Voter Registration Form
Important information to know before registering online.
To be eligible to vote in the November 6, 2012, General Election, you must finish and submit your electronic form before midnight Pacific Daylight Time (PDT) on October 22, 2012.
What you will need
To register online you will need your California driver license or identification card number, the last four digits of your social security number and your date of birth. Your information will be provided to the California Department of Motor Vehicles (DMV) to retrieve a copy of your DMV signature.
If you do not have a California driver license or California identification card, you can still use this form to register to vote by completing the online interview by midnight PDT on October 22, 2012, and printing, signing, and mailing your form to the address on the mailing label.
Safe at Home
Please do NOT use this form to register or re-register to vote if you are enrolled in a confidential address program such as Safe at Home. If sharing your address could put you in life-threatening danger, you may be eligible to register to vote confidentially. For more information, contact the Safe at Home program toll-free at (877) 322-5227 or email@example.com.
You may also print out a blank form to complete by hand. October 22, 2012, is the last day to register to be eligible to vote in the November 6, 2012, General Election.