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To begin your registration, please answer the following questions:
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You answered no to one of the previous questions. In order to register to vote in Missouri, you must a citizen of the United States of America, a Missouri resident, and at least 17½ years of age and 18 years of age on or before election day.
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:
* Street Number Pre Direction N S E W NE NW SE SW * Street Name Street Type ALY ANX ARC AVE BLF BLVD BND BR BRG BRK BYP CIR CIRS CLB CLF CLFS CMN CO COR CORS COVE CPE CRK CRST CT CTR CTRS CTS CV DL DM DR DRS DV EST ESTS EXPY EXT FALL FLD FLDS FRK FRST FWY GDNS GLN GRN GRV GTWY HBR HL HLS HOLW HTS HVN HWY IS JCT KNL LAND LCK LDG LK LN LNDG LOOP MDW MDWS MEWS ML MNR MTN NCK OPAS PARK PASS PATH PK PKWY PL PLN PLZ PNES PRT PSGE PT RADL RD RDG RDS RIV RNCH ROW RST RUE RUN SHR SMT SPGS SPUR SQ SQS ST STA STRA TER TPKE TRCE TRFY TRL TRWY VIS VLG VLY VW WALK WAY WAYE WLS XING Post Direction N S E W NE NW SE SW Address Line 2 (Apartment Number/Suite/Lot/Trailer Court/Etc.) * City: * State: --Select a State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip Code: *County: -- Select a County-- Adair County Andrew County Atchison County Audrain County Barry County Barton County Bates County Benton County Bollinger County Boone County Buchanan County Butler County Caldwell County Callaway County Camden County Cape Girardeau County Carroll County Carter County Cass County Cedar County Chariton County Christian County Clark County Clay County Clinton County Cole County Cooper County Crawford County Dade County Dallas County Daviess County DeKalb County Dent County Douglas County Dunklin County Franklin County Gasconade County Gentry County Greene County Grundy County Harrison County Henry County Hickory County Holt County Howard County Howell County Iron County Jackson County inside Kansas City limits Jackson County outside Kansas City limits Jasper County Jefferson County Johnson County Knox County Laclede County Lafayette County Lawrence County Lewis County Lincoln County Linn County Livingston County Macon County Madison County Maries County Marion County McDonald County Mercer County Miller County Mississippi County Moniteau County Monroe County Montgomery County Morgan County New Madrid County Newton County Nodaway County Oregon County Osage County Ozark County Pemiscot County Perry County Pettis County Phelps County Pike County Platte County Polk County Pulaski County Putnam County Ralls County Randolph County Ray County Reynolds County Ripley County Saline County Schuyler County Scotland County Scott County Shannon County Shelby County St. Charles County St. Clair County St. Francois County St. Louis City St. Louis County Ste Genevieve County Stoddard County Stone County Sullivan County Taney County Texas County Vernon County Warren County Washington County Wayne County Webster County Worth County Wright County
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 : --Select a State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code where you receive your mail :
Daytime telephone number: ( ) - Email:
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: --Select a State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: County:
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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.
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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.
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