Wyoming Secretary of State’s Office Wyoming Herschler Building …
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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