Wyoming Secretary of State’s Office Wyoming Herschler ...

Wyoming Voter Registration Application Form Instructions

Where can I register to vote?

At your local County Clerk's Office, by mail, or at the polls on Election Day.

What documents do I need to bring with me to the Clerk's office?

Present a valid Wyoming driver's license. (If you do not have your current valid driver's license with you, you must provide the number along with additional acceptable identification as noted in the table below.)

If you have not been issued a Wyoming driver's license or yours is expired, you must provide:

A statement to that effect; The last four digits of your social security number; and Acceptable identification as noted in the table below.

If you have neither a valid Wyoming driver's license nor a social security number, please indicate this by checking the appropriate box on the Voter Registration Application form and contact your County Clerk.

What do I need if I decide to mail in the application?

If you are mailing the voter registration application in, you will need:

To complete the form and sign the oath before an oath-taking officer*;

To include a (scanned) paper copy of the identification shown to the oath-taking officer; and

Mail the form and printed copy of your identification directly to your local County Clerk's office.

What are the deadlines to register?

Voter registration closes two weeks prior to an election. However, you may still register and vote absentee at the same time within that two week period or at the polls on Election Day.

Still have questions? Please contact your local County Clerk's Office at the phone number listed below.

Acceptable Identification**

Provide any one of the following:

OR Provide any two or more of the following:

U.S. Passport Out-of-State DL Military ID

ID Card issued by local, state, or federal agency

WY Student ID Tribal ID

Certificate of US citizenship

or naturalization; Draft record VR Card from out-of-state

Original or certified copy of birth certificate

Any other form of ID issued by official agency

Albany County Clerk 525 Grand Ave Ste. 202

Laramie, WY 82070 (307) 721-2541

Big Horn County Clerk County Courthouse P.O. Box 31

Basin, WY 82410-0031 (307) 568-2357

Campbell County Clerk P.O. Box 3010

Gillette, WY 82717 (307) 682-7285

Carbon County Clerk P.O. Box 6

Rawlins, WY 82301 (307) 328-2668

* UOCAVA voters are exempt from this requirement. W.S. 22-3-103(c)

Converse County Clerk 107 N 5th St Ste. 114 Douglas, WY 82633 (307) 358-2244

Wyoming County Clerks

Johnson County Clerk 76 N Main St

Buffalo, WY 82834 (307) 684-7272

Park County Clerk 1002 Sheridan

Cody, WY 82414-3589 (307) 527-8600

Crook County Clerk P.O. Box 37

Sundance, WY 82729 (307) 283-1323

Laramie County Clerk P.O. Box 608

Cheyenne, WY 82003 (307) 633-4242

Platte County Clerk P.O. Drawer 728

Wheatland, WY 82201 (307) 322-2315

Fremont County Clerk 450 N 2nd St Rm 220 Lander, WY 82520

(307) 332-2405

Goshen County Clerk P.O. Box 160

Torrington, WY 82240 (307) 532-4051

Hot Springs County Clerk 415 Arapahoe

Thermopolis, WY 82443 (307) 864-3515

Lincoln County Clerk 925 Sage Avenue Suite 101

Kemmerer, WY 83101 (307) 877-9056 ext. 303 Natrona County Clerk

200 North Center St P.O. Box 863

Casper, WY 82601-0863 (307) 235-9217

Niobrara County Clerk P.O. Box 420

Lusk, WY 82225-0420 (307) 334-2211

Sheridan County Clerk 224 S Main St., Ste. B-17

Sheridan, WY 82801 (307) 674-2515

Sublette County Clerk P.O. Box 250

Pinedale, WY 82941-0250 (307) 367-4372

Sweetwater County Clerk 80 W. Flaming Gorge Way

Suite 150 Green River, WY 82935

(307) 872-3732

Teton County Clerk P.O. Box 1727

Jackson, WY 83001-1727 (307) 733-4430

Uinta County Clerk P.O. Box 810

Evanston, WY 82931 (307) 783-0306

Washakie County Clerk 1001 Big Horn Avenue

P.O. Box 260 Worland, WY 82401

(307) 347-3131

Weston County Clerk 1 West Main

Newcastle, WY 82701 (307) 746-4744

**Rules Chapter 2: Identification for Election

Purposes

Mail the application to your local County Clerk's office.

