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The New York State Voter Registration Form is a crucial document for individuals wishing to participate in the electoral process within the state. This form serves multiple purposes, including registering to vote, updating personal information such as name or address, and enrolling in a political party. Additionally, it allows those aged 16 or 17 to pre-register, ensuring they are ready to vote when they reach the legal voting age of 18. To qualify for registration, applicants must meet specific criteria: they must be U.S. citizens, at least 18 years old by Election Day, and not currently imprisoned or on parole for a felony conviction, unless their voting rights have been restored. The form requires personal details, including name, address, and identification numbers, such as a driver's license or Social Security number. If applicants do not possess these identifiers, alternative forms of identification can be submitted. It is essential to complete and submit the form at least 25 days before the desired election date to ensure registration. For any inquiries, individuals can contact their County Board of Elections or utilize resources available on the official state website. This form is not only a gateway to civic engagement but also a legal document, making it imperative that all information provided is accurate and truthful.

Similar forms

  • Driver's License Application: Similar to the voter registration form, a driver's license application requires personal information, proof of identity, and residency verification. Both documents aim to confirm the applicant's identity and eligibility for a specific civic responsibility.
  • Passport Application: Like the voter registration form, a passport application necessitates proof of citizenship, personal details, and often a photo ID. Both forms serve to establish identity and eligibility for participation in national activities.
  • Employment Application: An employment application collects personal information, work history, and sometimes background checks. Similar to the voter registration form, it verifies the applicant's qualifications and eligibility for a position.
  • Social Security Application: This application requires personal details and proof of identity, similar to the voter registration process. Both forms ensure that the individual is entitled to government benefits or services.
  • Health Insurance Enrollment Form: Health insurance forms often require personal information and verification of eligibility. Like the voter registration form, they are essential for accessing specific rights and services.
  • School Enrollment Form: This form gathers personal details, proof of residency, and sometimes age verification. Both the school enrollment form and the voter registration form ensure that individuals meet the necessary criteria for participation in civic or educational activities.
  • Property Tax Registration Form: Similar to the voter registration form, this document requires personal information and proof of residency. Both forms are used to establish eligibility for civic responsibilities and benefits associated with residency.

Form Preview

CLEAR FORM

New York State Voter Registration Form

Register to vote

With this form, you register to vote in elections in New York State. You can also use this form to:

change the name or address on your voter registration

become a member of a political party

change your party membership

pre-register to vote if you are 16 or 17 years of age

To register you must:

be a US citizen;

be 18 years old (you may pre-register at 16 or 17 but cannot vote until you are 18);

not be in prison or on parole for a felony conviction (unless parole pardoned or restored rights of citizenship);

not claim the right to vote elsewhere;

not found to be incompetent by a court.

Send or deliver this form

Fill out the form below and send it to your county’s address on the back of this form, or take this form to the office of your County Board of Elections.

Mail or deliver this form at least 25 days before the election you want to vote in. Your county will notify you that you are registered to vote.

Questions?

Call your County Board of Elections listed on the back of this form or

1-800-FOR-VOTE (TDD/TTY Dial 711)

Find answers or tools on our website

www.elections.ny.gov

Verifying your identity

We’ll try to check your identity before Election Day, through the DMV number (driver’s license number or non-driver ID number), or the last four digits of your social security number, which you’ll fill in below.

If you do not have a DMV or social security number, you may use a valid photo ID, a current utility bill, bank statement, paycheck, government check or some other government document that shows your name and address. You may include a copy of one of those types of ID with this form— be sure to tape the sides of the form closed.

If we are unable to verify your identity before

Election Day, you will be asked for ID when you vote for the first time.

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It is a crime to procure a false registration or to furnish false information to the Board of Elections.

Please print in blue or black ink.

 

1

Are you a citizen of the U.S.?

 

Yes

No

For board use only

 

 

 

 

 

 

 

 

 

If you answer No, you cannot register to vote.

 

 

 

 

 

A) Will you be 18 years of age or older on or before election day?

Yes

No

 

Qualifications

 

B) Are you at least 16 years of age and understand that you must be 18 years of

 

 

2

age on or before election day to vote, and that until you will be eighteen years of

 

 

age at the time of such election your registration will be marked “pending” and you

 

 

 

 

 

 

will be unable to cast a ballot in any election.

 

Yes

No

 

 

 

If you answer NO to both of the prior questions, you cannot register to vote.

