

Verifying your identity

We’ll try to check your identity before Election Day, through the DMV number (driver’s license number or non-driver ID number), or the last four digits of your social security number, which you’ll fill in below.

If you do not have a DMV or social security number, you may use a valid photo ID, a current utility bill, bank statement, paycheck, government check or some other government document that shows your name and address. You may include a copy of one of those types of ID when you mail this form.

If we are unable to verify your identity before Election Day, you will be asked for ID when you vote for the first time.

Send or deliver this form

Fill out the form below. Your information will be checked for any errors upon submission of this form, and you will be given an opportunity to correct any issues. Once complete, a PDF version of your voter registration form will be generated for display or download (depending on your system). Please note that you will need to sign and date your form before submitting it to your local board of elections by mail or in person.

By signing the voter registration portion of the form, you will be attesting to the following information:

If you also choose to complete and sign the organ donation portion of this form, you will be certifying that you are:

Once you have printed and signed your form, it must be submitted to your local board of elections. Address information for all county boards is contained within the PDF version of your completed voter registration form.

Mail or deliver this form at least 25 days before the election you want to vote in. Your county will notify you that you are registered to vote.

Questions?

Call your County Board of Elections listed below or 1-800-FOR-VOTE(TDD/TTY Dial 711)

Find answers or tools on our website www.elections.ny.gov

It is a crime to procure a false registration or to furnish false information to the Board of Elections.

Qualifications

Are you a citizen of the U.S.? * If you answer No, you cannot register to vote.




Will you be 18 years of age or older on or before election day? * If you answer No, you cannot register to vote unless you will be 18 by the end of the year.




Your name *








Date of Birth
Two digit number representing the month you were born.

Two digit number representing the day you were born.

Four digit number representing the year you were born.


Sex (optional)




Telephone (optional)
Three digits only.

Three digits only.

Four digits only.


Email (optional)


The address where you live * Cannot be a PO Box.





Five digits only.




The address where you receive mail
Skip if same as the address where you live as stated above.







Five digits only.


Voting history
Have you voted before?





Please provide the year in which you last voted.


Voting information that has changed
Skip if this has not changed or you have not voted before.







Identification *
Please see the "Verifying your identity" section in the instructions at the beginning of this form for more information.

You must make 1 selection







The nine digit ID number at the top of your license, permit or non-driver ID.

Four digits only.


Political party enrollment *
To vote in a primary election, you must be enrolled in one of these listed parties — except the Independence Party, which permits non-enrolled voters to participate in certain primary elections.

You must make 1 selection





















If you selected "Other" above, please specify the other party name below.



Optional questions





(Optional) Register to donate your organs and tissues

If you would like to be an organ and tissue donor, you may enroll in the NYS Deparment of Health (DOH) Donate Life™ Registry online at www.nyhealth.gov or provide your name and address below. You will receive a confirmation letter from DOH, which will also provide you an opportunity to limit your donation.

Your name








Your address






Five digits only.


Date of Birth
Two digit number representing the month you were born.

Two digit number representing the day you were born.

Four digit number representing the year you were born.


Sex




Eye color


Height information
Please specify your height in feet and inches below.