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Missouri Voter Registration Form

Please select citizenship requirement.
Please select resident requirement.
Please select age requirement.
Please choose your device.

This application is designed to work in Google Chrome, Safari, Firefox, and Internet Explorer 11 and above. Please upgrade your browser or choose a different method of registering, such as the PDF form, if you are not using one of these browsers

To begin your registration, please answer the following questions:

* Denotes required fields

* Are you a citizen of the United States of America? Yes: No:

* Are you a Missouri resident? Yes: No:

* Are you at least 17½ years of age and will be 18 years of age on or before election day? Yes: No:

* I am using:

A tablet, mobile device, or other touchscreen device (online form):
A computer (PDF form):

Submission type is a required field
First Name is a required field
Last Name is a required field
Enter a valid email address or leave the optional field blank
Birth Date is a required field
Street Number is a required numeric field
Street Name is a required field
City is a required field
Zip Code is a required field
County is a required field
Please enter a proper phone number or leave blank
Please enter a correct birthdate (mm/dd/yyyy) which shows that you are older than 17½ years
Please enter a correct birth year after 1900
Please enter a valid last 4 Social Security Number

Basic Identity Information
* Is this a:

New Registration?
Address Change?
Name Change?

If you are unsure about your registration status, select "New Registration."

* First Name:

Middle Name:

* Last Name:

Suffix:

Male: Female:

Drivers License Number (If you do not have a drivers license, leave blank):

* Last 4 digits of Social Security Number (If you do not have a Social Security Number, leave blank):

* Birth Date:

Place of Birth:

Residential Address

* Street Number

Pre Direction

* Street Name

Street Type

Post Direction

Address Line 2 (Apartment Number/Suite/Lot/Trailer Court/Etc.)

* City:

* State:

* Zip Code:

*County:

Mailing Address

Required only if you receive your mail at an address other than above.

Mailing address :

City where you receive your mail :

State where you receive your mail :

Zip Code where you receive your mail :

Other Contact Information

Daytime telephone number:
( ) -

Email:

Current Registration

Complete this section if you are currently registered in another state or county.

First Name:

Middle Name:

Last Name:

Address where you are currently registered:

Current registration city:

State:

Zip Code:

County:

Rural Voters

Complete this section if you live outside the city limits of any city.

I live miles of (landmark or junction).

Section, township, and range:

My neighbors are:

Election Judge

Check here if you are interested in working as an Election Judge.

Warning
Conviction for making a false statement on a voter registration application may result in imprisonment for up to five years and/or a fine up to $10,000.

Please Confirm

I hereby certify that I am a citizen of the United States and a resident of the state of Missouri. I am at least seventeen and one half years of age. I have not been adjudged incapacitated by any court of law. If I have been convicted of a felony or a misdemeanor connected with the right of suffrage, I have had the voting disabilities resulting from such conviction removed pursuant to law. I swear under penalties of perjury that all statements made on this form are true to the best of my knowledge and belief. I understand that if I register to vote knowing that I am not legally entitled to register, I am committing a class one election offense and may be punished by imprisonment of not more than five years or by a fine of between two thousand five hundred dollars and ten thousand dollars or by both such imprisonment and fine.

Warning: Conviction for making a false statement on a voter registration application may result in imprisonment for up to five years and/or a fine up to $10,000.

If you need to make changes, please click the change button at the bottom of this page.

Please sign in the box below. If you are filling out this form on a mobile device, use your finger or stylus.

Clear Signature

When submitting your application please assure that the signature you submit is clear and accurate, as it could be used to prove your identity as a registered voter in the future. If you wish to re-sign this form or change any other information, click the change button below.