Your name

 

Last name

 

 

 

 

 

Suffix

3

First name

 

 

 

 

 

Middle Initial

 

 

 

 

 

 

 

 

 

M M

D D

Y Y Y

Y

 

 

 

More information

4

Birth date

/

/

5

Gender

 

 

 

 

 

 

 

 

 

 

Items 5, 6 & 7 are optional

6

Phone

7

Email

 

 

 

 

 

 

 

Address (not P.O. box)

 

 

 

 

 

The address

8

Apt. Number

 

 

Zip code

 

 

where you live

 

 

 

 

 

 

 

 

City/Town/Village

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New York State County

 

 

 

 

 

The address where

 

Address or P.O. box

 

 

 

 

 

 

 

 

 

 

 

 

 

you receive mail

9

P.O. Box

 

 

Zip code

 

 

Skip if same as above

 

City/Town/Village

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Voting history

10

Have you voted before?

Yes

No

 

11

What year?

Voting information

 

Your name was

 

 

 

 

 

 

that has changed

12

Your address was

 

 

 

 

 

 

Skip if this has not changed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or you have not voted before

 

Your previous state or New York State County was

 

 

 

Identification

 

New York State DMV number

 

 

 

 

You must make 1 selection

13

Last four digits of your Social Security number

x x x

– x x

 

For questions, please refer to

 

 

 

 

 

 

 

 

Verifying your identity above.

 

I do not have a New York State driver’s license or a Social Security number.

I wish to enroll in a political party

Affidavit: I swear or affirm that

Political party

You must make 1 selection

Political party enrollment is optional but that, in order to

vote in a primary election of 14 a political party, a voter must

enroll in that political party,

Democratic party Republican party Conservative party Working Families party Green party Libertarian party Independence party

I am a citizen of the United States.

I will have lived in the county, city or village

 

for at least 30 days before the election.

I meet all requirements to register

 

to vote in New York State.

• This is my signature or mark in the box below.

• The above information is true, I understand that

unless state party rules allow otherwise.

SAM party Other

16

if it is not true, I can be convicted and fined up

to $5,000 and/or jailed for up to four years.

I do not want to enroll in any political party and wish to be an independent voter

 

 

No party

 

 

 

Optional questions

 

I need to apply for an Absentee ballot.

15

I would like to be an Election Day worker.

 

 

 

 

 

Sign

Date

Rev. 12/09/19

Address and stamp this section

Your address

Before mailing, remove tape, fold and seal

Your County Board of Elections address (select from below)

Place

First-Class

Stamp

Here

New York City

Chenango

Franklin

Lewis

Oneida

Putnam

5 Court St.

355 West Main St.

7660 N. State St.

Union Station

25 Old Route 6

32 Broadway, 7th Fl.

Norwich, NY 13815

Ste. 161

Lowville, NY 13367

321 Main St.

Carmel, NY 10512

New York, NY 10004

(607) 337-1760

Malone, NY 12953

(315) 376-5329

3rd Fl.

(845) 808-1300

(212) 487-5300

 

(518) 481-1663

 

Utica, NY 13501

 

 

 

 

 

 

Clinton

 

Livingston

(315) 798-5765

Rensselaer

Albany

Cnty Government Ctr.

Fulton

County Govt. Ctr.

 

Ned Pattison

260 S. Pearl St.

Ste. 104

2714 St. Hwy 29

6 Court St.

Onondaga

Government Ctr.

Albany, NY 12202

137 Margaret St.

Ste. 1

Room 104

1000 Erie Blvd West

1600 Seventh Ave.

(518) 487-5060

Plattsburgh, NY 12901

Johnstown, NY 12095

Geneseo, NY 14454

Syracuse, NY 13204

Troy, NY 12180

 

(518) 565-4740

(518) 736-5526

(585) 243-7090

(315) 435-3312

(518) 270-2990

Allegany

 

 

 

 

 

8 Willets Ave.

Columbia

Genesee

Madison

Ontario

Rockland

Belmont, NY 14813

401 State St.

County Building #1

County Office Bldg.

