Voter Registration Form
Please fill out the information below and click the Print Form button.
The form will need to be printed, signed and mailed to the County Clerk's office.

I understand that if I register to vote using the Illinois mail-in Voter Registration form, I MUST vote in person the first time at my assigned Election Day voting site, any early voting location, or the Lake County Clerk’s office unless I provide an approved form of identification with this application.  

 


Required fields are indicated in bold.
Are you a Citizen of the United States of America?
   
Will you be 18 years of age on or before Election Day  (November 3, 2020)?
   
       
First Name      
Middle Initial    
Last Name      
Suffix    
Former Name (if changed)
An email address or phone number is required:
Contact Email   A confirmation email will be sent to your email if you provide an email address.
Telephone Number
Current Address  
House Number  
Street Direction
Street Name  
Apt/Unit/Lot
City/Village/Town  
Zip/Postal Code  
Current Mailing Address  (if different than Current Address)
House Number
Street Direction
Street Name
City/Village/Town
Zip/Postal Code

Former Registration Address
City/Village/Town
State
Zip/Postal Code
Former County
Date of Birth    
Sex  
IL Driver's License or State ID Number:  
Last 4 digits of SSN