Voter Registration Application Request
 
Complete and submit the information below and we will mail you a Voter Registration Application. Nevada law requires that you sign your Voter Registration Application; therefore, we cannot accept applications submitted by e-mail or telephone.
 
Full Name:
 
Mailing Address Type:
Address:
City:
State:
Zip Code:
 
If living outside of Clark County,
please select the reason:


 
Daytime Telephone Number: (Optional)
E-mail Address: (Optional)