12 Navajo Form

Hahoodzoo7 Biyi’ K44hon7t’9n7gi
An1’7’a’ Biniiy4 Ha’did77l77[ D77
Naaltsoos d00 Bik’ehgo
$’4l’9n7g77 Binahj8’

K4yah Ashdladiingo Hadahwiisdzo0g77 Biyi’
K44dahat’9n7g77 b1

Bik’ehgo &’dooln77[
H17sh D77 Naaltsoos Haididool77[

Hait’4ego Naaltsoos Yah An7j7[tsos
Doolee[ Jin7zingo Hait’4ego B44h0zin
Hadahwiisdzohj7 biyi’ bee haz’32nii dah0l= State Instructions
bik11’7g77 biyaagi naaltsoos nin1h1jeeh7gi bik11’ 11j8’ 1d77l77[
ninaaltsoos. $7 doodago, naaltsoos t’11 ni k44hon7t’9n7gi
an1’1t’ah bi[ haz’32gi yah an7d77[tsos. Hadahwiisdzoh [a’ yee l3
da’as[3n7g77 naaltsoos hazhdii[‘88h7g77 b44sh nits4kees7 biyi’d00
haalxesh7g77, d00 naaltsoos nin1h1jeehd00 1jii[‘88hgo.

K4yah ashdadiingo hadahwiizdo0g77 biyi’ k44hon7t’98go 47
doodago biyi’ naaltsoos naa nin1h1jeehgo, d77 naaltsoos d77
1t’4ego choid77[‘88[:
• Hahoodzoo7 biyi’ k44hon7t’9n7g77 an1’7’a’ biniiy4
ha’did77l77[,
• N7zhi’ [ahgo 1dzaago baa hod77lnih,
• Naaltsoos naa nin1h1jeeh7g77 [ahgo 1dzaago baa hod77lnih,
47 doodago
• Ch99h yee adilohii 47 doodago Jaan44zj7 da ha’did77l77[.

![ts4edi E’e’ah7g77 Naaltsoos Nin1h1jeehd00 E’e’11dgo
![ts4edi i’7’11dgo naaltsoos hadinilaago k44hon7t’98d00
d00 naaltsoos nin1h1jeehd00 1n7l44hgo, W11shindoon
bibeehaz’32nii bik’ehgo nibik’ehgo na’ab22s7 bik’ih
s7n7d1h7g77 hw1 n4l’88hgo t’47y1. D77 1t’4h7g77 bi[ 0lta’:
• Aho’doolkidgo bik11’ jizd11go naaltsoos hw1 1l’88h7g77
• Naaltsoos hwaa nin1h1jeeh7g77 da’dilt[i’ hwaahadaajil7g77,
b44so b1 hooghand66’ honaaltsoos, hoch’8’ ni’iily4h7g77
bik11’7g77, 47 doodago W11shindoond66’ naaltsoos hwaa
nin1h1jeeh7g77 h0zhi’ 47 doodago naaltsoos hwaa
nin1h1jeehgi bik11’7g77.
An1’1’ah7g77 [ahda d77 doo b7d44t’i’ da d77 1t’4h7g77 naaltsoos
bik11’ jizd1ago BE’ELYA!G&& an1’1t’ah binaaltsoos
hazhdil44h7g77 bi[ 1ln44hgo. BE’ELYA!G&& bi[ 1’deeshl77[
n7nzingo, d77 baa 1kon7nzin:
• Hahoodzoh k44hon7t’9n7gi naaltsoos [ahgo 1t’4h7g77
n7day0keedgo a[d0’ bee haz’3 i’7’11dgo biniiy4 y7n7y1ago
azh3 sh99 t’11 77d33’ bik’ehgo n44h0zin7g77 n1 1daalyaa ndi.

Dooda
K4yah ashdladiingo hadahwiisdzoo7g77 doo biyi’
k44hon7t’98g00 47 d77 naaltsoos doo n7d44t’i’ da d00 naaltsoos
naa nin1h1jeeh7g77 1d4ngo da, 47 doodago sil1o[tso7 n7l98go
t0h0nan7di nanilnishgo. Federal Postcard Application
woly4h7g77 sil1odi nanin1n7gi dah0l=-go 1t’4, American
embassiesgi, 47 doodago consular officesg00.
New Hampshire k4yah dah naazhjaa’gi d00 y1
nidaalnish7g77 n47didoo[tsos 1kwe’7 i’d77’a[go doo n1
b0h0n44dz32g00 t’11 b7ts47di i’7’11dgo.
North Dakota in1’7t’a’ b1 hazh’dil44hgo doo 1dei[’98 da.
Wyoming bee haz’32nii bik11’go doo i’ji’11dgo naaltsoos
nin1h1jeehd00 izhdoo’a[ da.
Hahoodzoh Biyi’ K44hojit’9n7g77 Biyi’ An1’1sh’a’
an1’1t’ah b1. Hahoodzoh biyi’ k44hon7t’9n7g77 State
Instructions woly4ego baa dahane’go dabik11’7g77 d7n77[‘88[.
Hadahwiisdzohj7 K4yah ashdladiingo bi[ hadahwiisdzoo7g77
biyi’ ho’dizhch98go 47 doodago naaltsoos hw1 h0l=-go
t’47y1 hw1 ha’didooln77[ bik11’ W11shindoonj7 d00
Hadahwiisdzohj7 an1’1t’ah biniiy4. W11shindoon
bibeehaz’32nii bik’ehgo hoyooch’99dgo an1’1sh’ah
W11shindoonj7, Hahoodzohj7, 47 doodago Kintah
h44hasht’9n7gi jin7igo doo bee haz’32 da. T’11[1j7d00 1ad00
n11n1 [ahd00 t’11[ahj8’ an1’1t’ahgo doo bee haz’32 da.

