DOCC Mobile Voter Registration Form
Thank you for your interest in voting!

Please fill out the information below and a Volunteer Deputy Registrar will contact you to register you to vote. We can visit you at your residence, your place of work, or anywhere else that is convenient to you. We are happy to come and register just you, but we can also register your family members, friends, and co-workers if they are interested.

Please fill out the form below and we will reach out to determine a time to get you registered to vote.
Sign in to Google to save your progress. Learn more
Full Name *
Email *
Phone number
Address *
Zip Code
County of Residence
Are you a U.S. Citizen?
Clear selection
You must be at least 17 years and 10 months of age on the date you apply to register to vote. Are you 17 yrs and 10 months of age?
Clear selection
What is the best way to reach you? *
What is the best time of the day to reach you? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy