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10-19-2016, 05:48 PM #5
Pennsylvania
Voter Registration Application
Register to vote
With this form, you can
register to vote in elections
in Pennsylvania.
You can also use this form to:
• Change the information on your
Pennsylvania voter registration.
• Register with a political party or
change the party you have selected.
If you are currently registered to vote, you do not
have to use this form unless you have moved or
changed your name.
To register you must:
• Be a United States citizen for at least
one month before the next election.
• Be a resident of Pennsylvania and
your election district for at least 30
days before the next election.
• Be at least 18 years of age on the
day of the next election.
Register online
The Voter Registration Application is available
online at www.VotesPA.com.
Send or deliver this form
To be registered in the next election, mail or
deliver your application form to your county voter
registration office at least 30 days before the
next election.
Addresses for all Pennsylvania counties are listed
on page 2.
If your registration is accepted, you will receive
a Voter Registration Card from your county by
nonforwardable mail.
Your registration is not complete until processed
and accepted by your county voter registration
office.
If you do not receive your Voter Registration
Card within 14 days, contact your county voter
registration office.
Verifying your identity
When you vote for the first time in
your election district, you must show
a form of identification.
For a complete list of acceptable forms of
photo and non-photo identification, visit
www.VotesPA.com or call your County
Board of Elections or 1-877-VOTESPA
(1-877-868-3772).
In the military?
If you are on active duty or you are a hospitalized
or bedridden veteran, you can register at any time.
See www.fvap.com for more information.
College student in
Pennsylvania?
If you are a college student who attends college
in Pennsylvania, you can register where you live
while attending school.
For more information, see www.VotesPA.com.
You may only register and vote in one place.
In prison or convicted
of a felony?
If you meet all other requirements, you may
register and vote if:
• You are in prison awaiting trial but
have not been convicted.
• You are in prison after being convicted
of a misdemeanor only.
• You have been released from prison
or a halfway house after completing
your term of incarceration.
• You are on probation or released on parole.
• You are under house arrest.
You should register at the address where you live,
except that you cannot use a prison or half-way
house address for your registration. See
www.VotesPA.com for more information.
Questions?
Call your County Voter
Registration Office
or call 1-877-VOTESPA
(1-877-868-3772).
For more information about
voting, visit our website:
www.VotesPA.com.
Información en español:
Si le interesa obtener este formulario en
español, llame al 1-877-868-3772.
PENALTY FOR FALSIFYING DECLARATION
Warning: If a person signs an official registration application knowing a statement declared in the application to be false, makes a false registration, or furnishes false information, the person commits perjury.
Perjury is punishable, upon conviction, by a term of imprisonment not exceeding seven years, or a fine not exceeding $15,000, or both, at the discretion of the court.
Submitting an application containing false information may also subject a person to other penalties, including loss of the right of suffrage, under state or federal law.
Confidentiality
If you decline to register to vote, the fact that
you declined will remain confidential, and will
be used for voter registration purposes only.
If you register to vote, the office at which you
register will remain confidential and will be
used for voter registration purposes only.
https://www.pavoterservices.state.pa...on_English.pdfNO AMNESTY
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