Department of Elections

Pre-Register to Vote

First name* Last name* Email address Street Address* Apartment City* State* ZIP Code* Date of Birth* Phone Number Politcal Party Preference Submit

Affirmation*

I declare under penalty of perjury under the laws of the State of California that:

• I am a U.S. citizen and a resident of California and at least 16 years old.
• I am not currently serving a state or federal prison term for the conviction of a felony.
• I am not currently found mentally incompetent to vote by a court.
• I understand that it is a crime to intentionally provide incorrect information on this form.
• The information on this form is true and correct.
• I understand that the information I provided will only be used to complete the online voter registration application.
• I confirm that Timothy Tran will help me fill out this form.
• I understand that I may have to show my ID the first time I vote because I did not provide identification on this form.