- (670) 235-8683/8682/8685
- cec@votecnmi.gov.mp
- Mon - Fri - 8:00AM - 4:00PM
Affidavit of Voter Registration
Commonwealth Election Commission · CNMI
1
Island &
Eligibility
Eligibility
2
Personal
Info
Info
3
Reg.
History
History
4
Question-
naire
naire
5
Signature
6
Review &
Download
Download
Island of Residence
Eligibility Affirmations
You must answer Yes to all three statements to be eligible.
a. I am a citizen or national of the United States of America.
If No, do not continue completing this form.
b. I am at least 18 years of age by the date of the election.
If No, do not continue completing this form.
c. I am a resident of the CNMI for at least 120 days prior to the election and the CNMI is my legal residence.
Please print clearly. All fields marked * are required.
Identity
4. Full Legal Name
5. Physical Residence Address — CNMI
P.O. Box or General Delivery is not acceptable.
6. Mailing Address — CNMI
Street address, P.O. Box, or General Delivery accepted.
Additional Fields
10. Previous Registration Name
Complete only if you registered before under a different name.
11. Registered in Another U.S. Jurisdiction?
I hereby authorize cancellation of my previous voter registration.
14. Previous Voter Registration Cancellation
This portion must be completed.
This questionnaire is required for the Election Commission to determine your eligibility to vote in Commonwealth elections.
5. Reason of Absence
6. Last Visit to the CNMI
7. Employment in the US
8. & 9. Dependents
10. Previous CNMI Voter Registration
11. & 12. CNMI Driver's License
13. CNMI Tax Filing
14. & 15. Residency Intent & Permanent Home
Important: The Commission is required by law to compare signatures across all submitted forms. Please sign consistently. By signing you affirm all information is true and correct.
Applicant Signature
Warning: A person who signs an affidavit of registration knowing that they do not qualify to vote, or who knowingly registers with intent to vote more than once, or who registers in an election district in which they do not reside, may be fined not more than $2,000 or imprisoned for not more than 2 years. — 1 CMC § 6704
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Submission Instructions:
Mail your completed Affidavit of Voter Registration Application, Affidavit Questionnaire, and a copy of your picture identification to:
Commonwealth Election Commission
P.O. Box 500470 · Saipan, MP 96950-0470
Facsimile or other electronic means will not be accepted.
Mail your completed Affidavit of Voter Registration Application, Affidavit Questionnaire, and a copy of your picture identification to:
Commonwealth Election Commission
P.O. Box 500470 · Saipan, MP 96950-0470
Facsimile or other electronic means will not be accepted.
P.O. Box 500470
Saipan, MP 96950-0470
cec@votecnmi.gov.mp
(670) 235-VOTE (8683)
(670) 235-8682
(670) 235-8685
(670) 664-8689 (fax)