Texas Voter Registration Information

If you have any questions about how to fill out this application, please call your local voter registrar.
These Questions Must Be Completed Before Proceeding (check one)
 
Are you a United States Citizen?
Will you be 18 years of age on or before election day?

 
If you checked "No" in response to either of the above, do not complete this form.
Are you interested in serving as an election worker?

Personal Information
   
Residence Address Information
 
State TEXAS
County TRAVIS
   

Mailing Address Information

City and County of Former Residence in Texas

Date of Birth
Gender (optional)
   
If no Texas Driver's License or Personal Identification, give last 4 digits of your Social Security Number
I have not been issued a Texas Driver's License/Personal Identification Number or Social Security Number
 
Confirmation I understand that giving false information to procure a voter registration is perjury, and a crime under state and federal law. Conviction of this crime may result in imprisonment up to 180 days, a fine up to $2,000, or both. Please read all three statements to affirm before signing.
  • I am a resident of this county and a U.S. Citizen
  • I have not been finally convicted of a felony, or if a felon, I have completed all of my punishment including any term of incarceration, parole, supervision, period of probation, or I have been pardoned; and
  • I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote.