Agency-based Voter Registration Forms

  1. Click/tap on form below to display.
  2. You may type your return address on page 2 before printing.

Tip

If you cannot print the forms, you may request forms be mailed to you by contacting Voter Registration Customer Service.

ALTSA (Aging and Long-Term Support Administration)

CSD (Community Services Division)

DDA (Developmental Disabilities Administration)

DOH (Dept of Health)

DSB (Department of Services for the Blind)

DVR (Division of Vocational Rehabilitation)

HCA (Health Care Authority)