•

D77 Naaltsoos Hadid77l77[7g77 Hahoodzohj7 47
doodago Kintahgi Bi[ Nahaz’32gi Ne7ltsoozgo
D77 naaltsoos hadid77[7g77 Hahoodzohj7 47 doodago Kintahgi bi[
nahaz’32j7 ne7ltsoozgo, t’11 ni n0h0ln77h choid77[‘88[7g77. T’11
d77 an1’1sh’a’ doolee[ biniiy4 hadideeshl77[ n7n7zingo,
hadid77l77[ d00 Hahoodzohj7 47 doodago Kintahgi bi[ haz’32j7
yah ad77[tsos. Naaltsoos n1 yah adooltsos. $7 doodago,
naaltsoos nin1h1jeehg00 d77[tsos d00 State Instructions
bik11’7g77 bik’ehgo naaltsoos 1d77l77[. !ad00 t’11 ni a[d0’
an1t’ah bi[ haz’32gi d77[tsos.
Baa 1kon7nzin: Haa’7gi sh99 Hahoodzohj7 47 doodago Kintahgi
bi[ haz’32gi naaltsoos n7dini[tsooz7g77 doo baa hane’ da
doolee[. Naaltsoos had7l44h7g77 doo bik11’ da doolee[. !1d00,
d77 naaltoos doo an1’1sh’ah doolee[ biniiy4 doo hadideeshl77[
da niniz99’go, 47 doo baa hane’ da doolee[. $7 doo bee
naahwiin7t’9 da doolee[ bi[ haz’3agi na’anish7d00.

D77 Naaltoos Hait’4ego Hazhdii[‘88h
Application Instructions d00 State Instructions bik11’7g77
bik’ehgo naaltsoos hadid77l77[.
• ![ts4, Application Instructions7g77 y7d77[tah. D77 bik11’7g77
hozh0’0 naaltsoos hazhdii[‘887g77 bik11’.
• !k0ne’, State Instructions bik11’7g77 Hahoodzoh biyi’
k44hon7t’9n7g77 h1d7d77’88[. D77 bik’ehgo Bin1’1sdzoh
Hast33, Tsosts’id bik11’7g77 hadid77l77[ d00 d77 bik’ehgo
b44h0zin doolee[ an1’1t’ah biniiy4 hazh’dil44h7g77 d00
yazhdiiln77h doolee[7g77 Bin1h1sdzoh N1h1st’47 b1.
Hahgo An1’1t’ah Biniiy4 Hazh’dii[‘88h
Hadahwiisdzoh biyi’ hahgo an1’1t’ah biniiy4 hazh’dii[‘88h7g77
bee dah0l=. D77 naaltsoos ak44’di dabik11’7g77 Hahoodzoh biyi’
k44hon7t’9n7g77 hahgo sh99 hazh’dii[‘88h7g77 bik11’.

OMB bee wójíhígíí námboo 3265-0015

Naaltsoos 7yis77 n1 1daalya1g77 bi[ 00l44h l1go,
BEDA’ALYA!G&& t’47y1.

1

Bik’ehgo Naaltsoos Hadidooln77[
Naaltsoos t’ahdoo had7l44hg00, t’11shood7 naaltsoos bik11’gi w0dahgo na’7d7kid7g77 n1t’33’ hod77lnih K4yah ashdladiingo
hadahwiisdzo0g77 daats’7 biyi’ k44hon7t’9n7g77 d00 Ida’ii’n77[ Bij9 bich’8’ n11hoolzhishj8’ daats’7 tseeb77ts’11dah nin1h11h doolee[. D77
h17d77 da Ndaga’ d7n7niidgo, d77 naaltsoos an1’1t’ah biniiy4 hazhdii[‘88h7g77 doo hadid77l77[ da. !ko ndi, Hadahwiisdzoh biyi’ bee
haz’32nii daats’7 [a’ dah0l= t’ahdoo tseeb77ts’11dah hon1h11hg00 baa hane’7g77.
Bin1’1sdzoh T’11[1’7 — Y7zh7

Bin1’1sdzoh Tsosts’id ~ H11j7go Sh99 An1’1t’ah
Hahahwiidzohg00, h11j7go sh99 an1’7’ah doolee[7g77 bee
1d44hojilz88h 1ko ada’ii’n77[go atah an7’j7’ah doolee[.
Hahoodzohj7 k44hon7t’98j7 1k0t’4ego, tsosts’id g0ne’ bik11’7g77
Hahoodzoh dabik11’ g0ne’ bik11’ doolee[.

D77 Bin1’1sdzoh biyi’ n7zhi t’11 1t’4 a[k44’ sinil7g77 bik11’ 1d77l77[ ~
Ak44’d00, Al33j8’, A[n77’gi. Hooghangi bee ni’d0j7h7g77 d00 1[ts4
sinil7g77 t’47y1go 47 dooda. Baa 1kon7nzin: D77 naaltsoos y7zh7
[ahgo 1ln44hgo, Bin1’1sdzoh A g0ne’
n7zhi’ t’11 1t’4 1[ts4 1d77l77[ t’ahdoo [ahgo 1ln44hg00.

H11j7go sh99 an1’1sh’ah doolee[ n7n7zingo, bin1’1sdzoh g0ne’
h11j7 sh99 n7n7zin7g77 bee ak’e’d77[ch77[.

Bin1’1sdzoh Naaki ~ Hooghangi Naaltsoos Nin1h1jeehgi

H11j7go sh99 an1’1t’ah7g77 doo n7n7zing00, “no party” bik11’
1d77l77[ 47 doodago bin1’1sdzoh7g77 t’00 1k0t’4. “Independent”
bik11’ 00l44h l1go “no party” 1t’4 n7n7zingo, biniina1g77
Hahoodzohj7 k44hon7t’9n7g77 biyi’ doo da 1k0t’4eg00
yik’idi’doot99[.

D77 bin1’1sdzoh7g77 naaltsoos naa nin1h1jeehj8’7g77 bik11’
1d77l77[ . Naaltsoos
naa nin1h1jeehj8’7g77 k44hon7t’9n7gi [ahgo 1t’4ego kwe’4 bik11
00l44h l1go. Naaltsoos nin1h1jeeh bi[ haz’32gi naa
nin1h1jeehgo 47 dooda 47 doodago k44hon7t’98di n1mboo b22h
1dengo. State specific instructions woly4h7g77 bik’ehgo
hadid77l77[ n1mboo b22h 1daadengo.