74 Ontario St.

11 New Hempstead Rd.

(585) 268-9294

Hudson, NY 12534

15 Main St.

N. Court St.

Canandaigua, NY

New City, NY 10956

 

(518) 828-3115

Batavia, NY 14020

PO Box 666

14424

(845) 638-5172

Broome

 

(585) 815-7804

Wampsville, NY

(585) 396-4005

 

Government Plaza

Cortland

 

13163

 

St. Lawrence

60 Hawley St.

112 River St.

Greene

(315) 366-2231

Orange

80 State Hwy 310

PO Box 1766

Suite 1

411 Main St.

 

75 Webster Ave

Canton, NY 13617

Binghamton, NY

Cortland, NY 13045

Ste. 437

Monroe

PO Box 30

(315) 379-2202

13902

(607) 753-5032

Catskill, NY 12414

39 Main St. W.

Goshen, NY 10924

Saratoga

(607) 778-2172

 

(518) 719-3550

Rochester, NY 14614

(845) 360-6500

 

Delaware

 

(585) 753-1550

 

50 W. High St.

Cattaraugus

3 Gallant Ave.

Hamilton

 

Orleans

Ballston Spa, NY

207 Rock City St.

Delhi, NY 13753

Rte. 8

Montgomery

14016 Route 31 West,

12020

Suite 100

(607) 832-5321

PO Box 175

Old Courthouse

Ste. 140

(518) 885-2249

Little Valley, NY 14755

Dutchess

Lake Pleasant, NY

9 Park St.

Albion, NY 14411

Schenectady

(716) 938-2400

12108

PO Box 1500

(585) 589-3274

 

47 Cannon St.

(518) 548-4684

Fonda, NY 12068

 

2696 Hamburg St.

Cayuga

Poughkeepsie, NY

 

(518) 853-8180

Oswego

Schenectady, NY

157 Genesee St.

12601

Herkimer

 

185 E. Seneca St.

12303

(Basement)

(845) 486-2473

109 Mary St.

Nassau

Box 9

(518) 377-2469

Auburn, NY 13021

Erie

Ste. 1306

240 Old Country Rd.

Oswego, NY 13126

Schoharie

(315) 253-1285

Herkimer, NY 13350

5th Fl.

(315) 349-8350

 

134 W. Eagle St.

(315) 867-1102

PO Box 9002

 

County Office Bldg.

Chautauqua

Buffalo, NY 14202

 

Mineola, NY 11501

Otsego

284 Main St.

7 North Erie St.

(716) 858-8891

Jefferson

(516) 571-8683

Ste. 2

PO Box 99

Mayville, NY 14757

Essex

175 Arsenal St.

 

140 County Hwy. 33W

Schoharie, NY 12157

(716) 753-4580

Watertown, NY 13601

Niagara

Cooperstown, NY

(518) 295-8388

 

7551 Court St.

(315) 785-3027

111 Main St.

13326

 

Chemung

PO Box 217

 

Ste. 100

(607) 547-4247

 

378 South Main St.

Elizabethtown, NY

 

Lockport, NY 14094

 

 

PO Box 588

12932

 

(716) 438-4040

 

 

Elmira, NY 14902

(518) 873-3474

 

 

 

 

(607) 737-5475

 

 

 

 

 

Schuyler

County Office Bldg. 105 9th St., Unit 13 Watkins Glen, NY 14891

(607) 535-8195

Seneca

One DiPronio Dr. Waterloo, NY 13165 (315) 539-1760

Steuben

3 E. Pulteney Sq. Bath, NY 14810 (607) 664-2260

Suffolk

Yaphank Ave.

PO Box 700

Yaphank, NY 11980

(631) 852-4500

Sullivan

Gov’t. Ctr.

100 North St.

PO Box 5012 Monticello, NY 12701 (845) 807-0400

Tioga

1062 State Rte. 38 PO Box 306 Owego, NY 13827 (607) 687-8261

Tompkins

Court House Annex 128 E. Buffalo St. Ithaca, NY 14850 (607) 274-5522

Ulster

284 Wall St. Kingston, NY 12401 (845) 334-5470

Warren

Cnty. Municipal Ctr. 3rd Floor Human Serv. Bldg 1340 St. Rte. 9 Lake George, NY 12845

(518) 761-6456

Washington

383Broadway Fort Edward, NY 12828

(518) 746-2180

Wayne

7376 State Rte. 31 PO Box 636 Lyons, NY 14489 (315) 946-7400

Westchester

25 Quarropas St. White Plains, NY 10601

(914) 995-5700

Wyoming

4 Perry Ave. Warsaw, NY 14569 (585) 786-8931

Yates Ste. 1124 417 Liberty St.

