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Free Colorado Voter Registration Form - PDF Form Download

Colorado Voter Registration Form
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Download the form, print it, fill it and submit it to the state office to be apply for voting in the State of Colorado.


Colorado Voter Registration Form

Text Version of the Form

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Colorado Voter Registration Form For office use only
Voter ID Number: ________________________
Fill out all fields marked with an asterisk (*). Follow the instructions for other fields. If you do not Date Stamp:
provide all of the required information, your application to register to vote will not be complete.
Your eligibility to vote

Are you a citizen of the United States?* Yes No

Will you be at least 18 years of age on or before the next Election Day?* Yes No

If you answered “No” to either of the above questions, do not complete this form.

Your name
Last name* First name* Middle name

If you are currently registered to vote with a different name, what is that 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 & 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

Your former 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 and email
Area code Phone number Email address

Select or change your political party affiliation
Select only one. (Required if you want to vote in a party’s Primary Election or participate in a party caucus).
American Constitution Americans Elect Democratic Green Libertarian Republican Unaffiliated

Voting by mail – Do you wish to be designated as a permanent mail-in voter?

Yes, I want to be a permanent mail-in voter and automatically receive a mail-in ballot for all applicable elections.

No, I do not want to be a permanent mail-in voter and if my name is on the permanent mail-in list I want it removed.

No, but I would like a mail-in ballot for this year’s statewide elections.

If you want mail-in ballots only for certain elections or have different mailing addresses during certain times of the year, you will need to fill out a separate Mail-in Ballot Application.

Helping with elections
I would like to be an election judge or poll worker. Yes No

Sign or mark below

WARNING: It is a crime A violation of the self-affirmation, of which you are about to make, is a criminal act under Colorado law and you will be subj ect to the penalties provided by law.
to swear or affirm falsely Self-Affirmation: I do solemnly affirm that I am a citizen of the United States and that on the date of the next election I shall have attained the age of eighteen years and shall have resided in
the state of Colorado at least 30 days and in my present precinct at least 30 days before the election. I further affirm that the present address I listed herein is my sole legal place of residence
as to your qualifications
and that I claim no other place as my legal residence. I am aware that I can only legally vote in one place in any election and if I register to vote in Colorado I am also considered a resident of
to register to vote. Colorado for income tax and motor vehicle registration and operation.

Signature or Mark* Date* Witness Signature Date
(If you are registering for a Mail-in Ballot and are unable to sign, you must make
a mark and a witness to the mark must sign here).

SOS Approved 9/28/12 [Sections 1-2-204, 1-2-501, 1-8-104, C.R.S.]

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Information about this Other frequently asked questions
registration about registering and voting

How do I turn in this form? Will I need identification to vote?
Sign the form. Then mail, deliver, or scan the signed form and If you vote in person, yes. If you are voting by mail for the first
email it to your county clerk and recorder. You may find a list with time, you may need to provide a photocopy of your ID.
contact information at www.elections.colorado.gov.
A complete list of acceptable forms of identification is at the
You may also mail it to bottom of this page.
Colorado Department of State
Elections Division When is the last day to register to vote?
1700 Broadway, Suite 200 29 days before an election.
Denver, CO 80290
What is mail-in voting?
If I don’t know my Colorado driver’s license or Colorado If you choose not go to the polls on Election Day, you may apply to
ID card number may I provide my Social Security vote by mail-in ballot.
Number instead?
Under Colorado law, your Mail-in Ballot Application must contain
No. If you have a Colorado Driver’s License or ID card issued by your printed name, signature, residence address, mailing address
the Colorado Department of Revenue, you must provide that if you wish to receive the ballot by mail, and date of birth. If you do
number for your application to be complete. not provide all of this information, you may not receive a mail-in

ballot according to the rules established by the Secretary of State.
How will I know if my registration was processed? [Section 1-8-104(6), C.R.S.]
You will receive an official information card from your county clerk
and recorder’s office approximately 20 days after they receive your What is permanent mail-in voting?
registration form. If you choose to be placed on the list of permanent mail-in voters,
you will receive a mail-in ballot for every applicable election.
You may also check your status at the Colorado Secretary of State
Alternatively, you may ask for a mail-in ballot for a specific election
website by visiting www.sos.state.co.us, clicking on the “verify/
or the calendar year.
update my voter registration” link.

What is the deadline for requesting a mail-in ballot?
Am I eligible to register to vote?
If you want a mail-in ballot sent to you by mail, your county clerk
You are eligible to vote if you:
and recorder must receive your application no later than the close
• will be 18 years of age or older at the time of the next
of business on the 7th day before the election. If you want to pick
election
up your mail-in ballot, you must apply no later than the Friday
• are a United States citizen
preceding the election. If you mail your application, make sure to
• are a Colorado resident and have lived in your current
allow time for delivery.
precinct for at least 30 days before the election
• are not serving a sentence (including parole) for a felony May I register to vote if I was arrested for or convicted
conviction
of a crime?
Yes, if you
Who should I contact if I have more questions?
• are on probation for either a misdemeanor or felony
Contact your county clerk and recorder. You may find a list with • are a pretrial detainee awaiting trial
contact information at www.elections.colorado.gov. • are currently in jail serving a misdemeanor sentence only

You may also contact the Secretary of State’s office • have served your sentence for a felony conviction,
Phone: 303-894-2200 ext. 6307 including any period of parole

Fax: 303-869-4861 Once you have served your complete sentence, you are
Email: [email protected] 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.

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 in accordance with the requirements of Part 3 of Article 2 of Title 42, C.R.S.
• 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.elections.colorado.gov
• 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, as defined
in section 23-3.1-102(5), C.R.S.
• 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.

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