Baa !kon7nzin: H11j7go sh99 an7tah doolee[7g77 doo bik11’
77nilaag00, t’ahdii t’11 an1’7’ahgo n1 bee haz’3 ada’ii’n77[go.
Bin1’1sdzoh Tseeb77 ~ B7la’ Ashdla’ii J7l9n7g77
Hadahwiisdzohg00 [a’ b7la’ ashdla’ii h17d7g77 n7l9n7g77
y7nda’7d7[kid, Federal Voting Rights Act woly4ego bee
haz’32nii bik’ehgo. Hahoodzoh k44hon7t’9n7g77 biyi’ daats’7
y7nda’7d7[kidgo, tseeb77 g0ne’ bik11’7g77 d7n77[‘88[. !k0t’4ego,
Bin1’1sdzoh Tseeb77 g0ne’ d77 h17d77 sh99 n7l9n7g77 bik11 1d77l77[:
• Bits8’ Yisht[izhii 47 doodago B47hai
• N11’1[ts’0z7 47 doodago K4yah Dah Ndaa’ee[7
• Naakai {izhinii, doo Naakaii B7d44t’i’7g77
• Naakaii
• A[tahn1shch7n7
• Bilag1ana, doo Naakaii B7d44t’i’7g77
• N11n1 {ahgo

Baa !kon7nzin: T’11 77d33’ ha’dinlaa ]t’44’go ndi d77 k’ad 7nda
naaltsoos naa nin1h1jeeh7g77 Bin1’1sdzoh Naaki g0ne’
bik11’7g77 choin7[‘88hgo, Bin1h1sdzoh B g0ne’ nihi[ hod77lnih
naaltsoos naa nin1h1jeeh7g77.
T’11 b47n7lniih7g77 bee nihi[ hod77lnih.
D77 A[d0’ Baa !kon7nzin: Halgaigi k44hon7t’98go ndi naaltsoos
naa nin1h1jeeh7g77 n1mboo b22h 1d4ngo, 47 doodago doo 11di
naa nin1h1jeehg00, k44hon7t’98gi nid77ch’2h Bin1h1sdzoh C
g0ne’ .

Bin1’1sdzoh N1h1st’47 ~ Y7zh7 Naashch’22’
Bin1’1sdzoh N1h1st’47 g0ne’ bik’ehgo 1l’9n7g77 d7n77[‘88[
Hahoodzoh biyi’ k44hon7t’9n7g77. T’ahdoo n7zhi’ nanich’22hg00
47 doodago bik’i’iizohg00, 77shj33:

Bin1’1sdzoh T11’ ~ Naaltsoos Nin1h1jeehgi
Doo Bin1h1sdzoh Naaki g0ne’ bik11’7g77gi naaltsoos naa
nin1h1jeehg00, 7yis77 naa nin1h1jeehgi d77 bin1h1sdzoh g0ne’ bik11’
1d77l77[. Bin1h1sdzoh Naaki g0ne’ doo bik11’7g00, Bin1’1sdzoh T11’
g0ne’ 77shj33 1d77l77[ 1ko naaltsoos nich’8’ 1l’98 doolee[.

(1) Hahoodzoh k44hon7t’9n7g77 bik’ehgo 7’iinilaa, d00
(2) Bin1’1sdzoh N1h1st’47 gone’ bik11’7g77 bik’i’diit88h.

Bin1’1sdzoh D99’ ~ Ho’dizhch9 G0ne’
D77 bin1h1sdzoh7g77 ni’dizhch9 y65d33’7g77 bik11’ 1d77l77[ d77gi 1t’4ego
~ Yizi[, J9, Yihah. D77j98g00 yoo[k11[7g77 bik11’ 00l44h l1go!

Ak44’di, n7zhi’ nineez7g77 nid77ch’2h 47 doodago bik’i’ad77zoh,
d00 d77j9 yoo[k11[7g77 bik11’ 1d77l77[ d77gi 1t’4ego ~ Yizi[, J9,
Yihah. Ha’dil4h7g77 doo b7zhi’ 77l44h b77ghahg00, Bin1’1sdzoh D
g0ne’ b7zhi’, naaltsoos baa nin1h1jeehgi, d00 b44sh bee hane’4
bik11’ b1 1dooln77[ b7k1 iilyeed7g77.

Bin1’1sdzoh Ashdla’ ~ B44sh Bee Hane’4
Hadahwiisdzohg00 ni b44sh bee hane’4 y7nda’7d7[kid
na’7d7kid7 bee dah0l=-go naaltsoos hadinila1g77 binahj8’.
Ndi, doo bik11’ 1deeshl77[ da n7n7zingo t’11 1ko.
Bin1’1sdzoh Hast33 ~ ID N1mboo
W11shindoon bibee haz’32nii 1n7igo Hadahwiisdzohg00 ID
n1mboo y7nda’7d7[kid doolee[ n7. Hahoodzoh biyi’ k44hon7t’9n77
bibee haz’32nii bik’ehgo hast33 g0ne’ bik11’ 1d77l77[. Bik’ehgo
na’ab22s7 47 doo dago naaltsoos doot[‘izh7 nee 1dengo, kwe’4
bik11’ 1d77l77[ d00 n1mboo [a’ n1 1dooln77[.

OMB bee wójíhígíí námboo 3265-0015

2

An1’1’ah7 Ha’diln44h Binaaltsoos

D77 naaltsoos t’ahdoo had7l44hg00, Baa Hane’, Binaaltsoos, d00 Hahoodzoo7 b7d44t’i’ bik’ehgo7g77 y7d77[tah.

K4yah Ashdladiingo Sinil7g77sh biyi’ k44hon7t’8?
Ao’
NdaNda
I’ii’n77[ g0ne’/bich’8’7d00sh tseeb77ts’11dah nin11h11h?
Ao’
W0dahgo na’7d7kid7g77 [a’ “Nda” d7n7niidgo, d77 naaltsoos had00l44h l1go.

Kwe’4 ndaalnish7g77 t’47y1 b1.

(Hahoodzoo7j7 bik’ehgo 1ln44h7g77 y7d77[tah t’ahdoo tseeb77ts’11dah hon1h11hg00 hadi’deeshl77[ jin7zingo.)

Mr.
Mrs.

1

Miss Ak44’di N7zhi’7g77
Ms.

![ts4 N7zhi’7g77

Naaltsoos Naa Nin1h1jeehgi

3

Naaltsoos Naa Nina1h1jeehgi W0dahgo Bik11’7g77 {ahgo !t’4ego
Ho’dizhch9 G0ne’
Yizi[

J9

K44hon7t’98gi

Hahoodzoh

Zip Code

K44hon7t’98gi

Hahoodzoh

Zip Code

II
III
IV

ID N1mboo - (Hast33 g0ne’ Bik’ehgo0g77 y7d77[tah Hahoodzoh

B44sh Bee Hane’4

k44hon7t’8n7gi.)

6

Yihah

H11j7 sh99 an1’1t’ah

7

N1mboo

5

Jr
Sr

2

4

A[n77’ Gone’ N7zhi’7g77

(Tsosts’id g0ne’ Hahoodzoo7 baa hane’
bik11’7g77 y7d77[tah.)

