Jason M. Gant

Secretary of State

Agency Voter Registration Material

This web page is designed specifically for the voter registration instructions and voter registration form that is used by an agency which provides food stamps; temporary assistance for needy families (TANF); the women, infants, and children nutrition program (WIC); or assistance to the disabled as provided by the Department of Human Services.

This page will be updated every time there is a statute or administrative rule change that affects the voter registration instructions and/or voter registration form that these agencies use.

The declination form and instructions provided with each voter registration used by one of these agencies must be in one of the following forms listed below.

Agencies that provide food stamps; temporary assistance for needy families (TANF); the women, infants, and children nutrition program (WIC) please click here for the agency voter registration instructions and form.

Agencies that provide assistance to the disabled as provided by the Department of Human Services please click here for your agency voter registration instructions and form.

If you have any questions regarding the agency voter registration instructions or the agency voter registration form please contact the election division by email or telephone at 605-773-3537.