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1 forms found in the DOM

POST /Registration/DmvLookup

<form action="/Registration/DmvLookup" method="post" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden" value="6IMtRASr8_E8YFkJf6d1ODwkyiqj6RuFHxm2ZlzeDJujiXRlj_MF3BqNy8yG0RXUranztGFcjmoAkEeHuuP6kQ2"
    autocomplete="off"><input id="PreviousAction" name="PreviousAction" type="hidden" value="Index" autocomplete="off"><input id="PreviousActionParams" name="PreviousActionParams" type="hidden" value="" autocomplete="off">
  <fieldset>
    <h1 class="legend">What are the Requirements to Register Online?</h1>
    <ul>
      <li>Have a valid Virginia DMV driver's license or state ID card.</li>
      <li>Be a citizen of the United States.</li>
      <li>Be a resident of Virginia.</li>
      <li>Be 18 years old on or before the next general election<br>(if you are 17, you can still register and vote in elections if you will be 18 on or before the next general election).</li>
      <li>Be qualified to preregister to vote by being at least 16 years old but not 18 years of age on or before the day of the next general election.<br>(Please note that preregistered individuals are not entitled to vote.)</li>
      <li>Not currently convicted of a felony or judged as mentally incapacitated and disqualified to vote.</li>
    </ul>
    <p>To begin your voter registration application, please enter the following information:</p>
    <legend class="hidden-alt-text">Voter Information</legend>
    <div class="formRow">
      <div class="fieldLabelSet mediumFieldLabelSet">
        <label class="headerlabel" for="DmvLookupModel_DmvNumber">Virginia Driver's license or state ID<span class="alert">*</span></label>
        <input class="text-box single-line" data-val="true" data-val-length="The field Virginia Driver's license or state ID must be a string with a maximum length of 9." data-val-length-max="9" data-val-regex="Please enter DMV ID # with no dashes"
          data-val-regex-pattern="^([a-z]|[A-Z]){1}\d{8}$" data-val-requirediffalse="Virginia Driver's license or State ID is required." data-val-requirediffalse-otherfield="DoNotHaveLicense" id="DmvLookupModel_DmvNumber"
          name="DmvLookupModel.DmvNumber" type="text" value="" maxlength="9" autocomplete="off">
        <div class="fieldErrorMessage">
          <span class="field-validation-valid" data-valmsg-for="DmvLookupModel.DmvNumber" data-valmsg-replace="true"></span>
        </div>
      </div>
      <div class="checkBoxlist largeFieldLabelSet verticalalign disableText">
        <input class="check-box" id="DmvLookupModel_DoNotHaveLicense" name="DmvLookupModel.DoNotHaveLicense" type="checkbox" value="true" autocomplete="off"><input name="DmvLookupModel.DoNotHaveLicense" type="hidden" value="false" autocomplete="off">
        <label for="DmvLookupModel_DoNotHaveLicense">I do not have a Virginia Driver's license or state ID.</label>
        <div class="fieldErrorMessage">
          <span class="field-validation-valid" data-valmsg-for="DmvLookupModel.DoNotHaveLicense" data-valmsg-replace="true"></span>
        </div>
      </div>
    </div>
    <div class="formRow">
      <div class="fieldLabelSet mediumFieldLabelSet disable_Identity_DoesNotHaveSocialSecurityNumber Identity_DoesNotHaveSocialSecurityNumber">
        <label class="headerlabel" for="DmvLookupModel_SocialSecurityNumber">Social Security Number<span class="alert">*</span></label>
        <input class="text-box single-line" data-val="true" data-val-length="The field Social Security Number must be a string with a maximum length of 9." data-val-length-max="9" data-val-regex="Please enter a 9 digit SSN with no dashes"
          data-val-regex-pattern="^\d{9}$" data-val-requirediffalse="Social Security Number is required." data-val-requirediffalse-otherfield="DoesNotHaveSocialSecurityNumber" id="DmvLookupModel_SocialSecurityNumber"
          name="DmvLookupModel.SocialSecurityNumber" type="text" value="" maxlength="9" autocomplete="off">
        <div class="fieldErrorMessageNoBreak">
          <span class="field-validation-valid" data-valmsg-for="DmvLookupModel.SocialSecurityNumber" data-valmsg-replace="true"></span>
        </div>
      </div>
      <div class="checkBoxlist largeFieldLabelSet disableText verticalalign">
        <input class="check-box" id="DmvLookupModel_DoesNotHaveSocialSecurityNumber" name="DmvLookupModel.DoesNotHaveSocialSecurityNumber" type="checkbox" value="true" autocomplete="off"><input name="DmvLookupModel.DoesNotHaveSocialSecurityNumber"
          type="hidden" value="false" autocomplete="off">
        <label for="DmvLookupModel_DoesNotHaveSocialSecurityNumber">No SSN was ever issued.</label>
        <div class="fieldErrorMessage">
          <span class="field-validation-valid" data-valmsg-for="DmvLookupModel.DoesNotHaveSocialSecurityNumber" data-valmsg-replace="true"></span>
        </div>
      </div>
    </div>
    <div class="formRow">
      <div class="fieldLabelSet dateFieldLabelSet">
        <label class="headerlabel" for="DmvLookupModel_DateOfBirth">Date of birth<span class="alert">*</span></label>
