Wyoming Voter Registration Application Form Instructions

1 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 If you are mailing the Voter Registration Application in, you will Election Day. need: To complete the form and sign the oath before an What documents do I need to bring with me to the oath-taking officer*;. Clerk's office ? To include a (scanned) paper copy of the identification Present a valid Wyoming driver's license. (If you do not have shown to the oath-taking officer; and your current valid driver's license with you, you must provide Mail the form and printed copy of your identification the number along with additional acceptable identification as directly to your local County Clerk's office .)

2 Noted in the table below.). What are the deadlines to register? If you have not been issued a Wyoming driver's license or yours is expired, you must provide: Voter Registration closes two weeks prior to an election. A statement to that effect; However, you may still register and vote absentee at the same The last four digits of your social security number; and time within that two week period or at the polls on Election Acceptable identification as noted in the table below. Day. If you have neither a valid Wyoming driver's license nor a social security number, please indicate this by checking the Still have questions? Please contact your local appropriate box on the Voter Registration Application form County Clerk's office at the phone number listed below.

3 And contact your County Clerk. Acceptable Identification**. Provide any one of the following: OR Provide any two or more of the following: Passport ID Card issued by local, state, or Certificate of US citizenship Original or certified copy of Out-of-State DL federal agency or naturalization; birth certificate Military ID WY Student ID Draft record Any other form of ID. Tribal ID VR Card from out-of-state issued by official agency Wyoming County Clerks Albany County Clerk Converse County Clerk Johnson County Clerk Park County Clerk Teton County Clerk 525 Grand Ave Ste. 202 107 N 5th St Ste. 114 76 N Main St 1002 Sheridan Box 1727. Laramie, WY 82070 Douglas, WY 82633 Buffalo, WY 82834 Cody, WY 82414-3589 Jackson, WY 83001-1727. (307) 721-2541 (307) 358-2244 (307) 684-7272 (307) 527-8600 (307) 733-4430.

4 Big Horn County Clerk Crook County Clerk Laramie County Clerk Platte County Clerk Uinta County Clerk County Courthouse Box 37 Box 608 Drawer 728 Box 810. Box 31. Sundance, WY 82729 Cheyenne, WY 82003 Wheatland, WY 82201 Evanston, WY 82931. Basin, WY 82410-0031. (307) 283-1323 (307) 633-4242 (307) 322-2315 (307) 783-0306. (307) 568-2357. Lincoln County Clerk Washakie County Clerk Campbell County Clerk Fremont County Clerk Sheridan County Clerk 925 Sage Avenue 1001 Big Horn Avenue Box 3010 450 N 2nd St Rm 220 224 S Main St., Ste. B-17. Suite 101 Box 260. Gillette, WY 82717 Lander, WY 82520 Sheridan, WY 82801. Kemmerer, WY 83101 Worland, WY 82401. (307) 682-7285 (307) 332-2405 (307) 674-2515. (307) 877-9056 ext. 303 (307) 347-3131. Natrona County Clerk Sublette County Clerk Carbon County Clerk Goshen County Clerk Weston County Clerk 200 North Center St Box 250.

5 Box 6 Box 160 1 West Main Box 863 Pinedale, WY 82941-0250. Rawlins, WY 82301 Torrington, WY 82240 Newcastle, WY 82701. Casper, WY 82601-0863 (307) 367-4372. (307) 328-2668 (307) 532-4051 (307) 746-4744. (307) 235-9217. Sweetwater County Clerk Hot Springs County Clerk Niobrara County Clerk * UOCAVA voters are exempt 80 W. Flaming Gorge Way **Rules Chapter 2: 415 Arapahoe Box 420. Suite 150 Identification for Election from this requirement. Thermopolis, WY 82443 Lusk, WY 82225-0420. Green River, WY 82935 Purposes 22-3-103(c) (307) 864-3515 (307) 334-2211. (307) 872-3732. 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_____.

6 School _____ Municipality _____ Ward_____. Eligibility I am a citizen of the United States. True False I will be at least eighteen (18) years of age on or before the next general election. True False 1 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. Name 2 _____. Legal Last Name Legal First Name Legal Middle Name Suffix ( ). Identification I have a valid Wyoming Driver's License. Provide your birth date and _____ _____ _____ Write that number here: _____ _____.

7 Your identification MM DD YYYY I do not have a Wyoming Driver's License. information. (Additional 3 Write the last four digits of your SSN here: XXX XX _____. identification documents Date of Birth may be required.) I do not have a Wyoming Driver's License or a Social Security Number. (Other approved ID will be required). Additional Male Female I would like to be an election judge. I need assistance to vote. information Providing this information 4 (_____) _____ _____ _____. is optional. Phone Number Email Address Wyoming address where you live _____ _____. Residential Address (no Boxes) Unit/Apt Number 5. _____ _____. 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.

8 Address where you Same as above receive mail _____. 6 Mailing Address _____ _____ _____. City/Town State Zip Code Political Affiliation Choose one of the following: 7. Republican Democratic Libertarian Constitution Unaffiliated Updating a current _____ _____. Wyoming record? If so, you must provide your 8 Previous Residential Address City/Town/County Previous Legal Name previous information here. _____ _____. Previous Mailing Address City/Town State/Zip Code Previous Political Affiliation Previous State Withdrawal 9 _____ _____ _____ _____ _____. Previous State's Residential Address City/Town County State Zip Code Registration Oath I do solemnly swear (or affirm) that I am a citizen of the United States; that I am a bona fide resident of the (Required on all state of Wyoming and this county; that if registered in another county or state, I hereby request that my applications).

9 Registration be withdrawn; that I will be at least eighteen (18) years of age on or before the next election; that I. 10 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 I qualify under the Uniformed and legal name 11 Overseas Citizens Absentee Voting Act (UOCAVA). Therefore, the oath Proof of For County Clerk or Notary Public use only is self administered under penalty identification shown of perjury and does not require the 12 _____. signature of an oath taking official Type of identification within section 13 below.

10 Registry Agent or Subscribed and affirmed or sworn to before me by _____on person authorized to ( Voter Name). administer oaths 13 _____, 20 _____. _____, Title _____. 3/2020.