The Missouri Voter Registration Application is a form used by residents to register to vote in elections across the state. It serves multiple purposes, including registering for the first time, updating an address, or changing a name on an existing registration. Completing this form accurately is essential to ensure your eligibility to vote.
To begin the process, fill out the form by clicking the button below.
The Missouri Voter Registration Application form serves as a vital tool for citizens looking to participate in the electoral process. Designed for various scenarios, it allows individuals to register to vote, update their address when moving between jurisdictions, or change their name on an existing registration. To ensure eligibility, applicants must be at least 18 years old by election day and must submit their forms by specific deadlines—either postmarked or delivered in person by the fourth Wednesday before an election. The form requires essential information, including the applicant's full name, home address, and either a driver’s license number or the last four digits of their Social Security number. Additionally, optional fields allow for further identification, such as a daytime phone number or place of birth. Once submitted, applicants can expect a confirmation from the election authority within seven business days. It is crucial to note that submitting the application to anyone other than the election authority does not guarantee timely registration. For those interested in civic engagement beyond voting, the form also provides an option to volunteer as an election judge. Understanding the requirements and processes outlined in this application can empower voters to take an active role in shaping their communities.
MISSOURI VOTER REGISTRATION APPLICATION
Use this application to:
1.Register to vote in any election in Missouri.
2.Register to vote when you move from one jurisdiction (St. Louis City, Kansas City, or any county) to another jurisdiction (St. Louis City, Kansas City, or any county) within Missouri.
3.Change the address on a current voter registration when you move within a jurisdiction.
4.Change the name on a current voter registration.
Other information:
1.You must be 18 years of age by the day of a particular election to be eligible to vote in that election.
2.If mailed, this form must be postmarked by the 4th Wednesday preceding an election to be eligible to vote in that election. If delivered in person, it must be received in the office of the election authority by the 4th Wednesday preceding an election. (See reverse for election calendar.)
3.Submitting this application to an individual other than the election authority does not insure timely voter registration.
4.After the election authority receives your voter registration application, you will be sent confirmation within 7 business days. If you do not receive confirmation, contact the election authority.
5.If you wish to serve as an election judge on election day please contact your local election authority and mark the box at the bottom of this form.
6.Optional—If registering by mail for the first time, please submit a copy of one of the following forms of identification: current or valid photo ID, current utility bill, bank statement, government check, paycheck or other government document that shows your name and address, birth certificate, Native American tribal document or other proof of United States citizenship. (You will be required to present identification when you vote.)
Completing this form (All information is required unless indicated as optional): Boxes 1 and 2 -- Citizen and Age Requirements
Federal Law requires voter registration applicants to answer these two questions.
Box 3 -- Type of Application
Check appropriate box if this is a new registration or if you are changing a name or address on your current voter registration.
Box 4 -- Name
Put in this box your full name (Last, First, Middle). DO NOT use nicknames or initials. For name changes, Box 12 should contain your old name.
Box 5 -- Home Address
List your home address. DO NOT put your mailing address if it differs from your home address.
Box 6 -- Mailing Address
If you get your mail at an address other than your home address in Box 5, put that address here in this box.
Box 7 -- Driver’s License Number
Required for registration unless you do not have a Driver’s License. (§115.158, RSMo.) If you do not have a Driver’s License, leave blank.
Box 8 -- Last Four Digits of Social Security Number
Required for registration unless you do not have a Social Security Number. (§115.155, RSMo, §115.158, RSMo.) If you do not have a Social Security Number, leave blank.
Box 9 -- Date of Birth
Place your date of birth in this box (Month, Day, Year). DO NOT USE TODAY’S DATE!
Box 10 -- Place of Birth (Optional)
List your place of birth (city/county/state).
Box 11 -- Daytime Phone Number (Optional)
Please list a number at which the election authority may contact you for clarification of information.
Box 12 -- Last Voter Registration Information
If you are currently registered, please list the name and address of your last regis- tration including county and state.
Box 13 -- Signature
Review the information. If you meet the requirements and all is correct, sign your full name or make your mark and print today’s date.
