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 IA?
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 Iowa driver's license number or non-driver identification number. If you do not have either of those, please provide the last four digits of your Social Security number. If you do not have a driver's license, identification card, or Social Security number, please enter "NONE" and an identification number will be assigned to you by the state.
Enter your birthdate in MM/DD/YYYY format.
Enter a phone number in xxx-xxx-xxxx format.
You may, but do not have to, register with a party in advance if you want to take part in that party's primary election. To participate in a primary election or caucus, you must be registered with a party. You may change or declare a party affiliation at the polls on primary election day or at the caucus location.
The state of Iowa does not request information about your race or ethnicity. However, Rock the Vote would appreciate this information in order to measure the effectiveness of our voter registration efforts. This information will NOT appear on your printed voter registration form.

Survey Questions (optional)

Optional
Optional