Voter Registration; Voter Registration Form.

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  2. New Hampshire Revised Statutes
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  4. Voters and Checklists
  5. Voter Registration; Voter Registration Form.

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___ NEW REGISTRATION I am not registered to vote in New Hampshire
___ TRANSFER I am registered to vote in New Hampshire and have moved my voting domicile to a new town or ward in New Hampshire
___ NAME CHANGE/ADDRESS UPDATE I am registered to vote in this town/ward and have changed my name/address
 Date ____________________ 
VOTER REGISTRATION FORM
(Please print or type) 
1. Name 
Last (suffix) First Full Middle Name 
2. Domicile Address 
Street Ward Number 
 
Town or City Zip Code 
3. Mailing Address if different than in 2 
Street 
 
Town or City Zip Code 
4. Place and Date of Birth 
 Town or City State 
Date____________________ 
5. Are you a citizen of the United States? Yes _____ No _____ 
If a naturalized citizen, give name of court where and date when naturalized 
 
6. Place last registered to vote 
 Street Ward Number 
I am not currently registered to vote elsewhere (initial here __________), or I request that my name be removed as a registered voter in ______________________________ (fill in your address where previously registered, street, city/town, state, and zip code)
7. Name under which previously registered, if different from above 
 
8. Party Affiliation (if any) 
9. Driver's License Number _________________________State







that I have read and understand the above qualifications
 
Date Signature of Applicant 
 



___ NEW REGISTRATION I am not registered to vote in New Hampshire
___ TRANSFER I am registered to vote in New Hampshire and have moved my voting domicile to a new town or ward in New Hampshire
___ NAME CHANGE/ADDRESS UPDATE I am registered to vote in this town/ward and have changed my name/address
Date registration form is submitted _______________
Date applicant moved to the address listed below as the voter's domicile __________
VOTER REGISTRATION FORM
FOR USE STARTING 30 DAYS BEFORE AN ELECTION AND AT THE POLLING PLACE ON ELECTION DAY
(Please print or type)
1. Name 
Last (suffix) First Full Middle Name 
2. Domicile Address 
 Street Ward Number 
 
Town or City Zip Code 
3. Mailing Address if different than in 2 
 Street 
 
Town or City Zip Code 
4. Place and Date of Birth 
 Town or City State 
Date____________________ 
5. Are you a citizen of the United States? Yes _____ No _____ 
If a naturalized citizen, give name of court where and date when naturalized 
6. Place last registered to vote 
 Street Ward Number 
I am not currently registered to vote elsewhere (initial here __________), or I request that my name be removed as a registered voter in ______________________________ (fill in your address where previously registered, street, city/town, state, and zip code)
7. Name under which previously registered, if different from above 
 
8. Party Affiliation (if any) 
9. Driver's License Number _________________________State













that I have read and understand the above qualifications
 
Date Signature of Applicant 
 



Identity yes/no _____ 
(initials) 
Citizenship yes/no _____ 
(initials) 
Age yes/no _____ 
(initials) 
 
Applicant Election Official 
 
Notary Public/Justice of the Peace/Official Authorized by RSA 659:30
 





















Name 
Last (suffix) First Full Middle Name 
Domicile Address 
Street Ward Number 
 
Town or City Zip Code 
 
Date Signature of Applicant 
 


 
Date Signature of Clerk

Source. 1979, 436:1; 373:1. 1983, 475:1. 1990, 119:1. 1998, 194:2. 2003, 289:25. 2007, 10:1. 2012, 285:2. 2014, 260:1, eff. July 28, 2014. 2016, 185:1, eff. Aug. 2, 2016; 190:1, eff. Aug. 2, 2016. 2017, 205:2, eff. Sept. 8, 2017.


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