8

B7la’ashdla’ii H17d7g77

(Tseeb77 g0ne’ Hahoodzoo7 baa hane’ bik11’7g77
y7d77[tah)

Hahoodzoo7 biyi’ k44hasht’9 g0ne’ bik’ehgo0g77 a[tso y7[ta’ d00 d77:
K4yah Ashdladiin Sinil biyi’ k44hasht’9.
■ Hahoodzoh biyi’ k44hasht’9n7g77 bee haz’32nii
be’iishlaa d00 bee yadideeshnihgo 1t’4.
■ D77 hane’ 1shla1g77 t’11 aan77 1d7shn7 penalty of perjury
woly4ego bee haz’32nii bik’ehgo. Haa’7gi doo 1k0t’4eg00
hashne’go, nin1’deeshdl44[, aw11lyaa g0ne’ yah
Yoo[k11[:
ashi’didoolt’ee[, 47 doo dago t0h0nan7g00 1n1shidi’dooln77[ 47
doodago doo U.S. biyi’ yah adeesh11[ da.
■

9

N7zhi’ nineez7g77 bee nanich’22h
<47 doodago biki’iizoh>

Yizi[

J9

Yihah

![ts4edi an1’1t’a’ biniiy4 ha’d7l44hgo: naaltsoos hadiln44h bik’ehgo0g77 y77d77[tah hait’4ego bik’eh na’ab22s7 bik’ijizd1h7g77
be’jii[‘88h d00 yah aji[tsos d77 naaltsoos bi[.

D77 w0yahgi dabik11’7g77 n7d44t’i’go hadid77l77[.

D77 naaltsoos had744h7g77 n7zhi’ ak44’di7g77 [ahgo 1n7l44hgo, ha’77sh n7zhi’ ]t’66’ t’ahdoo [ahgo 1n7l44h y44d33’?

A

Mr.
Mrs.

Miss Ak44’di N7zhi’7g77
Ms.

![ts4 N7zhi’7g77

A[n77’ Gone’ N7zhi’7g77

Jr
Sr

II
III
IV

T’11 77d33’ an1’7’a’ biniiy4 ha’dinilaa ]t’44’ ndi Bin1’1sdzoh Naaki g0ne’ naaltsoos naa nin1h1jeeh7 bee 1n7l44hgo, 1[ts44di haa’7gi naaltsoos naa nin1h1jeeh ]t’44’.

B

Naaltsoos naa nin1h1jeeh7gi <47 doodago atiin7g77>

N1mboo

Kin dah shijaa’7gi

Hahoodzoo7

Halgaidi k44hon7t’98go atiin doo n1mboo b22h h0l=-g00, 47 doodago doo kwe’4 naa nin1h1jeehg00, haa’7gi nighan7g77 kwe’4 bik11’ nd77ch’2h.
K66hon7t’98gi attin dab7zhi’7g77 bee b44dah0zin7g77 bik11’ 1n7l44h.
X bik11’ 1d77l77[ nighan7gi.
Dah alzhingo 1d77l77[ haa’7gi da’0lta’, tsodizin b1 hooghan, naaly4h4 b1 hooghan nighan
b77ghahgi, d00 dab7zhi’7g77 bee b44h0zingo.

)lta’●

Route #2

D77 1t’4ego

● Naaly4h4 b1 hooghan

Woodchuck Atiin
X

Ha’dil4h7g77 doo b7zhi’ 77l44hg00 b1 b77ghahg00, h17sh b7k1 eelwod d77 naaltsoos hadiln44h7g77? B7zhi’, naaltsoos baa nin1h1jeehgi, d00 b44sh bee hane’4 bik11’ 1d77l77[.

D

Hahoodzoo7 bii’ k44hon7t’9n7gi naaltsoos nin1dahajeeh7g77 bich’8’ 1d77l77[.

Zip Code

FIRST CLASS
STAMP
NECESSARY
FOR
MAILING

An1’1’ah7 Ha’diln44h Binaaltsoos

D77 naaltsoos t’ahdoo had7l44hg00, Baa Hane’, Binaaltsoos, d00 Hahoodzoo7 b7d44t’i’ bik’ehgo7g77 y7d77[tah.
Ao’
NdaNd
Ao’
a
W0dahgo na’7d7kid7g77 [a’ “Nda” d7n7niidgo, d77 naaltsoos had00l44h l1go.

Kwe’4 ndaalnish7g77 t’47y1 b1.

K4yah Ashdladiingo Sinil7g77sh biyi’ k44hon7t’8?

I’ii’n77[ g0ne’/bich’8’7d00sh tseeb77ts’11dah nin11h11h?

(Hahoodzoo7j7 bik’ehgo 1ln44h7g77 y7d77[tah t’ahdoo tseeb77ts’11dah hon1h11hg00 hadi’deeshl77[ jin7zingo.)

Mr.
Mrs.

1

Miss Ak44’di N7zhi’7g77
Ms.

![ts4 N7zhi’7g77

2

Naaltsoos Naa Nin1h1jeehgi

3

Naaltsoos Naa Nina1h1jeehgi W0dahgo Bik11’7g77 {ahgo !t’4ego
Ho’dizhch9 G0ne’

4

Yizi[

8

(Tsosts’id g0ne’ Hahoodzoo7 baa hane’
bik11’7g77 y7d77[tah.)

K44hon7t’98gi

Hahoodzoh

Zip Code

K44hon7t’98gi

Hahoodzoh

Zip Code

III
IV

ID N1mboo - (Hast33 g0ne’ Bik’ehgo0g77 y7d77[tah Hahoodzoh

B44sh Bee Hane’4

k44hon7t’8n7gi.)

6

B7la’ashdla’ii H17d7g77

(Tseeb77 g0ne’ Hahoodzoo7 baa hane’ bik11’7g77
y7d77[tah)

Hahoodzoo7 biyi’ k44hasht’9 g0ne’ bik’ehgo0g77 a[tso y7[ta’ d00 d77:
K4yah Ashdladiin Sinil biyi’ k44hasht’9.
■ Hahoodzoh biyi’ k44hasht’9n7g77 bee haz’32nii
be’iishlaa d00 bee yadideeshnihgo 1t’4.
■ D77 hane’ 1shla1g77 t’11 aan77 1d7shn7 penalty of perjury
woly4ego bee haz’32nii bik’ehgo. Haa’7gi doo 1k0t’4eg00
hashne’go, nin1’deeshdl44[, aw11lyaa g0ne’ yah
ashi’didoolt’ee[, 47 doo dago t0h0nan7g00 1n1shidi’dooln77[ 47
doodago doo U.S. biyi’ yah adeesh11[ da.

