ACCEPTABLE PROOF OF RESIDENCE DOCUMENTS All Wisconsin voters must provide proof of residence when registering to vote. Any document used as a proof of residence MUST include:    Your current and complete name Your current and complete residential address A visible account or document number (if applicable) AND must be from one of the following proof of residence document types:  A current and valid Wisconsin driver’s license or identification card. Example: a WI license or ID card that has the voter’s current name and address.  Any other official identification card or license issued by a Wisconsin governmental body or unit. Example: A DNR-issued fishing license, hazardous materials handling license, conceal carry license.  Any identification card issued by an employer in the normal course of business and bearing a photo of the card holder, but not including a business card. Example: A workplace photo ID that includes the employee name and residential address.  A residential lease which is effective for a period that includes registration date (cannot be used if registering by mail)  An residential care facility contract or intake document Example: Care facility contract or intake document that is prepared by the facility; the document may, but is not required to, identify the room or unit in which the occupant resides.  A real estate tax bill or receipt for the current year or the year preceding the date of the election. Example: A City of Milwaukee tax bill, or paid receipt, for this year or last year.  A utility bill for the period beginning 90 days or less before the date of registration; includes electric, gas, water or sewer bills (note: must have voters name on the bill); cable (including satellite) or internet bills; phone bills (including cellular). Example: A WE Energies gas/electric bill, a cell phone bill, a cable or internet service bill.  A bank statement (checking or savings account) Example: A bank statement with a visible account number and residential address  A paycheck Example: A paycheck when it is an actual check or a record of direct deposit. A check stub.  A check or other document/official correspondence issued by a unit of government. Examples: Medicare or Badgercare notices and explanation of benefits (not private health insurance or third party providers); SSI notices; Wisconsin motor vehicle registrations; public high school, state university and technical college documents; Wisconsin Works; Wisconsin Shares; correspondence, notices or other paperwork from any government agency; tax refund checks; public library correspondence or records; court notices and paperwork; police reports.  An identification card (must include photo) issued by a university, college, or technical college ONLY if the voter provides a fee receipt dated within the last 9 months. Example: A Marquette student ID and a copy of tuition receipt from the Bursar’s office. Please note that a public university or college student (such as UW-Milwaukee or MATC) can provide any document from that school with name and current address under the “GOVDOC” category.  An affidavit for homeless voters Example: A letter from a shelter or other organization providing services to the homeless. The letter identifies the individual and describes the location designated as the person’s residence for voting purposes. The identification letter should be on letterhead and signed by a person affiliated with the social services organization. Acceptable Proof of Residence I: mun-u '1 . ghwleumeu f" License {11' Stem: .I ?w w. -.-.I.I IF ?1 lb- I Fit-p? - -- man]! hi'l'f-I'Pll'hll lib . Inn-.1Iii?uhInn-us- l-l" inl?hli?i-?F u. I Ila?ul-L-rI--l- I.- J- I Eesidential Lease u?ru 1.1 . I?d-rq?d-u?naiumu- In. -mgmde-1;t-Il? .- Fee Receipt -CITY OF MILWAUKEE ELECTION COMMISSION VOTER REGISTRATION APPLICATION By marking this circle and signing this form, I certify that I am a qualified elector: I am a United States citizen I will be at least 18 years old on the day of or before the next election I am not currently serving a sentence, including probation, parole, or extended supervision, for a felony conviction I will have lived at my address for at least 10 consecutive days before the next election with no present intent to move I am not otherwise disqualified from voting If you do not meet EACH of these qualifications, you are not qualified to register. Do NOT complete this form. IDENTIFICATION Please Select: New WI Voter Address Change Name Change Other If you have been issued a WI driver license or WI DOT-issued ID that is current and valid, you MUST provide the number and expiration date. If you are unsure of the number, please call DMV at 608-266-2261. If you have been issued a WI driver license that is currently revoked, suspended or expired; or have been issued a WI DOT-issued ID that is expired, you MUST provide the last 4 digits of your Social Security number (SSN). WDL or ID number is optional. If you have never been issued a WI driver license or WI DOT-issued ID, you MUST provide the last four digits of your Social Security number (SSN). Date of Birth (Month/Date/Year): ___ ___ / ___ ___ / ___ ___ ___ ___ WDL OR ID #: ___ ___ ___ ___- ___ ___ ___ ___-___ ___ ___ ___-___ ___ Expiration Date: ______/______/______ PREVIOUS MAILING CURRENT SSN: XXX - XX - ___ ___ ___ ___ Check this circle if you have never been issued a WI Driver's License, WI ID or a Social Security Number. Please PRINT your NAME exactly as it appears on your identification listed above - WDL/ID or SSN: Last Name: Circle: Jr., Sr., II, III, IV First Name: Middle Name/Initial: Current Address: Apt./Unit Number: City of Milwaukee, WI Email Address: Zip Code: Phone Number: ( ) A postcard verifying your address will be mailed to the address above unless you maintain and provide a separate mailing address. Mailing Address (if different): Apt./Unit Number: Previous Information City: Last Name: State: Zip Code: First Name: Middle: Address: Apt./Unit Number: City: State: Zip Code: ***If registering by mail, please include a copy of your proof of residence document with your application.*** __________________________________________________ VOTER SIGNATURE _______________________________ Date (Month/Day/Year) I hereby certify to the best of my knowledge that I am a qualified elector and that all statements on this form are true and correct. If I have provided false information I may be subject to fine or imprisonment under State and Federal laws. I would like information on serving as a City of Milwaukee election worker. FOR OFFICE USE ONLY 1.) Circle POR Type: WDL DOTID GOVID EMPID 2.) Issuing Entity (AT&T, DMV, US Bank, Medicare, etc.): 3.) Document Number (LAST 4 #s ONLY; last 2 #s if # is less than 7#s) 4.) Election Official Signature: Voter unable to sign form. Assistant Signature: OFFICE USE ONLY District: _____ TAX UTIL BNK PYCK GOVDOC FEE/STU ID HME Assistant Address: Ward: _____ Confidential Voter ID# __ __ __ __ __ - __ __ __ LSE NV____ AC____ NC____ DUP____ SVRS ID# ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Return completed forms to: City of Milwaukee Election Commission 200 E. Wells St., Room 501 Milwaukee, WI 53202 414-286-3491 Last revised 1/6/17 Init / Date: ______________