Penn Yan, NY 14527 (315) 536-5135

(Optional) Register to donate your organs and tissues

If you would like to be an organ and tissue donor upon your death,

you may enroll in the NYS Donate Life™ Registry online at www.donatelife.ny.gov or complete the form below.

You will receive a confirmation email or letter, which will also provide you an opportunity to limit your donation.

Last name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

By signing below,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

you certify that you are:

 

First name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• 16 years of age or older;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Initial

 

 

 

 

 

 

 

 

Suffix

 

 

 

 

 

 

 

 

 

 

 

 

• consenting to donate all of your organs and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tissues for transplantation, research, or both;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• authorizing the Board of Elections to provide

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

your name and identifying information to NYS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt. Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Zip code

 

 

 

 

 

 

 

 

 

 

Donate Life™ Registry for enrollment;

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• and authorizing the Registry to give access to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

this information to federally regulated organ

City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

procurement organizations and NYS-licensed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tissue and eye banks and others approved by the

 

M

M

 

 

D

 

D

 

Y Y Y Y

 

 

 

Gender

M

 

 

F

 

 

 

Birth date

 

 

 

 

/

 

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NYS Commissioner of Health upon your death.

Eye color

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Height

 

Ft.

 

 

 

 

In.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DMV or ID NYC #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sign

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common mistakes

Filling out the New York Voter Registration form is a crucial step in participating in the democratic process. However, many people make common mistakes that can lead to delays or even disqualification from voting. Here are six frequent errors to avoid.

First, failing to check citizenship status can be a dealbreaker. The form explicitly asks if you are a U.S. citizen. If you answer "No," your application will be denied. Always ensure that you answer this question honestly and accurately. If you’re unsure about your citizenship status, it’s better to clarify that before attempting to register.

Second, neglecting to provide a valid address can cause issues. The form requires both your residential address and the address where you receive mail. If these two addresses are different, make sure to fill out both sections correctly. Leaving one blank or providing incorrect information may lead to complications when you try to vote.

Another common mistake is not signing the form. Your signature is essential. It verifies that you affirm the information provided is true. Without a signature, your application will not be processed. Always double-check that you’ve signed and dated the form before sending it in.

Fourth, many forget to include identification details. If you do not have a New York State DMV number or Social Security number, you must provide an alternative form of identification. This could be a utility bill or a government document that shows your name and address. Failing to provide this can delay your registration.

Additionally, not mailing the form on time is a common oversight. You must submit your registration at least 25 days before the election. If you miss this deadline, you won’t be able to vote. Mark your calendar and send your application early to avoid any last-minute issues.

Lastly, many individuals mistakenly choose the wrong political party affiliation. If you want to vote in a primary election, you must enroll in a political party. Make sure to select the correct party on the form. If you prefer to be an independent voter, clearly indicate that as well.

By being mindful of these common mistakes, you can ensure a smoother registration process and make your voice heard in the upcoming elections. Take your time, double-check your information, and don’t hesitate to reach out for help if you have questions.

More About Ny Voter Registration

  1. What is the purpose of the New York State Voter Registration Form?

    The New York State Voter Registration Form allows individuals to register to vote in elections within the state. Additionally, this form can be used to change your name or address on your voter registration, become a member of a political party, change your party membership, or pre-register to vote if you are 16 or 17 years old.

  2. What are the eligibility requirements to register to vote in New York?

    To register to vote in New York, you must meet the following criteria:

    • You must be a U.S. citizen.
    • You must be at least 18 years old on or before Election Day (you can pre-register at 16 or 17, but cannot vote until you are 18).
    • You must not be in prison or on parole for a felony conviction (unless your rights have been restored).
    • You must not claim the right to vote in another state.
    • You must not have been declared incompetent to vote by a court.
  3. How do I submit the voter registration form?

    You can submit the completed form by mailing it to your county's Board of Elections address, which is provided on the back of the form. Alternatively, you can deliver it in person to your County Board of Elections office. Make sure to submit the form at least 25 days before the election in which you wish to vote.

  4. How will I know if my registration is successful?

    Once your application is processed, your county will notify you that you are registered to vote. If you do not receive confirmation, it is advisable to contact your County Board of Elections for verification.

  5. What if I do not have a DMV number or Social Security number?

    If you do not possess a New York State DMV number or a Social Security number, you can provide a valid photo ID or a current utility bill, bank statement, paycheck, government check, or another government document that shows your name and address. You may also include a copy of one of these documents with your registration form.

