Title is required.
Use your full first name. Do not use nicknames or initials.
This field is required.
optional
You must be a U.S. citizen to register

Previous Name

Title is required.
Use your full first name. Do not use nicknames or initials.
This field is required.
optional
Put your home address in these boxes. Do not put your mailing address here if it is different from your home address. Do not use a post office box or rural route without a box number. If you live in a rural area but do not have a street address, or if you have no address, please show where you live using the map on the printed form.
Not in GA?
Enter a valid 5 digit zip code.
If you receive mail at a different address, please enter it here.
Enter a valid 5 digit zip code.
If you have moved since your last registration, enter your previous address.
Enter a valid 5 digit zip code.
You must provide your Georgia driver's license number or state-issued identification number. If you do not have either of those, you must provide the last four digits of your Social Security number. If you do not have any of the requested identification numbers, please enter "NONE" and you will be assigned a unique identification number by the state.
Enter your birthdate in MM/DD/YYYY format.
Enter a phone number in xxx-xxx-xxxx format.
You do not register by political party in Georgia. However, in order to vote in a primary, you must request one particular party's ballot.
Your application will not be rejected if you fail to provide information pertaining to gender and race/ethnicity.

Survey Questions (optional)

Optional
Optional