Wyoming Secretary of State’s Office Wyoming Herschler ...
Wyoming Voter Registration Application
Form Instructions
Where can I register to vote?
What do I need if I decide to mail in the application?
At your local County Clerk¡¯s Office, by mail, or at the polls on
Election Day.
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 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.
Provide any one of the following:
?
?
?
?
U.S. Passport
Out-of-State DL
Military ID
Tribal ID
?
?
What if I have committed a felony?
In accordance with 7-13-105, persons who are first time,
nonviolent felons may be issued a restoration of voting rights
certificate after completion of sentence or probation. Contact
the Wyoming Department of Corrections for further details.
It is advised to bring your restoration of rights certificate
issued by the State of Wyoming when registering to vote.
What are the deadlines to register?
Voter registration closes two weeks prior to an election. You
may, however, still register and vote absentee simultaneously
within that two week period or at the polls on Election Day.
Acceptable Identification**
OR Provide any two or more of the following:
ID Card issued by local, state, or
federal agency
WY Student 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
Still have questions? Please contact your local County Clerk¡¯s Office at the phone number listed below.
Albany County Clerk
525 Grand Ave, Ste. 202
Laramie, WY 82070
(307) 721-2541
Converse County Clerk
107 N 5th St, Ste. 114
Douglas, WY 82633
(307) 358-2244
Johnson County Clerk
76 N Main St
Buffalo, WY 82834
(307) 684-7272
Park County Clerk
1002 Sheridan Ave
Cody, WY 82414-3589
(307) 527-8600
Teton County Clerk
P.O. Box 1727
Jackson, WY 83001-1727
(307) 733-4430
Big Horn County Clerk
County Courthouse
P.O. Box 31
Basin, WY 82410-0031
(307) 568-2357
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. Box 728
Wheatland, WY 82201
(307) 322-2315
Uinta County Clerk
P.O. Box 810
Evanston, WY 82930
(307) 783-0306
Campbell County Clerk
500 S. Gillette Ave, Ste. 1602
Gillette, WY 82716
(307) 682-7285
Fremont County Clerk
450 N 2nd St, Rm 220
Lander, WY 82520
(307) 332-2405
Lincoln County Clerk
925 Sage Ave, Ste. 101
Kemmerer, WY 83101
(307) 877-9056, ext. 303
Sheridan County Clerk
224 S Main St, Ste. B-17
Sheridan, WY 82801
(307) 674-2515
Carbon County Clerk
P.O. Box 6
Rawlins, WY 82301
(307) 328-2668
Goshen County Clerk
P.O. Box 160
Torrington, WY 82240
(307) 532-4051
Natrona County Clerk
200 North Center St
P.O. Box 863
Casper, WY 82601-0863
(307) 235-9217
Washakie County Clerk
1001 Big Horn Ave
P.O. Box 260
Worland, WY 82401
(307) 347-3131
Sublette County Clerk
P.O. Box 250
Pinedale, WY 82941-0250
(307) 367-4372
Weston County Clerk
1 W Main
Newcastle, WY 82701
(307) 746-4744
*UOCAVA voters are exempt
from this requirement.
W.S. 22-3-103(c)
Hot Springs County Clerk
415 Arapahoe St
Thermopolis, WY 82443
(307) 864-3515
Niobrara County Clerk
P.O. Box 420
Lusk, WY 82225-0420
(307) 334-2211
Sweetwater County Clerk
80 W Flaming Gorge Way,
Ste. 150
Green River, WY 82935
(307) 872-3732
**Rules Chapter 2:
Identification for
Election Purposes
Mail or hand-deliver 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______________________________
Ward______________________________
#1 ? True ? False - I am a citizen of the United States.
Eligibility
Check the box that
indicates your status
for each of the three
listed eligibility
components.
Municipality______________________________
#2 ? True ? False - I will be at least eighteen (18) years of age on or before the next general election.
1 #3 ? I am not a convicted felon.
? I am a convicted felon and my Wyoming voting rights have not been restored.
? I am a convicted felon and my Wyoming 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 WY voting rights restored, do not complete this form.
Name
2
__________________________________________________________________________________________
Legal Last Name
Legal First Name
Legal Middle Name
Suffix (Jr./Sr./II/III)
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
3
Previous State
Withdrawal
Registration Oath
(Required on all
applications)
Sign your full
legal name
______
DD
______
YYYY
Date of Birth
? Male
4
5
? Female
? I would like to be an election judge.
(_________) _________ ©\ ____________
Phone Number
_____________________________________________________
Email Address
__________________________________________________ _________________________ __________
Residential Address (no P.O. Boxes)
Unit/Apt #
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.
6
7
8
9
__________________________________________
Mailing Address
_________________________
City/Town
______
State
__________
Zip Code
? Constitution
? Unaffiliated
Choose one of the following:
? Republican
? Democratic
? Libertarian
? No Labels
_________________________________________________________
Previous Residential Address
City/Town/County
_____________________________
Previous Legal Name
_________________________________________________________
City/Town State/Zip Code
Previous Mailing Address
_____________________________
Previous Political Affiliation
______________________________
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
registration be withdrawn; that I will be at least eighteen (18) years of age on or before the next election; that
10
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.
11
For County Clerk or Notary Public use only
Proof of
identification shown 12
___________________________________________________________
Type(s) of identification provided
Registry Agent or
person authorized
to administer oaths
? I need assistance to vote.
? Same as above
Updating a current
Wyoming record?
If so, you must provide
your previous
information here.
______
MM
? 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)
? 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.
Subscribed and affirmed or sworn to before me by _______________________________________________
13 on ________________________, 20 ________.
(Voter Name)
___________________________________________________________, Title _________________________
Revised 3/2024
................
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