9

II

Jr
Sr

Yihah

H11j7 sh99 an1’1t’ah

7

N1mboo

5
J9

A[n77’ Gone’ N7zhi’7g77

■

N7zhi’ nineez7g77 bee nanich’22h
<47 doodago biki’iizoh>

Yoo[k11[:
Yizi[

J9

Yihah

![ts4edi an1’1t’a’ biniiy4 ha’d7l44hgo: naaltsoos hadiln44h bik’ehgo0g77 y77d77[tah hait’4ego bik’eh na’ab22s7 bik’ijizd1h7g77
be’jii[‘88h d00 yah aji[tsos d77 naaltsoos bi[.

D77 w0yahgi dabik11’7g77 n7d44t’i’go hadid77l77[.
D77 naaltsoos had744h7g77 n7zhi’ ak44’di7g77 [ahgo 1n7l44hgo, ha’77sh n7zhi’ ]t’66’ t’ahdoo [ahgo 1n7l44h y44d33’?

A

Mr.
Mrs.

Miss Ak44’di N7zhi’7g77
Ms.

![ts4 N7zhi’7g77

A[n77’ Gone’ N7zhi’7g77

Jr
Sr

II
III
IV

T’11 77d33’ an1’7’a’ biniiy4 ha’dinilaa ]t’44’ ndi Bin1’1sdzoh Naaki g0ne’ naaltsoos naa nin1h1jeeh7 bee 1n7l44hgo, 1[ts44di haa’7gi naaltsoos naa nin1h1jeeh ]t’44’.

B

Naaltsoos naa nin1h1jeeh7gi <47 doodago atiin7g77>

N1mboo

Kin dah shijaa’7gi

Hahoodzoo7

Zip Code

N1hook-s 

)lta’●

Route #2

D77 1t’4ego

● Naaly4h4 b1 hooghan
Woodchuck Atiin
X

Ha’dil4h7g77 doo b7zhi’ 77l44hg00 b1 b77ghahg00, h17sh b7k1 eelwod d77 naaltsoos hadiln44h7g77? B7zhi’, naaltsoos baa nin1h1jeehgi, d00 b44sh bee hane’4 bik11’ 1d77l77[.

D

Hahoodzoo7 bii’ k44hon7t’9n7gi naaltsoos nin1dahajeeh7g77 bich’8’ 1d77l77[.

FIRST CLASS
STAMP
NECESSARY
FOR
MAILING

Hadahwiisdzohj7 Bik’ehgo $’4ln44h

Alabama
N1k’33z: 08-31-2018
Ha’diln44hj8’ Haz’3 ~ An1’1t’a’ biniiy4
ha’diln44h d1’deelkaal d99’ts’11dahihj9
ada’ii’n77[ bich’8’ hoolzhishgo. T’ahdoo
ada’ii’n77[g00 ashdla’ts’11dahij9 yoo[k11[7g77
bik11’ doolee[ naaltsoos bi[ 1j7l44hgo.

6. ID N1mboo. {a’ nee h0l=-go,

Alabamaj7 bik’ehgo na’ab22s7 bee
44h0zin7g77 47 doodago Alabamaj7
naaltsoos bik’ijizd1ago bee 44h0zin7g77
bee 44h0zin. Alabamaj7 bik’ehgo
na’ab22s7 47 doodago naaltsoos bik11’
jizd1ah7g77 hwee 1dengo, Naaltsoos
Doot[‘izh7 bik11’ n1mboo ak44’di d88’go
bik11’7g77 baa hojilnih. D77 t’11 a[tso doo
nee h0l=0g00 “NONE” bik11’ 1d77l77[
d00 bee 44h0zin7g77 [a’ n1 1dooln77[.

7. H11j7 Ajitah. Ni N0h0ln77h: H11j7
ajitah doolee[7g77 doo n7n7zing00 d00
doo baa hodeeshnih da n7n7zingo
ada’ii’n77[ biniiy4 47 n1 bee haz’3.
8. B7la’ Ashdla’ii J7l9n7g77. D77 bik11’
1jii[‘88h 77shj33; ndi, naaltsoos yah
ani[ts00s7g77 doo naa n7dooltsos da
t’1adoo bik11’ 77nilaag00. Bin1’1sdzoh
Tseeb77 g0ne’ dabik11’7g77 y7d77[tah
.
9. Y7zh7 Naashch’22’. Alabamaj7
hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Alabama hahoodzoo7 biyi’ k44hojit’98
doolee[ d00 biyi’ hadahwiidzdoo7g77
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ t’11 bich’8’7d00
• Aw1alyahj7 doo beehaz’32nii
k’7zhn7t’i’ da doolee[ moral turpitude
woly4h7g77 . Moral turpitude
dawoly4h7g77 Secretary of State baa
hane’7g77 biyi’ kwe’4:
sos.alabama.gov/mtfelonies

• Azee’1l’9n7d00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda
• Biniiy4 yazhdiilnih “Constitution of the
United States bik44’ s4z7 d00 shi[ niln7
d00 State of Alabama 1ad00 doo bee
haz’12nii yik’eh dah0[‘9n7g77 U.S. d00
State of Alabama tx9 dooln77[ daan7n7g77
doo bik44’ s4z98 da d00 kwe’4 hashe’7g77
t’11 aan77, Diyin biyi’d00”
Naaltsoos 1l’97j8’:
Office of the Secretary of State
P.O. Box 5616
Montgomery, AL 36103‑5616

