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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