Box 14 -- Rural Voters
If you live in a rural area without a street address, please supply information which may help in placing you in the proper voting district.
YOUR APPLICATION WILL BE CONFIRMED BY MAIL WITHIN SEVEN (7) BUSINESS DAYS OF ITS RECEIPT BY THE ELECTION AUTHORITY. PLEASE CONTACT THE ELECTION AUTHORITY IF YOU DO NOT RECEIVE NOTIFICATION.
(DETACH HERE - KEEP TOP PORTION FOR YOUR RECORDS) This card is not proof of registration.
USE PEN - PLEASE PRINT CLEARLY
PC
1 ARE YOU A CITIZEN OF THE UNITED STATES OF AMERICA?
YES
NO
2
WILL YOU BE 18 YEARS OF AGE ON OR BEFORE ELECTION DAY?
If you checked no in response to either of the above questions, do not complete this form.
3
NEW REGISTRATION
ADDRESS CHANGE
NAME CHANGE
FOR OFFICE USE ONLY REGISTRATION NO.
4
LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
MALE
FEMALE
JR.
SR. II
III IV
5
ADDRESS WHERE YOU LIVE (HOUSE NO., STREET, APT. NO. OR RURAL ROUTE AND BOX - NO PO BOXES)
CITY
COUNTY
ZIP CODE
6
ADDRESS WHERE YOU GET YOUR MAIL (REQUIRED IF DIFFERENT FROM #5 ABOVE)
STATE
7
DRIVER’S LICENSE NUMBER
8
LAST 4 DIGITS OF SOCIAL SECURITY NUMBER*
IF YOU DO NOT HAVE A DRIVER’S LICENSE,
IF YOU DO NOT HAVE A SOCIAL SECURITY NUMBER, PLEASE LEAVE BLANK.
PLEASE LEAVE BLANK.
9
DATE OF BIRTH (MM/DD/YYYY)
10
PLACE OF BIRTH (OPTIONAL)
11
DAYTIME PHONE NO. (OPTIONAL)
12
NAME AND ADDRESS ON LAST VOTER REGISTRATION
13
I hereby certify that I am a citizen of the United States and a resident of the state of
NAME
Missouri. I am at least seventeen and one half years of age. I have not been adjudged
incapacitated by any court of law. If I have been convicted of a felony or a
ADDRESS
misdemeanor connected with the right of suffrage, I have had the voting disabilities
resulting from such conviction removed pursuant to law. I swear under penalty of
perjury that all statements made on this card are true to the best of my knowledge
and belief. I understand that if I register to vote knowing that I am not legally entitled
If currently registered in another state or county please complete this box.
to register, I am committing a class one election offense and may be punished by
imprisonment of not more than five years or by a fine of between two thousand five
14 RURAL VOTERS: COMPLETE THIS SECTION IF YOU LIVE OUTSIDE THE CITY LIMITS OF
hundred dollars and ten thousand dollars or by both such imprisonment and fine.
ANY CITY.
I live
miles N S
E W (circle one) of
(landmark or junction).
Section,Township and range
.
Date
Signature
My neighbors are
Check here if you are interested in working as an Election Judge
Warning: Conviction for making a false statement may result in imprisonment for up to five years and/or a fine up to $10,000.
MO 231-0169 (REVISED 04-07) *Required for registration pursuant to §115.155 RSMo and §115.158 RSMo.
How to Get a Dealers License Without a Lot in Sc - It offers a clear mechanism for dealers to fulfill their legal requirements, promoting transparency in the sale of vehicles and boats.
A Prenuptial Agreement is a legal document created by two individuals before they enter into marriage, outlining the division of assets and responsibilities should the marriage end. In Arizona, this agreement serves to protect the interests of both parties, providing clarity and peace of mind. Couples can obtain valuable resources, such as templates from Arizona PDFs, to help them understand the nuances of the Arizona Prenuptial Agreement form and navigate their financial futures together.
A Contingent Beneficiary Has the Right To: - Details about what actions beneficiaries need to take in the event of the employee's death are provided.