Alaska
N1k’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo

6. ID N1mboo. {a’ nee h0l=-go,
Alaskaj7 bik’ehgo na’ab22s7 bee
44h0zin7g77 47 doodago Alaskaj7 naaltsoos
bik’ijizd1ago bee 44h0zin7g77 bee
44h0zin. Alaskaj7 bik’ehgo na’ab22s7 47
doodago naaltsoos bik11’ jizd1ah7g77
hwee 1dengo, Naaltsoos Doot[‘izh7
bik11’ n1mboo ak44’di d88’go bik11’7g77
baa hojilnih. D77 t’11 a[tso doo nee
h0l=0g00 “NONE” bik11’ 1d77l77[ d00 bee
44h0zin7g77 [a’ n1 1dooln77[. D77 doo baa
hane’ da doolee[. D77 naa hane’ bee n7k1
an1’1wo’ doolee[ d00 1n7t’9n7g77 bee
44h0zin doolee[
7. H11j7 Aj7tah. H11j7 aj7tah doolee[7g77
doo baa hodeeshnih da jin7zingo bee l3
as[9 an1’1t’ah biniiy4 naaltsoos
hazhdil44hgo. H11j7 aj7tah doolee[7g77 doo
bik11 1jii[‘88g00, Undeclared woly4h7g77
bee hw1 1dooln77[. Alaskaj7 ada’ii’n77[go
t’11 sahdii biniiy4 ada’ii’n77[go bi[ haz’3.
H11j7 ajit1h7g77 t’11 sahdii naaltsoos
aji’ah7g77 b1 dah0l= d00 h17 sh99 b1
aji’11d7g77 t’47y1 b7zhi’ dabik11’ t’11
sahdii t’11 a[ch’ishj7. An1’1’ah7
Undeclared woly4h7g77 bee
hw44ho’d7lzingo 47 doodago h11j7 sh99
aj7tah7g77 doo b44h0zing00 naaltsoos
aji’ah7g77 h17d77 sh99 j0ki’ d00 bee aji’ah.

OMB bee wójíhígíí námboo 3265-0015

7

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.

9. 9. Y7zh7 Naashch’22’. Alaskaj7

hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Tseeb77ts’11dah hon11hai doolee[
hazh’diilaad00 n1h1st’4diin j9j8’
• Alaska hahoodzoo7 biyi’ k44hojit’88
doolee[
• Bee haz’32nii doo k’7zhn7ti’ da doolee[
<binahj8’ ch’44ho’deelt’e’go>
• Hahoodzoo7 n11n1 [a’ biyi’ an1’1t’ah
biniiy4 hazh’diilaago 47 dooda
Naaltsoos 1l’97j8’:
Division of Elections State of Alaska
PO Box 110017
Juneau, AK 99811‑0017

Arizona
N1k’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — Naadiin
n1h1st’47 j9 ada’ii’n77[j8’ hoolzhishgo

6. ID N1mboo. Arizonaj7 bik’ehgo

na’ab22s7 bee 44h0zin7g77 47 doodago
naaltsoos bik’ijizd1ago bee 44h0zin7g77
bik11’ 1d77l77[ naaltsoos had7l4h7g77 bee
haz’33nii A.R.S. 28-3165 bik’ehgo,
bik’ehgo na’ab22s7 t’ahdii 7l98go.
Bik’ehgo na’ab22s7 47 doodago
naaltsoos bik’is7n7dah7 Arizonaj7 nee
1dengo, 77shj33 niNaaltsoos Doot[‘izh7
n1mboo bik11’7g77 ak44’di d99’go
sinil7g77 bik11’ 1d77l77[. D77 t’11 a[tso doo
nee h0l=0g00 “NONE” bik11’ 1d77l77[.
Bee 44h0zin7g77 [a’ n1 1dooln77[
Secretary of Stated00

State Instructions
7. H11j7 Ajitah. H11j7 aj7tah7g77
b44h0zingo ha’dinilaago 47 bik’ehgo
ada’ii’n77[go 11j7go i’d77’a[go bee n1
ah00t’i’. H11j7 aj7tah7g77 doo [a’ bik44’j7
deeshlee[ da din7igo ha’dinilaago 47
doodago h11j7 sh99 an7tah doolee[7g77 doo
b44h0zing00 t’11[1h7di i’7’11d7g77 bee n1 l3
adoolee[ d00 h11j7go sh99 i’d77’a[7g77 bee
n0h0ln77h doolee[.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Arizonaj7
hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Arizona hahoodzoo7 biyi’ k44hojit’98
doolee[ naadiinn1h1st’47 j9 t’ahdoo
ada’ii’n77[ bich’8’ hoolzhishgo
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ t’11 bich’8’7d00
• Bee haz’1anii doo k’7zhn7ti’ da
doolee[ <ada’ii’n77[ hwaa n7diily1ago>
• Bee haz’1anii doo hwaadiily1a da
doolee[
Naaltsoos 1l’97j8’:
Secretary of State/Elections
1700 W. Washington, 7th
Floor Phoenix, AZ 85007‑2888

Arkansas
N1k’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo

6. ID N1mboo. Bik’ehgo na’ab22s7

bee 44h0zin7g77 47 doodago naaltsoos
bik’ijizd1ago bee 44h0zin7g77 bik11’
1d77l77[ naaltsoos had7l4h7g77. Bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’is7n7dah7 Arkansasj7 nee 1dengo,
77shj33 niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77
bik11’ 1d77l77[. D77 t’11 a[tso doo nee
h0l=0g00 “NONE” bik11’ 1d77l77[. Bee
44h0zin7g77 [a’ n1 1dooln77[
Hahoodzoo7d00.
7. H11j7 Ajitah. Ni n0h0ln77h. H11j7
aj7tah doolee[7g77 doo [a’ bik44’
nideesh11[ da n7n7zingo t’11 1ko
ada’ii’n77[ biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Arkansasj7
hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Arkansas hahoodzoo7 biyi’ k44hojit’98
doolee[ bin1’1sdzoh naaki biyi’
bik11’7g77 bik’ehgo
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ t’11 bich’8’7d00
• Bee haz’1anii doo k’7zhn7ti’ da doolee[
<ada’ii’n77[ hwaa n7diily1ago>
• N11n1 [a’ Hahoodzoo7 biyi’ doo
an1’j7’a’ da t’11 77d33’
• Azee’1l’9n7d00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda
Naaltsoos 1l’97j8’:
Secretary of State
Voter Services
P.O. Box 8111
Little Rock, AR 72203‑8111

California
N1k’33z: 06-18-2018

6. Ha’diln44hj8’ Haz’3 — Ada’ii’n77[
bich’8’ hoolzhishgo ashdla’ts’11dah j9;
ada’ii’n77[ binaaltsoos y1zh7 hw1
1l’88h7g77 beego ada’ii’n77[j8’.

