ACCEPTAB LE PROOF OF RESIDENCE DOCUMENTS All Wisconsin voters must provide proof of residence when registering to vote
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Page 1 ACCEPTAB LE PROOF OF RESIDENCE DOCUMENTS All Wisconsin voters must provide proof of residence when registering to vote. Any document used as a proof of residence MUST include: x Your current and complete name x Your current and complete residential address x A visible account or document number (if applicable) AND must be from one of the following proof of residence document types: x $FXUUHQWDQGYDOLG:LVFRQVLQGULYHUVOLFHQVH Example: $FXUUHQWQRWH[SLUHGGULYHUVOLFHQVHWKDWGLVSOD\VWKHYRWHUVFXUUHQWDGGUHVV x A current and valid Wisconsin identificatio n card. Example $6WDWH,'WKDWGLVSOD\VWKHYRWHUVFXUUHQWDGGUHVV x Any other official identification card or license issued by a Wisconsin governmental body or unit. Examples: A DNR issued fishing license, a motor vehicle registration, conceal carry license. x Any identification card issued by an employer in the normal course of business and bearing a photo of the card holder, but not including a business card. Example: A workpl ace photo ID that includes the employee name and residential address. x A real estate tax bill or receipt for the current year or the year preceding the date of the election. Example: A City of Milwaukee tax bill, or paid receipt, for this year or last year x A gas, electric or telephone service (include cellular) statement (utility bill) for the period commencing not earlier than 90 days before registration date. Examples: A WE Energies gas/electric bill, a cell phone bill, a cable or internet service bill. x A bank statement or paycheck Example: A bank statement with a visible account number and residential address. A paycheck when it is an actual check or a record of direct deposit. A check stub. Please note that credit card statements and mortgage statem ents are not valid documents. x A check or other document /official correspondence issued by a unit of government. Examples: Medicare notices, SSI notices, public high school , state university and technical college correspondence (letter from MPS, UW Milwaukee, etc.) , Wisconsin Works documentation, billing statements and collection notices from a governmental entity, etc. x A residential lease which is effective for a period that includes registration date (cannot be used if regist ering by mail) x An identification card (must include photo) issued by a university, college, or technical college ONLY if the voter provides a fee receipt dated within the last 9 months or the institution provides a certified housing list to the municipal clerk. Example: A Marquette student ID and DFRS\RIWXLWLRQUHFHLSWIURPWKH%XUVDUVRIILFH ***Please note: you are able to redact (black out) private information such as account balances or transactions on your proof of residence document. However, the last 4 digits of your account number (if applicable) , name, and address must remain visible. Page 3 By marking this circle, I certify that I am a qualified elector: I am a United States citizen I will be at least 18 years old on the day of or before the next election I am not currently serving a sentence, including probation, parole, or extended supervision, for a felony conviction I will have lived at my address for at least 28 consecutive days before the next election with no present intent to move I am not otherwise disqualified from voting If you do not meet EACH of these qualifications, you are not qualified to register. Do NOT complete this form. Please Select: New WI Voter Address Change Name Change If you have never been issued a WI driver license or WI DOT-issued ID, you MUST provide the last four digits of your Social Security number (SSN). Date of Birth (Month/Date/Year): ___ ___ / ___ ___ / ___ ___ ___ ___ WDL OR ID #: ___ ___ ___ ___- ___ ___ ___ ___-___ ___ ___ ___-___ ___ Expiration Date: ______/______/______ SSN: XXX - XX - ___ ___ ___ ___ Check this circle if you have never been issued a WI Driver's License, WI ID or a Social Security Number. PRINT your name EXACTLY as it appears on your identification - WDL/ID or the last four digits of your SSN: Last Name: Circle: Jr., Sr., II, III, IV First Name: Middle Name/Initial: Address: Apt./Unit Number: City of Milwaukee, WI Zip Code: Email Address: Phone Number: ( ) A postcard verifying your residency will be mailed to the address above unless you maintain and provide a separate mailing address. Mailing Address (if different): Apt./Unit Number: City: State: Zip Code: Previous Information Last Name: First Name: Middle: Address: Apt./Unit Number: City: State: Zip Code: __________________________________________________ _______________________________ VOTER SIGNATURE Date (Month/Day/Year) Falsification of information on this form is punishable under WI law as a Class I felony. I would like information on serving as a City of Milwaukee election worker. 1.) Circle POR Type: WDL DOTID GOVID EMPID LSE TAX UTIL BNK/PYCK GOVDOC FEE/STU ID 2.) Issuing Entity (AT&T, DMV, US Bank, Medicare, etc.): 3.) Document Number (last 4 #s if more than 6 digits; last 2 #s if less than or equal to 6 digits): 4.) SRD Name: Official (SRD) Signature: SRD ID #: 2013 - Voter unable to sign form. Assistant Signature: Assistant Address: OFFICE USE ONLY District: _____ Ward: _____ NV____ AC____ NC____ DUP____ Confidential Voter ID# __ __ __ __ __ - __ __ __ SVRS ID# ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Init / Date: ___________ 414-286-3491 CITY OF MILWAUKEE ELECTION COMMISSION VOTER REGISTRATION APPLICATION IDENTIFICATION Last revised 7/16/2014 MAILING CURRENT FOR OFFICE OR SPECIAL REGISTRATION DEPUTY USE ONLY PREVIOUS ***If registering by mail, please include a copy of your proof of residence document with your application.*** If you have been issued a WI driver license or WI DOT-issued ID that is current and valid , you MUST provide the number and expiration date. If you are unsure of the number, please call DMV at (608) 266-2353. If you have been issued a WI driver license that is currently revoked, suspended or expired; or have been issued a WI DOT-issued ID that is expired, you MUST provide the last 4 digits of your Social Security number (SSN). WDL or ID number is optional. SRD or Clerk should complete ALL FOUR (1-4) Lines Return completed forms to: City of Milwaukee Election Commission 200 E. Wells St., Room 501 Milwaukee, WI 53202