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Please fill in all of the boxes. When done, please submit and review your application.
Once you accept/confirm the application, you must print and sign it. It will only be valid with a signature and must be mailed or walked into our office.

Travis County Voter Registration
PO Box 149327
Austin, TX 78714-9327

Complete These Questions Before Proceeding
Check One:   New Application  
Are you a United States Citizen?
    Field is required.
Yes No
Will you be 18 years of age on or before election day?
    Field is required.
Yes No
If you checked "no" in response to either of these questions, do not complete this form.
Are you interested in serving as an election worker?
    Field is required.
Yes No
Continue below to complete application.
Last Name
    Field is required.
First Name
    Field is required.
Middle Name (if any)
Former Name
Residence Address: Input a street number and begin typing the street name, then select from the suggestions.
    Invalid Residence Address. Please select a suggestion from the auto-complete box to ensure validity of the address.
Street #
Street Name
Unit/Apt #
Mailing Address: Address, City, State and Zip. If mail cannot be delivered to your residence address.
Same As Above.
Street Address
    Field is required.
    Field is required.
    Field is required.
Date of Birth: month/day/year
 /   / 
    Month is required.
    Day is required.
    Day is required.
Gender (Optional)
Male Female
TX Driver's License No.
If none, give last 4 digits of your Social Security Number
Driver's License:
Check if you do not have a social security or driver's license number
    Please provide an identification number, or check this box.
Telephone Number, Include Area Code
( -
I understand that giving false information to procure a voter registration is perjury, and a crime under state and federal law.

I affirm that I
  • am a resident of this county
  • have not been finally convicted of a felony or if a felon I have completed all of my punishment including any term of incarceration, parol, supervision, period of probation, or I have been pardoned; and
  • have not been declared mentally incompetent by final judgement of court of law.
City and County of Former Residence In Texas
Email (Optional)