        <input class="datepicker hasDatepicker" data-val="true" data-val-date="The field Date of birth must be a date." data-val-requirediffalse="Date of birth is required" data-val-requirediffalse-otherfield="DoesNotHaveSocialSecurityNumber"
          id="DmvLookupModel_DateOfBirth" name="DmvLookupModel.DateOfBirth" type="text" value="" maxlength="10" autocomplete="off" placeholder="mm/dd/yyyy"><img class="ui-datepicker-trigger" src="/Content/images/calendar.png" alt="..."
          title="Select a date">
        <div class="fieldErrorMessage">
          <span class="field-validation-valid" data-valmsg-for="DmvLookupModel.DateOfBirth" data-valmsg-replace="true"></span>
        </div>
      </div>
    </div>
    <div class="subRow">
      <div class="checkBoxlist largeFieldLabelSet">
        <input class="check-box" data-val="true" data-val-requirediffalse="DMV consent status is required." data-val-requirediffalse-otherfield="DoNotHaveLicense" id="DmvLookupModel_HasGivenDmvConsent" name="DmvLookupModel.HasGivenDmvConsent"
          type="checkbox" value="true" autocomplete="off"><input name="DmvLookupModel.HasGivenDmvConsent" type="hidden" value="false" autocomplete="off">
        <label class="headerlabel" for="DmvLookupModel_HasGivenDmvConsent">I consent for my DMV signature to be used to register to vote<span class="alert">*</span></label>
        <div class="fieldErrorMessage">
          <span class="field-validation-valid" data-valmsg-for="DmvLookupModel.HasGivenDmvConsent" data-valmsg-replace="true"></span>
        </div>
      </div>
    </div>
    <div class="subRow">
      <div class="checkBoxlist largeFieldLabelSet">
        <input class="check-box" data-val="true" data-val-mustbetrue="Acknowledgement that you have read the Privacy Act Notice is required." id="DmvLookupModel_HasReadPrivacyActNotice" name="DmvLookupModel.HasReadPrivacyActNotice" type="checkbox"
          value="true" autocomplete="off"><input name="DmvLookupModel.HasReadPrivacyActNotice" type="hidden" value="false" autocomplete="off">
        <label class="headerlabel" for="DmvLookupModel_HasReadPrivacyActNotice">I have read the terms of the Privacy Act Notice<span class="alert">*</span></label>
        <a onclick="StaticPopup($('#privacy-notice-popup'));"><i class="fas fa-question-circle" id="HasReadPrivacyActNoticeLabel" title="Click for more information" style="cursor:pointer"></i></a>
        <div class="fieldErrorMessage">
          <span class="field-validation-valid" data-valmsg-for="DmvLookupModel.HasReadPrivacyActNotice" data-valmsg-replace="true"></span>
        </div>
      </div>
    </div>
    <div class="warning alert">
      <p>
        <strong style="font-size: 12px !important;"> WARNING: INTENTIONALLY VOTING MORE THAN ONCE IN AN ELECTION OR MAKING A MATERIALLY FALSE STATEMENT ON THIS APPLICATION CONSTITUTES THE CRIME OF ELECTION FRAUD, WHICH IS PUNISHABLE UNDER VIRGINIA
          LAW AS A FELONY. VIOLATORS MAY BE SENTENCED UP TO 10 YEARS IN PRISON, OR UP TO 12 MONTHS IN JAIL AND/OR FINED UP TO $2,500. </strong>
      </p>
    </div>
    <div id="privacy-notice-popup" class="pop-up-content" role="dialog" aria-labelledby="h2-dialog-privacyactnotice">
      <button class="pop-up-close-button">×</button>
      <h2 class="modal-h2" id="h2-dialog-privacyactnotice">Privacy Act Notice</h2>
      <h1>Privacy Act Notice</h1>
      <hr style="margin: 20px 0 10px 0; width:100%;">
      <div class="gray-box">
        <p> When registering to vote, Article II, Section 2 of the Constitution of Virginia (1971) requires you to provide your social security number, if you have one. If you do not provide your social security number, your application will be
          denied. Voting officials use the social security number as a unique identifier to ensure that no voter is registered in more than one place. </p>
      </div>
      <div class="gray-box">
        <p> Your application will only be open to inspection by the public if the social security number is removed. Your social security number will appear on reports produced only for official use by voter registration and election officials, for
          jury selection purposes by courts, and all lawful purposes. Your decision to decline to register to vote as well as the office where you submit your application, if you choose to do so, are confidential and will only be used for voter
          registration purposes. </p>
      </div>
    </div>
    <div class="submitButton">
      <button class="saveButton" type="submit">Next</button>
      <a class="buttonLink previousButton" href="/VoterInformation">Previous</a>
      <a class="buttonLink clearButton" href="/Registration/Clear" title="This will clear all your data and reset the form">Reset Form</a>
    </div>
  </fieldset>
  <div id="loading-popup" class="pop-up-content" role="dialog" aria-labelledby="h2-dialog-loading">
    <h2 class="modal-h2" id="h2-dialog-loading">Please wait</h2>
    <div>
      <img src="/Content/images/loading_animated.gif" style="width:32px" alt="Please wait as we validate your information with the Department of Motor Vehicles.">Please wait as we validate your information with the Department of Motor Vehicles.
    </div>
  </div>
</form>

