MONTANA VOTER REGISTRATION APPLICATION
Fields marked with an asterisk (*) are required. If you do not provide all of the required information, your application to register
to vote will not be complete. UNDER FEDERAL AND/OR STATE LAW ALL ELECTORS MUST PRESENT ID WHEN VOTING.
Please type or print clearly using black or blue ink. COMPLETE FORM AND SUBMIT TO COUNTY ELECTION OFFICE.
ELIGIBILITY REQUIREMENTS AND IDENTIFYING INFORMATION
NOTE: VOTER REGISTRATION REQUIRES U.S. CITIZENSHIP
1 Check all that apply:
2 Are you a citizen of the United States?*
Will you be at least 18 years of age on or before the next election?*
Will you be a Montana resident for at least 30 days before the next election?* Yes
*If you checked “No” in response to any of these questions, do not complete this form.
3 Last Name*
Contact Phone Number
4 Date of Birth*
Suffix (Jr., Sr., Etc.)