Customize Alaska C03

Fill Out Your Alaska C03 Form

The Alaska C03 form is the official Voter Registration Application for residents of Alaska. This form is essential for anyone looking to register to vote, ensuring that you meet the necessary criteria of being a U.S. citizen, a resident of Alaska, and at least 18 years old or turning 18 within 90 days. To get started, fill out the form by clicking the button below.

Alaska C03 Sample

STATE OF ALASKA VOTER REGISTRATION APPLICATION

Refer to instructions on the reverse side for specific information and identification requirements.

Please print clearly in blue or black ink.

1.You MUST complete this section for registration.

 Yes	 No	I am a citizen of the United States.
 Yes	 No	I am at least 18 years old or will be within 90 days of completing this application.

If you checked NO to either question, do not complete this form as you are not eligible to register to vote.

2. Last Name

First Name

Middle Initial Suffix (Sr., Jr., etc.)

3.Former Name: (If your name has changed)

4.You MUST provide the Alaska residence address where you claim residency. Do not use PO, PSC, HC or RR.

			ALASKA
House # Street Name	Apt #	City	State

* Keep my residence address confidential. (Your mailing address in section 5 must be DIFFERENT from your residence address in section 4 to remain confidential.)

Mailing Address:

10.

 I am a voter with a disability and would like

information on alternative voting methods.

11.  I am interested in serving as an election official.

(Provide your phone number and/or email address in section 12.)

12.

Daytime Phone No.

Evening Phone No.

Email Address

13. Political Affiliation For information on political

types see reverse No. 5.

You MUST provide at least ONE

*Social Security No.

Select only ONE Below

Political Parties:

*Last 4 Digits of Social Security No.

 Alaska Democratic Party

*Alaska Driver’s License No.

 Alaska Libertarian Party

*Alaska State ID Card No.

 Alaska Republican Party

 Alaskan Independence Party

 I have not been issued a Social Security, Alaska

Political Groups:

Driver’s License or State ID number.

 Green Party of Alaska

You MUST provide

 Alaska Constitution Party

*Date of Birth

 Veterans Party of Alaska

Month

Day

Year

Other:

*AK Voter Number

 Nonpartisan (no party affiliation)

(If known)

 Undeclared (no party declared)

 _________________________________

Sex  Male  Female

14.If you are registered to vote in another state, you MUST cancel that registration by providing the following:

City:		State:		County:		Zip Code:

Voter Certificate. Read and Sign: I certify, under penalty of perjury, that the above information I provided on this document is true and correct. I am not registered to vote in another state, or I have provided information to cancel that registration. I further certify that I am a resident of Alaska and I have not been convicted of a felony, or having been so convicted, have been unconditionally discharged from incarceration, probation and/or parole.

WARNING: If you provide false information on this application you can be convicted of a misdemeanor AS 15.56.050.

*SIGNATURE:DATE:

Registrar/Agency/Official – Check ID and complete this section

Registrar Name

Voter # or SSN

Agency Name

For Office Use Only

D/P

*Items are kept confidential by the Division of Elections and are not available for public inspection except that confidential addresses may be released to government agencies or during election processes as set out in state law.

C03 (Rev. 05/28/2014)

State of Alaska

Division of Elections

Voter Registration Application

To register to vote in Alaska you must be a U.S. Citizen, a resident of Alaska, and at least 18 years old or will be 18 years old within 90 days of completing this application.

Initial registration or registration changes must be made at least 30 days prior to an election. Once your application is processed, a notice will be mailed to you within 3 to 4 weeks.

1.When Completing This Application You MUST Provide:

Alaska Residence Address Where You Claim Residency – A complete physical residence address must be included on your application. The residence address you provide will be used to assign your voter record to a voting district and precinct. Your application will not be processed if you leave the residence address blank or if you provide a PO Box, HC No. and Box, PSC Box, Rural Route No., Commercial Address or Mail Stop Address on Line 4 of the application.

If your residence has been assigned a street number, provide that number. If not, indicate exactly where you live such as, highway name and milepost number, boat harbor, pier and slip number, subdivision name with lot and block or trailer park name and space number. If you live in a rural village in Alaska, you may provide the community name as your residence address.

If you have a different mailing address than your residence address, you may choose to keep your residence address confidential. Confidential addresses are not released to the general public, but may be released to government agencies or during election processes as set out in state law.

Are you temporarily out of State? If so, and you have intent to return (active military and military spouses are exempt from intent requirements), you may maintain your Alaska residence as it appears on your current record. If you provide a new residence address, it must be within Alaska.

Proof of Identity – Your identity must be verified. If you have been issued a Social Security number, Alaska

Driver’s License, or Alaska State ID card, you MUST provide at least one number on Line 6 of the application. If you have never been issued one of the identification numbers, please indicate so by checking the box on Line 6.

Date of Birth – You MUST provide your date of birth.

2.Are you submitting this application by mail, by fax, or email? If so, and if you are not already registered to vote in Alaska, your identity must be verified either at the time you register or the first time you vote. If you

would like to ensure that your identity is verified at the time you register, submit a copy of one of the below:

	Current and valid photo identification	 Passport		Birth certificate
	Driver’s license	 State identification card		Hunting and Fishing license

3.Are you registering from outside the State of Alaska? If so, you must provide proof of Alaska residency, such as a copy of your Alaska driver's license, Alaska hunting or fishing license, student loan or college tuition documents showing Alaska as state of residence, proof of employment in Alaska, military leave and earnings statement that identifies Alaska as the state of legal residence or other documentation that supports your claim as an Alaska resident. If you do not provide proof of Alaska residency, your application will not be processed.

4.Have you been convicted of a felony? If so, you may register to vote only if you have been unconditionally discharged. Provide a copy of your discharge papers with this application if available.