  6. What should I do if I am registering to vote for the first time?

    If you are registering to vote for the first time and your identity cannot be verified before Election Day, you will need to present identification when you go to vote. This may include a photo ID or another acceptable form of identification.

  7. Can I change my political party affiliation using this form?

    Yes, you can change your political party affiliation by filling out the appropriate section on the voter registration form. Keep in mind that in order to vote in a primary election, you must be enrolled in the political party whose primary you wish to vote in.

  8. What happens if I provide false information on my registration form?

    Providing false information on your voter registration form is a crime. If convicted, you could face fines up to $5,000 and/or imprisonment for up to four years. It is crucial to ensure that all information provided is accurate and truthful.

  9. Is there an option to register as an organ donor when filling out the voter registration form?

    Yes, the voter registration form includes an option to register as an organ and tissue donor. You can enroll in the NYS Donate Life™ Registry by completing the relevant section of the form or visiting the registry's website.

  10. Where can I find additional help or resources regarding voter registration?

    If you have questions or need assistance, you can contact your County Board of Elections, as listed on the back of the form. Additionally, you can call 1-800-FOR-VOTE (TDD/TTY Dial 711) or visit the New York State Board of Elections website at www.elections.ny.gov for more information and resources.

Misconceptions

  • Misconception 1: You must be 18 years old to register.
  • While you cannot vote until you are 18, individuals who are 16 or 17 can pre-register to vote. This means they will be automatically added to the voter rolls when they reach voting age.

  • Misconception 2: You need a driver's license to register.
  • Many people believe that only those with a driver's license can register to vote. However, if you do not have a driver's license or a Social Security number, you can still register using alternative forms of identification, such as a valid photo ID or a utility bill that shows your name and address.

  • Misconception 3: You cannot change your party affiliation after registering.
  • Some individuals think that once they register with a political party, they are stuck. In reality, voters can change their party affiliation at any time by submitting a new registration form.

  • Misconception 4: Registration deadlines are flexible.
  • Many assume they can register right up until Election Day. In New York, you must submit your voter registration form at least 25 days before the election in which you wish to vote.

  • Misconception 5: You can vote in multiple states if you are registered in more than one.
  • Some believe that being registered in multiple states allows them to vote in each. This is false. Voters must declare residency in one state and can only vote in that state to avoid legal penalties.

Key takeaways

  • To register to vote in New York State, individuals must meet specific eligibility criteria, including being a U.S. citizen, at least 18 years old by Election Day, and not currently incarcerated or on parole for a felony conviction.

  • The voter registration form can also be used to change personal details such as name or address, enroll in a political party, or pre-register if the individual is 16 or 17 years old.

  • It is essential to submit the completed form at least 25 days before the desired election date. Registration can be done by mailing the form or delivering it in person to the local County Board of Elections.

  • Verification of identity is required, which can be accomplished through a DMV number or the last four digits of a Social Security number. If these are unavailable, alternative forms of identification, such as a utility bill or government document, may be submitted with the form.

Ny Voter Registration: Usage Guide

Completing the New York Voter Registration form is essential for participating in elections. After filling out the form, you will need to submit it to your county's Board of Elections by mail or in person. Ensure that you do this at least 25 days before the election in which you wish to vote. Once your application is processed, you will receive a notification confirming your registration status.

  1. Check your eligibility: Confirm that you are a U.S. citizen, at least 18 years old by election day, and meet other requirements.
  2. Fill out personal information: Write your last name, first name, middle initial, and suffix if applicable.
  3. Provide your birth date: Enter your birth date in the format MM/DD/YYYY.
  4. Indicate your gender: Mark your gender as either male or female.
  5. Enter your contact details: Provide your phone number and email address, ensuring the email is not a P.O. box.
  6. List your residential address: Include your apartment number, city or town, county, and zip code.
  7. Provide your mailing address: If different from your residential address, include your mailing address or P.O. box.
  8. Voting history: Indicate whether you have voted before and provide the year if applicable.
  9. Identification: Fill in your New York State DMV number or the last four digits of your Social Security number.
  10. Political party enrollment: Select a political party if you wish to enroll, or choose to be an independent voter.
  11. Sign and date: Sign the form to affirm that all information is true and date it.
  12. Prepare for submission: Tape the sides of the form closed, fold it, and seal it.
  13. Mail or deliver: Send the completed form to your county's Board of Elections address or deliver it in person.