OMB bee wójíhígíí námboo 3265-0015

8

7. ID N1mboo. Californiad00
bik’ehgo na’ab22s7 bee 44h0zin7g77 47
doodago Californiad00 naaltsoos
bik’ijizd1ago bee 44h0zin7g77 bik11’
1d77l77[ naaltsoos had7l4h7g77. Bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’is7n7dah7 Arkansasj7 nee 1dengo,
77shj33 niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77
bik11’ 1d77l77[. D77 doo bik11’
1jii[‘88hg00, i’7’11dgo b7nan7d7d00ki[.
8. H11j7 Ajitah. H11j7 aj7tah doolee[7g77
[a’ bik44’ nideesh11[ jin7zingo, 47d7g77
bik11’ 1jii[‘88h. H11h7 sh99 doo jin7zing00,
“No Party Preference” bik11’ 1jii[‘88h b1
haz’3n7gi. California bibee haz’32nii
1n7igo “No Party Preference” yik11’
1yiila1g77 47 doodago doo yik44’ siz8n7g77
b1 ada’ii’n7[7g77 naat’1anii doolee[7g77 b1
adeesh’a[ jin7zingo bee ah00t’i Secretary
of State yiyaad00 7’iilaago. B44sh bee
hane’4 1-800-345-VOTEj8’ hod77lnih 47
doodago www.sos.ca.gov d7n77[‘88[ h17d77
sh99 “No Party Preference” woly4h7g77 yee
has’3 d00 ada’iin77[7g77 doo [a’ bik44’
anishtah da doolee[ dan7n7g77 naat’1anii
doolee[7g77 y1 ada’iin77[go.
9. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.

10. Y7zh7 Naashch’22’.

Californiaj7 hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Calfornia hahoodzoo7 biyi’ k44hojit’98
doolee[ bin1’1sdzoh naaki biyi’
bik11’7g77 bik’ehgo
• Tseeb77ts’11dah hon11hai doolee[
Ada’ii’n77[ t’11 bich’8’7d00
• Bee haz’1anii doo k’7zhn7ti’ da doolee[

State Instructions
• Azee’1l’9n7d00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda
N7zhi’ naashch’22’ 77shj33 bik11’
1d77l77[. D77 w0dahgo t’11 a[tso bik’eh
iinilaago, n7zhi’ nid77ch’2h bik11’gi d00
yoo[k11[7g77 1d77l77[ b1 haz’3n7gi.
Naaltsoos 1l’97j8’:
Secretary of State
Elections Division
1500 11th Street, 5th Floor
Sacramento, CA 95814

Colorado
N1k’33z: 10-16-2018
Hada’dinl44hj8’ Haz’3 — Ada’ii’n77[
bij9j8’ t’ahdoo ahalzh77shg00
hazh’dii[‘77h. Ada’ii’n77[ bich’8’ tseeb77
yoo[k11[ hadziihgo hazh’dii[‘88h 1ko
naaltsoos hoch’8’ 1l’88h. Ada’ii’n77[
bich’8’ hoolzhishgo t’11doo tseeb77
yi[kaah7 t’11 bich’8’7d00 hazh’dii[‘88hgo
47 t’11 hw7 ada’iin77[ g0ne’ 1adi
jigh11hgo naaltsoos aji’ah.

• ID Namboo. Bik’ehgo na’ab22s7 bee
44h0zin7g77 47 doodago naaltsoos
bik’ijizd1ago bee 44h0zin7g77 bik11’
1d77l77[ naaltsoos had7l4h7g77. Bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’is7n7dah7 nee 1dengo, 77shj33
niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77 bik11’
1d77l77[. D77 bik’ehgo na’ab22s7 d00
naaltsoos bik’i jizd1h7g77 doo nee
h0l=0g00 “NONE” bik11’ 1d77l77[. Bee
44h0zin7g77 [a’ n1 1dooln77[
Hahoodzoo7d00.
• H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 bik11’ 1j7l44hgo h0h0ln77h.
D77 doo bik11’ 1jii[‘88hg00 47 doo h11j7
aj7tah7g77 bik11’ da doolee[.
• B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
• Y7zh7 Naashch’22’. Coloradoj7
hazh’dil44hgo:

• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Colorado hahoodzoo7 biyi’ k44hojit’98
doolee[ naadiin naakij9j8’ da t’11doo
ada’ii’n77[j8’ yi[kaah7
• Hast33ts’11dah hon11hai doolee[, ndi
Ada’ii’n77[j8’ ahoolzhiizhgo tseeb77
ts’11dah d00 bil11h hon11hai doolee[
aji’11dgo
• Doo aw1alyahdi jizd1a da doolee[
<22hjizt99go a[d0’> bee haz’1anii doo
k’7zhn7ti’go
Naaltsoos 1l’97j8’:
Colorado Secretary of State
1700 Broadway, Suite 200
Denver, Colorado 80290

Connecticut
N1k’33z: 09-03-2019
Hada’dinl44hj8’ Haz’3 — naaltsoos
nin1h1jeeh bi[ haz’32d00 1jiilaago
ada’ii’n77[ t’11 bich’8’7d00 t’11doo
tsosts’id bil1 yi[kaah7 y7lwodgo; naaki
g0ne’ al33j8’ eeka7g77 b1 ada’ii’n77[
bich’8’ t’11doo ashdla’ bil1 yi[kaah7
y7lwodgo.

6. ID N1mboo. Connecticutj7 bik’ehgo

na’ab22s7, 47 doodago 1dengo, Naaltsoos
Doot[‘izh7 bin1mboo ak44’di d99’go
sinil7g77 bik11’ 1jii[‘88h.
7. H11j7 Ajitah. Ni n0h0ln77h, ndi
h11j7 aj7tah doolee[7g77 [a’ bik11’
1jii[‘88h ada’ii’n77[ biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’.
Connecticutj7 hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Connecticut hahoodzoo7 biyi’
k44hojit’98 doolee[ d00 kin dah shijaa’gi
k44hojit’9n7g77 biyi’ azhdoo’a[
• Tsosts’idts’11dah hon11hai doolee[.
Tsosts’idts’11dah hon11haigo
Ada’ii’n77[j8’ ahoolzhiizhgo tseeb77
ts’11dah hon11hai doolee[ aji’11dgo
• Bee haz’32nii k’7zhn7t’i’go
ch’44ho’deelt’e’ doolee[ d00 Registrars
of Voters biyi’d00 an1’1t’ah hw1
22’1n1lyaa doolee[.

OMB bee wójíhígíí námboo 3265-0015

9

• Azee’1l’9n7d00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda
Naaltsoos 1l’97j8’:
Secretary of the State of
Connecticut
Elections Division
P.O. Box 150470 Hartford,
CT 06115‑0470

Delaware
N1k’33z: 04-18-2018
Hada’dinl44hj8’ Haz’3 — D99’
gone’ Dam0o Y1zh7 adoolee[7g77
yizi[ biyi’ t’ahdoo ada’ii’n77[g00,
d00 t’11doo neezn11 yi[kaah7
ada’ii’n77[j8’.

