Edit, Download, and Sign the Mississippi Mail-In and NVRA Voter Registration Application
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How do I fill this out?
To fill out this application, begin by selecting whether you are registering for the first time or changing your information. Provide accurate personal details, including your name, address, and date of birth. Lastly, ensure all required signatures are included before submission.

How to fill out the Mississippi Mail-In and NVRA Voter Registration Application?
1
Select if this is a new registration or change of information.
2
Provide your personal details accurately.
3
Include identification as required, if applicable.
4
Sign and date the application form.
5
Mail the completed form to your county Circuit Clerk.
Who needs the Mississippi Mail-In and NVRA Voter Registration Application?
1
New residents to Mississippi who need to register.
2
Individuals changing their address or name.
3
Citizens wishing to update their personal information.
4
Those seeking to become Election Day poll workers.
5
Residents who have never registered in their current county.
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Upload the PDF to PrintFriendly.
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What are the instructions for submitting this form?
To submit this form, complete all required fields and ensure your signature is included. Mail the form to your county Circuit Clerk's office at least 30 days before the election. If you have any questions, contact your local office for assistance.
What are the important dates for this form in 2024 and 2025?
In 2024, important dates include the application deadline of October 7 for the November 5 general election. In 2025, keep an eye on local election dates as they may vary by county.

What is the purpose of this form?
The purpose of this form is to enable individuals to register to vote in Mississippi. It also allows voters to update their registration details when they change their address or name. By keeping this information current, citizens can ensure their ability to participate in elections.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Your full name as it appears on your identification.
- 2. Address: Your physical home address where you reside.
- 3. Identification: Mississippi driver's license number or last four digits of Social Security number.
- 4. Date of Birth: Your date of birth to confirm age eligibility.
- 5. Signature: A signature or mark to validate your application.
What happens if I fail to submit this form?
Failing to submit this form will prevent you from registering to vote or updating your voting information. As a result, you may miss the opportunity to participate in upcoming elections.
- Inability to Vote: Without registering, you cannot vote in the upcoming elections.
- Outdated Information: Failure to update may lead to issues when trying to vote.
- Legal Consequences: False registration or failure to register can have legal repercussions.
How do I know when to use this form?

- 1. New Residency: For individuals moving to Mississippi who need to register for the first time.
- 2. Name Change: If you have legally changed your name and need to update your registration.
- 3. Relocation: When you change your residence within the state and need to update your address.
Frequently Asked Questions
How do I use this registration form?
Simply download the form, fill it out completely, and submit it to your county Circuit Clerk.
Is this form only for new voters?
No, this form can also be used by individuals updating their registration details.
What information do I need to provide?
You need to provide your name, address, date of birth, and identification if required.
Can I edit the form online?
Yes, you can easily edit the PDF using our PrintFriendly editor.
How do I submit the completed form?
Mail the completed form to your county Circuit Clerk's office.
What if I don't have a driver's license?
You can use the last four digits of your Social Security number as an alternative.
How long before the election should I submit this form?
Submit your application at least 30 days before the election.
What happens if I fail to register?
You will not be able to vote in the upcoming elections.
Can I register online?
This specific form must be printed and mailed; online registration may not be available.
Is there a fee to register to vote?
No, registering to vote is free.