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 WI?
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.
If you have been issued and have a current and valid WI driver's license or WI DOT-issued identification card (ID), you must provide the number. If you have been issued a WI driver's license, which is revoked, suspended, or expired, please provide the number and the last 4 digits of your social security number. If you have not been issued a WI driver's license or a WI DOT-issued ID, you must provide the last 4 digits of your social security number. If you do not have a WI driver's license, a WI DOT-issued ID or a social security number, indicate that fact by filling in the appropriate circle.
Enter your birthdate in MM/DD/YYYY format.
Enter a phone number in xxx-xxx-xxxx format.
You are not required to designate your party affiliation to register to vote in Wisconsin.
The state of Wisconsin 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