Online Voter Registration

DEADLINE ALERT: To vote in the election, you must complete your application by .

Voter Registration Options:

NOTE: Your registration is not complete until processed and accepted by your county voter registration office.

Online Voter Registration Application:

If you are an existing WIC participant with a valid password provided at your most recent WIC appointment, please enter your WIC Family ID and Password before proceeding. Otherwise, please click NEXT to begin your online voter registration application.



Click RETRY to re-enter your WIC provided information, or press NEXT to begin your online voter registration application.

All fields are required unless marked as optional.

Your Name:








Eligibility:

If you answer NO to either question, you CANNOT register to vote.

To register, you must:

  • Be a United States citizen at least 30 days before the next election
  • Be a resident of Pennsylvania and your election district for at least 30 days before the next election
  • Be at least 18 years of age on the day of the next election
Are you a U.S. citizen?

Will you be 18 years or older on or before election day?

Reason:

If you are currently registered to vote, you do not have to use this application unless you have moved or changed your name.
NOTE: If you have recently moved to Pennsylvania from another state, you must submit a new application rather than a change of address.

Please check at least one box



About You:



Gender (optional)






Your Residence Address:

Enter the address of your residence. You may not use a P.O. Box address.

If you live in a rural area or are homeless and do not have a street address or a permanent residence,   print out and complete this Voter Registration Application , use the map on the printed form to show where you live or spend most of your time, and mail it to your county voter registration office.








State:
PA






Your Mailing Address:









Identification:

The Department of State will mail a signature capture letter for you to sign and return when identification for options one and two is not provided or fails validation, the electronic signature fails to meet minimum quality standards, or you are unable to provide an electronic signature.

Option 1.

Option 2.

Option 3.

Signature (optional, but not including the signature will delay processing of your application):



Political Party:

To vote in a primary, you must register with either the Democratic or Republican party.

Please select a political party




Voting Assistance:

(Optional) If you require assistance with voting, please complete this section.

Do you require help to vote?


Changed Voting Information:

SKIP if this information has not changed or if this is the first time you are registering to vote.
For change of address, include street, city, zip code, and county of your previous address.
NOTE: If you have recently moved to Pennsylvania from another state, you must submit a new application rather than a change of address.











Previous State:
PA






Declaration:


PENALTY FOR FALSIFYING DECLARATION

WARNING: If a person signs an official registration application knowing a statement declared in the application to be false, makes a false registration, or furnishes false information, the person commits perjury. Perjury is punishable, upon conviction, by a term of imprisonment not exceeding seven years, or a fine not exceeding $15,000, or both, at the discretion of the court. Submitting an application containing false information may also subject a person to other penalties, including loss of the right of suffrage, under state or federal law.

Help with this Form:

If you assisted in the completion of this application, please enter the following information.





Be a Poll Worker:

(Optional) If you select 'Yes' for either of these statements, your county voter registration office will contact you.

I would like to be a poll worker on Election Day
I would like to be a bilingual interpreter on Election Day