Voter Registration Form

Online voter registration form for the state of Vermont.
* Required fields. Change State

Requirements

Are you a citizen of the United States of America? *

Yes

Will you be 18 years old on or before election day? *

Yes

Full Name

Salutation: *

First Name: *

Middle Name:

Last Name: *

Suffix:

Home Address

Street Address: *

Apt/Lot:

City/Town: *

State:

Zip Code: *

Mailing Address (If different than Home Address)

Street Address:

Apt/Lot:

City/Town:

State:

Zip Code:

Personal Information

Telephone:

Type of ID: *

ID Number:

Date of Birth: *

Month, Day, Year

Choice of Party:

Change of Name (Optional)

Salutation:

First Name:

Middle Name:

Last Name:

Salutation:

Previously Registered At

Street Address:

Apt/Lot:

City/Town:

State:

Zip Code:

State Instructions

To register in Vermont you must:
• be a citizen of the United States
• be a resident of Vermont
• be 18 years of age on or before election day
• have taken the following Oath in the presence of a notary public or other authorized official: You solemnly swear (or affirm) that whenever you give your vote or suffrage, touching any matter that concerns the state of Vermont, you will do it so as in your conscience you shall judge will most conduce to the best good of the same, as established by the Constitution, without fear or favor of any person [Voter
’s Oath, Vermont Constitution, Chapter II, Section 42] Note: If you have not taken this Oath in person before submitting this application by mail, do not sign item 9. You may take the Oath at the polls the first time you vote and may then sign the application, which will be held for you at your polling place.

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E-Mail *:

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