ALASKA - Online Voter Registration

Minimum Requirements (Please verify that you are eligible to register to vote in Alaska by checking all of the statements below)

Yes No I am a citizen of the United States.

Yes No I am at least 18 years old or will be within 90 days of completing this application.

You must meet the minimum eligibility requirements prior to registering.

Completing all of the required fields will auto-fill and print your application on the last screen. If, however, you prefer to print a blank State of Alaska Application for Voter Registration, Click HERE now.

Enter Personal Information

Last Name:*

First Name:*

Middle Initial:

Suffix:

Last 4 SSN:*

Date of Birth:*

Former Name:

Consent to Use Signature

To register to vote online, the Alaska Division of Motor Vehicles must send the Division of Elections an electronic copy of the signature from my driver’s license or state identification card. I consent to the use of my DMV signature to register to vote.

Consent

Decline

Residence Address

Street Address:*
City:*
	Keep My Residence Address Confidential. (If checked you Must provide mailing address.)

Mailing Address Overseas Mailing Address

Mailing Address 1:	Mailing Address 2:	Mailing Address 3:
City: City:	State: Country:
Zip:

General Information

Poltical Affiliation:

Gender:

Male Female

I am interested in serving as an election worker.
Provide your phone number and/or email address below.

Daytime Phone Number:

Evening Phone Number:

E-mail Address:

I am a disabled voter and would like information on alternative voting methods.

I am registered to vote in another state. Please cancel my registration in:

City:

County:

State:

Zip:

(If the information is not complete or you feel you need to revise something, hit the back button.)
Personal Information
Name:		Residence Address:
Date of Birth:		Mailing Address:
AK DL #/State ID #:		Election Worker:
Party:		E-mail Address:
Gender:		Daytime Phone:
SSN:		Evening Phone:

State Cancellation
City:		County:
State:		Zip Code:


Voter Certificate. Read: I certify, under penalty of perjury, that the above information I provided on this document is true and correct. I am not registered to vote in another state, or I have provided information to cancel that registration. I further certify that I am a resident of Alaska and I have not been convicted of a felony involving moral turpitude, or having been so convicted, have been unconditionally discharged from incarceration, probation and/or parole.
Warning: If you provide false information on this application you can be convicted of a misdemeanor AS 15.56.050.
Please check the details if you have read and understand the statements and requirements for voter registration in the State of Alaska.

Summary of Registration

Note:

Print and sign the application.
You are not officially registered to vote until this application is approved.

Submit the signed application to the Division of Elections - contact information can be found on the instruction page of the application.
You should receive a voter card in the mail. If you do not receive acknowledgement within two to four weeks, please contact the Division of Elections.

If you have any questions, please contact the Division of Elections.

Personal Information
Name:		Residence Address:
Date of Birth:		Mailing Address:
AK DL #/State ID #:		Election Worker:
Party:		E-mail Address:
Gender:		Daytime Phone:
SSN:		Evening Phone: