updated voter registration form may 2020
State of Utah Voter Registration Form

Eligibility

Reason(s) for completing form:

New Registration

Party Affiliation Change

Address Change

Name Change

Yes

No Are you a citizen of the United States?

If you answered "No", do not complete this form.

1

Yes

No Will you be at least 18 years of age on or before election day?

Yes

No

If you checked "no" to the above question, are you 16 or 17 years of age and preregistering to vote? If you answered "No" to both of the prior two questions, do not complete this form.

Name
The address where you live
The address where you get your mail
Identification

2

Last Name

Name at Birth (if different from above)

First Name

Middle Name

Suffix

3

Residential Address (no P.O. Boxes)

Unit or Apt. Number

City or Town

State

Zip Code

Same as above

4

Mailing Address or P.O. Box

County in Utah

Unit or Apt. Number

City or Town Write your birth date below:

5

MM DD YYYY

State

Zip Code

I have a valid Utah Driver's License or valid Utah ID card.

Write that number here:

I do not have a valid Utah Driver's License or valid Utah ID card. Write the last four digits of your Social Security Number here:
I do not have a valid UT Driver's License, valid UT ID card, or a Social Security Number.

Political party

6

affiliation

Optional information

7

Active military
and voters living 8
outside of the U.S.

Updating a current record?

9

Privacy information

10

Voter Declaration

11

Place of Birth (state or country)

Place of naturalization (if applicable)

Date of naturalization (if applicable)

I would like to be a member of the following political party:

Constitution

Democratic

Green

Independent American

Libertarian

Republican

United Utah

Unaffiliated (no party preference)

Other:

(specify)

( )
Phone number with area code

I am a voter with a disability

Important election information is often sent by email: (This does not mean your ballot will be emailed to you) Email Address (confidential)

I would like to be a poll worker

I am a voter residing out of the U.S.

I am an active military voter or a dependent of one

If you checked either of the boxes above, you may designate a fax number or email address where your ballot will be sent:

I have previously registered to vote
I have never registered to vote (skip this section)

Previous Residential Address City or Town

State

Zip Code

Unit or Apt. Number Previous legal name (if applicable)

Voter registration records contain some information that is available to the public, such as your name and address, some information that is available only to government entities, and some information that is available only to certain third parties in accordance with the requirements of law. Your driver license number, identification card number, social security number, email address, and full date of birth are available only to government entities. Your year of birth is available to political parties, candidates for public office, certain third parties, and their contractors, employees, and volunteers, in accordance with the requirements of law. You may request that all information on your voter registration records be withheld from all persons other than government entities, political parties, candidates for public office, and their contractors, employees, and volunteers, by indicating here:
Yes, I request that all information on my voter registration records be withheld from all persons other than government entities, political parties, candidates for public office, and their contractors, employees, and volunteers.
For information about requesting additional privacy protection, and to learn about specific circumstances when a person's voter registration can be withheld from the groups listed above, please see the reverse side of this form.

Read and Sign below Voter Declaration: I do swear (or affirm), subject to penalty of law for false statements, that the information contained in this form is true and that I am a citizen of the United States and a resident of the State of Utah, residing at the above address. Unless I have indicated above that I am preregistering to vote in a later election, I will be at least 18 years of age and will have resided in Utah for 30 days immediately before the election. I am not a convicted felon currently incarcerated for commission of a felony. Citizenship Affidavit: I hereby swear and affirm, under penalties for voting fraud set forth below in Utah Code Section 20A-2-401, that I am a citizen and that to the best of my knowledge and belief the information above is true and correct.