5.Political Affiliation. Those parties that have gained recognized political party status under Alaska Statutes 15.60.010(25) are listed under Political Parties. Those groups that have applied for party status but have not met the qualifications to be a recognized political party under Alaska Statutes 15.60.010(25) are listed under Political Groups. Under Other, nonpartisan means you are not affiliated with any recognized political party or group and undeclared means you do not wish to declare a political affiliation. If you do not check a political affiliation, you will be registered as undeclared unless you are already registered under an affiliation.

Mail, fax or email (as a pdf, tiff or jpg attachment) your completed application to one of the offices below:

Visit our website at: www.elections.alaska.gov

Region I Elections Office	Region II Elections Office		Region III Elections	Region IV Elections Office
PO Box 110018	Anchorage Office		Office	PO Box 577
Juneau, AK 99811-0018	2525 Gambell Street Suite 100		675 7th Avenue Suite H3	Nome, AK 99762-0577
(907) 465-3021 –	Anchorage, AK 99503-2838		Fairbanks, AK 99701-4542	(907) 443-5285 – Telephone
Telephone	(907)	522-8683 – Telephone	(907) 451-2835 – Telephone	(907) 443-2973 – Fax
(907) 465-2289 – Fax	(907)	522-2341 – Fax	(907) 451-2832 – Fax	Toll Free 1-866-953-8683
Toll Free 1-866-948-8683	Toll Free 1-866-958-8683		Toll Free 1-866-959-8683	Region IV Email:
Region I Email:	Region II Email:		Region III Email:	electionsr4@alaska.gov
electionsr1@alaska.gov	electionsr2a@alaska.gov		electionsr3@alaska.gov	Yup’ik Language Assistance
	Matanuska-Susitna Office			Yup’ik Language Assistance
	North Fork Professional Building			Toll Free 1-866-954-8683
	1700 E. Bogard Road, Suite B102
	Wasilla, AK 99654-6565
	(907)	373-8952 – Telephone
	(907)	373-8953 – Fax

Common mistakes

Failing to confirm eligibility: Applicants often overlook the requirement to be a U.S. citizen and at least 18 years old or turning 18 within 90 days. If either condition is not met, the form should not be completed.
Incorrectly providing the residence address: Many individuals mistakenly use a P.O. Box or other non-physical addresses instead of a complete Alaska residence address. This will lead to application rejection.
Leaving required fields blank: Omitting essential information, such as the Social Security number or date of birth, results in incomplete applications that cannot be processed.
Not checking the political affiliation: Some applicants forget to select a political party or indicate that they are undeclared. This oversight can lead to being registered as undeclared, which may not align with their preferences.
Failing to provide proof of identity: If an applicant has a Social Security number, Alaska Driver’s License, or State ID, they must include at least one. Not doing so will delay the application.
Not including a mailing address: Applicants sometimes neglect to fill out the mailing address section, which is crucial for receiving further information about their registration status.
Ignoring the confidentiality option: If individuals wish to keep their residence address confidential, they must check the appropriate box and ensure their mailing address differs from their residence address.
Submitting without verifying residency: Applicants registering from outside Alaska must provide proof of residency. Failure to do so will result in application rejection.
Not signing the application: Some individuals forget to sign and date the application, which is a critical step in certifying the accuracy of the provided information.

Detailed Steps for Filling Out Alaska C03

After completing the Alaska C03 form, it is essential to submit it to the appropriate elections office. Once processed, you will receive a notice confirming your registration within 3 to 4 weeks. Ensure that all information is accurate to avoid any delays in your voter registration.

Confirm Eligibility: Ensure you are a U.S. citizen, at least 18 years old or will be within 90 days, and a resident of Alaska.
Section 1: Answer the questions regarding your citizenship and age by checking "Yes" or "No." If you answer "No" to either, do not proceed with the form.
Section 2: Fill in your last name, first name, middle initial, and any suffix (like Sr. or Jr.).
Section 3: Provide your former name if applicable.
Section 4: Enter your Alaska residence address. Avoid using PO Boxes or similar addresses. If you wish to keep your address confidential, check the appropriate box.
Section 5: Provide your mailing address, which must differ from your residence address if you are keeping it confidential.
Section 6: Select and provide at least one identification number: Social Security number, Alaska Driver’s License number, or Alaska State ID number.
Section 7: Fill in your date of birth in the specified format (Month/Day/Year).
Section 8: If you have an AK Voter Number, include it here.
Section 9: Indicate your sex by checking either "Male" or "Female."
Section 10: If applicable, indicate if you are a voter with a disability and would like information on alternative voting methods.
Section 11: Indicate your interest in serving as an election official, providing your contact information in Section 12.
Section 12: Fill in your daytime phone number, evening phone number, and email address.
Section 13: Choose your political affiliation from the options provided or indicate if you prefer not to declare.
Section 14: If registered to vote in another state, provide the necessary cancellation information.
Signature: Sign and date the application to certify that the information is accurate and complete.

Dos and Don'ts

When filling out the Alaska C03 form, it is essential to follow specific guidelines to ensure your application is processed smoothly. Below is a list of things you should and shouldn't do:

Do complete all required sections of the form accurately.
Do provide a physical residence address; avoid using P.O. Boxes or similar addresses.
Do ensure that your mailing address differs from your residence address if you wish to keep it confidential.
Do include your Social Security number, Alaska Driver’s License number, or Alaska State ID number.
Do provide your date of birth in the required format.
Do sign and date the application to certify the information is true.
Don't leave any required fields blank, as this may delay your application.
Don't submit the application without verifying your identity if registering by mail or fax.
Don't forget to provide proof of Alaska residency if registering from outside the state.
Don't provide false information, as this can lead to legal consequences.

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