NOTE: This form is to be used for New Applicants, Changing your Address, or Requesting a
Replacement Certificate.
Instructions for Completing Application for Voter Registration
Please complete all of the information on the application. Print in ink or type. If you have any questions
about
how to fill out this application, please call the Secretary of State’s Office toll free at 1-800-252-VOTE
(8683), TDD 1-800-735-2989.
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Complete questions on the upper right side of application. Indicate by checking the appropriate
box,
if this application is a new registration, a change of name or address, or request for replacement
certificate. Answer all questions.
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Name – Give your full name including first, middle, and last. IF you have changed your name, give
former name.
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Residence Address – Include street address, city, state, and zip. If you do not have a street
address, give a description of the location of where you live.
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Mailing Address – If mail cannot be delivered to your residence, give a mailing address.
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Gender and Telephone Number – are optional. Your voter registration application is open to the
public.
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Texas Driver’s License Number or Personal I.D. Number– (issued by the Department. of Public
Safety). If none, give last 4 digits of your Social Security Number.
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City and County of Former Residence – If you were previously registered in another county in
Texas,
complete this box.
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Agent – An agent may apply for voter registration for another person as long as that person is
related to the applicant as husband, wife, father, mother, son or daughter. The agent must also be a
registered voter or have submitted an application of registration. Indicate the relationship of the
agent on
the application. Indicate relationship next to signature.
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Sign Your Name – If you cannot sign your name next to the X, a person may witness you making your
mark. Give the name and address of the person who witnessed your mark above the signature line. If you
cannot make a mark, have the witness state the applicant could not make a mark. You do not need a
witness if
you can sign your name.
The completed form should be printed, signed, and mailed to:
REGISTRAR OF VOTERS
2010 REDBUD BLVD, SUITE 102
MCKINNEY, TX 75069
Please Note: For a Voter Registration Application sent by FAX or email to be effective, the
original application must be submitted by mail and be received by the registrar not later than the fourth
business day after the transmission by FAX or email. You may fax your application to (972) 547-1995 or email
it
to voterregistration@collincountytx.gov (Please
include "Application was faxed" at the top of the application before you mail the original to our office.)
General Voter Registration Information
You may register to vote at any time. You must be at least 17 years and 10 months old to register. Your voter
registration will become effective 30 days after it is received or on your 18th birthday, whichever is
later.
YOU MUST BE A U.S. CITIZEN TO REGISTER. If you move to another county, you must re-register in the
county
of your new residence.
If you decline to register to vote, the fact that you have declined to register will remain confidential and
will
be used only for registration purposes. If you do not register to vote, the office (if applicable) at which
you
submitted a voter registration application will remain confidential and will be used only for voter
registration
purposes.
Español: Instrucciones Para Llenar La Solicitud De Inscripcion De Votantes
Sirvase indicar todos los datos que se piden en la solicitud. Escriba con tinta, usando letra de molde, o
con
maquina de escribir. Si tiene alguna pregunta sobre la manera de llenar la solicitud. Ilame a las
oficinas del
Secretrio de Estodo marcando el numero gratuito 1-800-252-VOTE (8683), TDD (servicio parpa sordos)
1-800-735-2989
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Usando los espacios en blanco que aparecen sobre el renglon de su firma, por favor senale si esta
es la
primera vez que solicita inscribirse como votante, si nos esta informando de que ha cambiado de
nombre,
apellido o domicilio o si esta solicitando que se le envie una copia de su matricula
electoral.
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Nombre: - Escriba su nombre complete: nombre de pila, Segundo nombre y apellido usual. Si
cambio de
nombre, ponga el nombre que usaba anteriormente.
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Domicillio: – Incluya calle y numero, ciudad, estado y codigo postal. Sis u direccion no es
base de
calle y numero, indique la ubicacion de su residencia.
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Direccion postal: – Si no se le puede entregar su correspondencia a domiciliom indique una
direccion
postal.
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Sexo y Telephono: – Estos datos son optativos. Su solicitud de inscripcion en el registro de
votantes
es un documento del dominio publico.
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Numero de su licenciua tejana de manejar o de su Cedula de identidad: expedida por el
Departmento de
Seguridad Publica de Tejas
si ningun, los ultimos 4 numeros de su cedula de seguro social.
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Ciudad y condado de su residencia anterior: – Llene esta parte si ya se habia inscrito para
votar en
otro condado de Tejas.
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Apoderados: – Un apoderado puede solicitor la inscripcion de votante a nombre de otra
persona,
siempre que sea esposo o esposa, padre or madre, hijo o hija del/de loa solicitante. El apoderado
tambien
debe estar inscrito en el registro electoral o haber presentado una solicitud de inscripcion y
anotar, junto
a su firma, su parentesco con el o la votante.