OFFICE USE ONLY

Signature Type of ID

Voting Precinct

Voting ID #

Today's Date Type: Mail Form Date: 05/20

Information about this registration
You may also register to vote or update your registration online at www.voter.utah.gov

How do I turn in this form?
You can submit this form by mailing, delivering, or scanning and emailing it to your county clerk's office. You can obtain your county clerk's contact information at www.vote.utah.gov or by calling the Office of the Utah Lieutenant Governor. You may also mail your registration to:
Office of the Utah Lieutenant Governor Elections Division P.O. Box 142325 Salt Lake City, UT 84114
Am I eligible to register to vote?
You are eligible to register to vote if you:
· Are a citizen of the United States · Have resided in Utah for at least 30 days immediately before
the next election · Are at least 18 years of age on or before the next election* · If you are 16 or 17 years of age, you may preregister to vote.
*A voter who is 17 years of age is eligible to participate in a Primary Election if they will turn 18 years of age on or before the date of the next General Election.
When is the voter registration deadline?
This registration form must be received by your county clerk's office at least 11 days before the election. If this form is not received by this deadline, you may register to vote at a voting center by voting with a provisional ballot and providing two forms of identification. You can find a list of acceptable forms of identification at www.vote.utah.gov.
How will I know if my registration was processed?
Your county clerk's office will send you an official voter information card by mail within 30 days of processing your voter registration form. You can also check the status of your voter registration by visiting www.vote.utah.gov.
Will I need identification to vote?
Yes, you will need to provide identification if you vote in person. If you are registering to vote for the first time and are voting by mail, you will need to provide identification to your county clerk's office. A list of acceptable forms of identification can be found at www.vote.utah.gov.
Will I get a ballot in the mail?
If this form is received by your county clerk's office at least 11 days before an election, your county clerk's office will mail you a ballot. If you are unable to submit your registration at least 11 days before an election, you must vote at an in-person voting center. You can find a nearby voting center on www.vote.utah.gov.
Can I register to vote if I have been arrested or convicted of a crime?
You can register to vote if you:
· Are granted parole; · Are on probation for a misdemeanor or a felony; · Are a pretrial detainee awaiting trial; · Are currently in jail serving a sentence for a misdemeanor that
is not related to election law; or · Are no longer serving a term of imprisonment due to a felony
or misdemeanor conviction.

Is voter registration information confidential?
The list of registered voters is considered public record and available to the general public in Utah. However, Utah law grants protections to voters who wish to not have their information publicly available. "Section 10" of the Voter Registration Form allows for a voter to protect their information from certain parties, while the section below (titled "How do I request additional privacy protection?") discusses additional privacy protections that are available to certain individuals. A few items remain confidential and are never provided to any requester: your social security number, your UT Driver's License number/UT ID number, email address, full date of birth, and your signature.
How do I request additional privacy protection?
In addition to the protections outlined in "Section 10" of the Voter Registration Form, you may request that all information on your voter registration records be withheld from all political parties, candidates for public office, and their contractors, employees, and volunteers, by submitting a withholding request form, and any required verification, with this registration form, or to the Office of the Utah Lieutenant Governor or a county clerk.
Who can submit a withholding request form?
· A person who is a victim, or is likely to be a victim, of domestic violence or dating violence
· Law enforcement officers · Individuals protected by protective or protection orders · Members of the armed forces · Public figures who have a higher safety risk due to their
celebrity status or prominent position (does not include elected officials) · A person who resides with a person described in the bullet points above.
You can obtain a withholding request form from your county clerk's office or the Office of the Utah Lieutenant Governor, or you may download the form online at www.vote.utah.gov.
How do I vote if I'm a Utah resident but live outside of the state at the time of an election?
If you are a Utah resident who is actively serving military duty or currently resides outside of the U.S., complete "Section 8" of the Voter Registration Form to be eligible to receive a ballot by fax or email. If you are a Utah resident and would prefer to not receive your ballot at your primary residence, you can obtain an "Alternate Address Request Form" online at www.vote.utah.gov and submit it to your county clerk's office. This will enable you to receive your by-mail ballot at a separate address from your primary residence.
Utah Elections (2020 - 2021)
2020 Primary Election - June 30, 2020 2020 General Election - November 3, 2020 2021 Municipal Primary Election - August 10, 2021 2021 Municipal General Election - November 2, 2021

Who should I contact if I have more questions?

Contact your county clerk's office. You can obtain their contact

information at www.vote.utah.gov.

You may also contact the Office of the Utah

Save a stamp

Lieutenant Governor:

Phone: (801) 538-1041 Email: elections@utah.gov Website: www.vote.utah.gov

Register online!


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