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WHAT ARE THE REQUIREMENTS TO REGISTER ONLINE?

 * Have a valid Virginia DMV driver's license or state ID card.
 * Be a citizen of the United States.
 * Be a resident of Virginia.
 * Be 18 years old on or before the next general election
   (if you are 17, you can still register and vote in elections if you will be
   18 on or before the next general election).
 * Be qualified to preregister to vote by being at least 16 years old but not 18
   years of age on or before the day of the next general election.
   (Please note that preregistered individuals are not entitled to vote.)
 * Not currently convicted of a felony or judged as mentally incapacitated and
   disqualified to vote.

To begin your voter registration application, please enter the following
information:

Voter Information
Virginia Driver's license or state ID*

I do not have a Virginia Driver's license or state ID.

Social Security Number*

No SSN was ever issued.

Date of birth*

I consent for my DMV signature to be used to register to vote*

I have read the terms of the Privacy Act Notice*


WARNING: INTENTIONALLY VOTING MORE THAN ONCE IN AN ELECTION OR MAKING A
MATERIALLY FALSE STATEMENT ON THIS APPLICATION CONSTITUTES THE CRIME OF ELECTION
FRAUD, WHICH IS PUNISHABLE UNDER VIRGINIA LAW AS A FELONY. VIOLATORS MAY BE
SENTENCED UP TO 10 YEARS IN PRISON, OR UP TO 12 MONTHS IN JAIL AND/OR FINED UP
TO $2,500.

×


PRIVACY ACT NOTICE


PRIVACY ACT NOTICE

--------------------------------------------------------------------------------

When registering to vote, Article II, Section 2 of the Constitution of Virginia
(1971) requires you to provide your social security number, if you have one. If
you do not provide your social security number, your application will be denied.
Voting officials use the social security number as a unique identifier to ensure
that no voter is registered in more than one place.

Your application will only be open to inspection by the public if the social
security number is removed. Your social security number will appear on reports
produced only for official use by voter registration and election officials, for
jury selection purposes by courts, and all lawful purposes. Your decision to
decline to register to vote as well as the office where you submit your
application, if you choose to do so, are confidential and will only be used for
voter registration purposes.

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Please wait as we validate your information with the Department of Motor
Vehicles.


©2023 Virginia Department of Elections. All rights reserved - Privacy Policy

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THERE WAS AN ISSUE WHEN ATTEMPTING TO SUBMIT YOUR DATA.

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Please re-enter the missing data and continue your application. If this problem
persists, please try again at a later time.

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