-
Firmar: – Si usted no puede firmar junto a la X impresa en el formulario, puede pedir que
otra
persona le sirva de testigo al hacer su marca junto a la X. En el espacio arriba de la linea
destinada a su
firma, anote el nombrre y la direccion de la persona que da fe de su firma. De no poder hacer una
marca, el
testigo debera indicar que el o la solicitante no pudo hacerla. Si usted puede firmar con su nombre,
no
require testigo.
Informacion General Para Votantes
Usted puede inscribirse para votar cuando desee. Para poder inscribirse, debe haber cumplido no
menos de 17 anos
con 10 meses. Su inscripcion para votar se hara vigente en la fecha que ocurra mas tarde, que sea: a
los 30 dias
de su recibo o al cumplir usted los 18 anos.
USTED DEBER SER CIUDADANO/ A DE LOS ESTADOS UNIDOS PARA INSCRIBIRSE. En caso de haberse
cambiado a otro
condado, debera reinscribirses en su Nuevo condado de residenciua.
Si se niega a inscribirse para votar, su nefgativa a inscribirse se mantendra confidencial y solo
sera utilizada para fines del registro electoral. Por otra parte, si usted se incribe para votar se
mantendra
confidencial la indentidad de la oficina (si la hay) en que presento su solicitiud de inscripcion
para votar.
Esta information solo sera utilizada para fines del registro electoral.
Instructions for Updating Your Voter Registration Address
Please complete one the forms listed below depending on which situation applies to you.
- If you have moved within Collin County, you need to change your address to your new residence. You may
use the
voter registration application form to accomplish this task.
- If you have moved out of Collin County, you must register in the county of your new residence before
you can
vote. You may use the
Cancellation Form to help us update our records.
The completed form should printed, signed, and mailed to:
REGISTRAR OF VOTERS
2010 REDBUD BLVD, SUITE
102
MCKINNEY, TX 75069 If your completed form indicates that you have moved within Collin County, your new registration will become
effective 30 days from the day we receive the blue form. You will be issued a new voting registration
certificate and will be able to vote in your new precinct.
If you do not update your voter registration address information, your registration will be canceled after
two
federal elections. If you have any questions about your registration status, please call the Collin County
Elections office at 1-800-687-8546 or (972) 547-1900
Español: Noticia Para Confirmar La Direccion De Registracion De Votantes
La oficina de Administratcion de Elecciones de Collin County se ha informado que usted se cambio a una
direccion distinta a la que corrientemente aparece en el registro de votantes.
- Si usted
cambio dentro del candado de Collin (Collin County). Usted tendra que cambiar su direccion a la de su
nuevo domicilio. Usted puede usar la forma
Formulario De Inscripción Del Registro Del Votante
para indicar su nueva direccion.
- Si usted se
cambio afuera del Condado de Collin (Collin County). Usted tendra que registrarse en el condado de su
nuevo domicilio antes de que usted pueda votar. Sirvase a usar la formulario de cancelacion incluida aqui, para
ayudarnos a revisar nuestros datos.
Si su respuesta indica que usted se ha cambiado dentro del Condado de Collin (Collin County). su
registracion sera efectiva a los 30 dias de haberse recibido la forma azul. Se le remitira a usted un
certificado nuevo de registracion y usted podra votar en su precinto.
Si usted no responde a esta noticia, su
registracion sera cancelada despues de dos elecciones federales.
Si usted tiene alguna pregunta sobre el estado de su registracion, por favor
llame a la oficina de Administratcion de Elecciones de Collin County telefono 1-800-687-8546 o
(972) 547-1900.
Why did I get a new Voter Registration Certificate
in the mail and how do I use it to update my address?
A person must be registered at least 30 days before Election Day. There is not a "length of residence"
requirement for voter registration eligibility. You are eligible to submit a voter registration application
once
you have established a residence address in the county. After you become registered, you will remain
registered
as long as you do not move or change your mailing address. If the Post Office or County 911 Department
change
your address, you must submit that address change to our office.
Pursuant to state law, new Voter Registration Certificates are mailed to all registered voters every two
years.
If any information contained on the certificate is incorrect, turn the certificate over, and write the
correct
information on the space provided. Return the corrected certificate to the address listed on the front of
the
certificate.
Common misunderstandings:
- In order to become registered when getting a driver's license, you must complete a voter registration
application. Just getting a driver's license does not entitle you to vote.
- The voter registration list is not the only way to be called for jury duty. If you have a driver's
license
or DPS identification card, you are already eligible for jury duty.
If you move from one county to another, you must complete
a new Voter
Registration Application in your new county in order to become registered.
Applications are generally available at Post Offices, libraries, and fire
stations.