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 LA?
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 Louisiana driver's license number if issued. If not issued, you must provide at least the last four digits of your Social Security number. If you do not have a driver's license or a Social Security number, please enter "NONE" and the state will assign you an identification number.
Enter your birthdate in MM/DD/YYYY format.
Enter a phone number in xxx-xxx-xxxx format.
If you do not list a party affiliation, you cannot vote in the Presidential Preference Primary and party committee elections. Political party affiliation is not required for any other election.
The state of Louisiana requests information about your race or ethnicity. Your application will not be rejected if you fail to provide this information.

Survey Questions (optional)

Optional
Optional