Wyoming Voter Registration Application and Change Form New Voter Application Name Change Change to Current Registration

VR#_________________ District____________ Precinct____________ Split ____________ House ____________ Senate____________ School _________________________ Municipality _________________________ Ward_________________________

Eligibility

Name

Identification

Provide your birth date and your identification information. (Additional identification documents may be required.)

Additional information

Providing this information is optional.

Wyoming address where you live

Address where you receive mail

Political Affiliation

I am a citizen of the United States. True False

1

I will be at least eighteen (18) years of age on or before the next general election. True False Felony status (please check one): I am not a convicted felon.

I am a convicted felon and my voting rights have not been restored.

I am a convicted felon and my voting rights have been restored.

If you answered "False" to any of the above questions, or are a convicted felon and have not had your voting rights restored, do not complete this form.

2 __________________________________________________________________________________________

Legal Last Name

Legal First Name

Legal Middle Name

Suffix (Jr./Sr./II/III)

______ _____ ______

3

MM

DD

YYYY

Date of Birth

I have a valid Wyoming Driver's License. Write that number here: _________________ - _________________

I do not have a Wyoming Driver's License. Write the last four digits of your SSN here: XXX-XX- ______________

I do not have a Wyoming Driver's License or a Social Security Number. (Other approved ID will be required)

Male Female

I would like to be an election judge. I need assistance to vote.

4 (_______) _______ - __________ Phone Number

________________________________________________________ Email Address

________________________________________________________________ Residential Address (no P.O. Boxes)

5 ________________________________________________________________

_____________________ Unit/Apt Number

______________________

City/Town

Zip Code

I have no fixed residence. This is a location I regularly return to. I have also provided a mailing address in Section 6, if I have one.

Same as above

_________________________________________________________ 6 Mailing Address

_________________________________________________________ City/Town

_____ State

_____________________ Zip Code

7

Choose one of the following: Republican Democratic

Libertarian

Constitution

Unaffiliated

Updating a current Wyoming record?

If so, you must provide your

8

_________________________________________________________

Previous Residential Address

City/Town/County

previous information here.

_________________________________________________________

Previous Mailing Address

City/Town State/Zip Code

_____________________________ Previous Legal Name

_____________________________ Previous Political Affiliation

Previous State Withdrawal

Registration Oath

(Required on all applications)

9 ______________________________ ____________________

___________ _____ _______

Previous State's Residential Address City/Town

County

State Zip Code

I do solemnly swear (or affirm) that I am a citizen of the United States; that I am a bona fide resident of the

state of Wyoming and this county; that if registered in another county or state, I hereby request that my

10

registration be withdrawn; that I will be at least eighteen (18) years of age on or before the next election; that I am not currently adjudicated a mentally incompetent person; that I have not been convicted of a felony, or if I

have been convicted of a felony, I have had my civil or voting rights restored by a competent authority; and that

the voter registration information contained herein is true and accurate to my best knowledge and belief.

Sign your full

legal name

11

Proof of identification shown

For County Clerk or Notary Public use only

12 ____________________________________________________________ Type of identification

I qualify under the Uniformed and Overseas Citizens Absentee Voting Act (UOCAVA). Therefore, the oath is self- administered under penalty of perjury and does not require the signature of an oath-taking official within section 13 below.

Registry Agent or

Subscribed and affirmed or sworn to before me by _______________________________________________on

person authorized to administer oaths

13

________________________, 20 ________.

(Voter Name)

___________________________________________________________, Title _________________________

3/2020

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