6. ID Namboo. Bik’ehgo na’ab22s7 bee
44h0zin7g77 47 doodago naaltsoos
bik’ijizd1ago bee 44h0zin7g77 bik11’
1d77l77[ naaltsoos had7l4h7g77. Bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’is7n7dah7 nee 1dengo, 77shj33
niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77 bik11’
1d77l77[. D77 bik’ehgo na’ab22s7 d00
naaltsoos bik’i jizd1h7g77 doo nee
h0l=0g00 “NONE” bik11’ 1d77l77[. Bee
44h0zin7g77 [a’ n1 1dooln77[
Hahoodzoo7d00.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go bik44’ jiz98go
azh’doo’a[ biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Delawarej7
hazh’dil44hgo:

• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[,D00
• Delaware hahoodzoo7 biyi’ k44hojit’98
doolee[; <Delware haz’32gi nighango>,
D00

State Instructions
• Tseeb77ts’11dah hon11hai doolee[
Ada’ii’n77[ t’11 bich’8’7d00
Delawarej7 d77 biniinaa doo
hazh’didool77[ da:
• Azee’ 1l’9n7d00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda.
Honts4kees doo y1’1t’44h da
ha’n7n7g77 47 1nahwii’aahii 1n7igo
hok’i ad44s’t99’go biniina1g77
honts4kees doo y1’1t’44hg00 t’11 hw7
doo 1d1 nits7j7kees da jileehgo 00ly4,
b44h0zin doolee[ d00 ada’ii’n77[ y45
ndi doo b77ghah da jileehgo; $&
DOODAGO
• Bee haz’32nii k’7zhn7ti’go d00
t’ahdoo aw1alyah g0ne’ jizd1ago a[tso
1j7l44hg00,
$& DOODAGO
• Bee haz’32nii nitsa1g77 k’7zhn7ti’go
d00 t’ahdoo hw1 k’4n1d00hg00.
D77 1t’4h7g77 Disqualifying Felonies
dawoly4:
• T’11 1j7n44hgo ajiisx98go 47
doodago ajiisxh98go <chid7 bee
ajiisx98go 47 ndaga’>;
• Nida’anish7gi bee haz’32nii
k’7zhn7ti’go azhneez’99’go da 47
doodago honaanish bee azhd0keedgo
d00 bee h0h0ln77hgo, 47 1daat’4h7g77
bee haz’32nii, 47 doodago K4yah
Asdladiin sinil7g77, 47 doodago
Disctrict of Columbia; 47 doodago
• I[ asht44zhj7 nits1h1kees bee bee
haz’32nii k’7zhn7ti’go, 47 doodago 47
1t’4h7g77 bee haz’32nii k’7zhn7ti’go 47
doodago K4yah Ashdladiin sinil7g77 47
doodago District Columbia biyi’.
Naaltsoos 1l’97j8’:
State of Delaware
Office of the State Election
Commissioner
905 S. Governors Ave., Suite 170
Dover, DE 19904

District of Columbia
N1k’33z: 11-07-2019
Hada’dinl44hj8’ Haz’3 —Ada’ii’n77[
t’11 bich’8’7d00 t’11doo naadiin[a’ bil1
yi[kaah7 naaltsoos naag4h4j7, b44sh
[ich7’ii biyi’d00, 47 doodago b44sh bee
hane’4 biyi’d00, ndi ha’dideeshl77[
n7zin7g77 Ada’ii’n77[ bij9 t’11 bich’8’7d00
d00 bij98 g0ne’ ha’dil44hgo bee b1 haz’3.
6. ID N1mboo. W11shindoo bibee
haz’32anii 1n7igo bik’ehgo na’ab22s7, 47
doodago 1dengo, Naaltsoos Doot[‘izh7
bin1mboo ak44’di d99’go sinil7g77 bik11’
1jii[‘88h.
7. 7.H11j7 Aj7tah. H11j7 aj7tah doolee[7g77
77shj33 bik11’ 1jii[‘77h ada’ii’n77[go 11j7go
bik44’ jiz98go azh’doo’a[ biniiy4.
8. 8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naach’22h. District of
Columbiaj7 hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• District of Columbia hahoodzoo7 biyi’
k44hojit’98 doolee[
• District of Columbia biyi’ t1diin j9
k44hojit’98 doolee[ ada’ii’n77[ bij9
bich’8’d00
• N11n1 [ahgi Hahoodzoo7 biyi’
an11’j7’ah doolee[7g77 47 dooda
• Tsosts’idts’11dah hon11hai doolee[.
<Hast33ts’11dah hon11haigo
hazh’dil44hgo bee haz’3. Ada’ii’n77[j8’
ahoolzhiizhgo tsosts’idts’11dah
hon11haigo t’11 1ko d00 al33j8’ b1
ada’iis’nil7g77 b1 an11da’ii’n77[go
aji’11dgo tseeb77ts’11dah hon11hai
doolee[. >
• Bee haz’32nii k’7zhn7t’i’go aw1alyadi
jizd1ago 47 dooda.
• !n1h1t’98d00 ei a’doo’a[7g77 doo
y7neel’32 da n7igo doo be h1 haz’32 da.

OMB bee wójíhígíí námboo 3265-0015

10

Naaltsoos 1l’97j8’:
District of Columbia Board of
Elections
1015 Half Street, SE, Suite 750
Washington, DC 20003

Florida
N1k’33z: 11-30-2011
Hada’dinl44hj8’ Haz’3 — Ada’ii’n77[
bich’8’ hoolzhishgo t’1adoo naadiin
n1h1st’47 yi[kaah7.

6. ID N1mboo. Floridaj7 bik’ehgo
na’ab22s7 bee 44h0zin7g77 47 doodago
Floridaj7 naaltsoos bik’ijizd1ago bee
44h0zin7g77 bik11’ 1d77l77[ 77shj33. Floridaj7
bik’ehgo na’ab22s7 47 doodago naaltsoos
bik’is7n7dah7 nee 1dengo, 77shj33
niNaaltsoos Doot[‘izh7 n1mboo bik11’7g77
ak44’di d99’go sinil7g77 bik11’ 1d77l77[. D77
bik’ehgo na’ab22s7 d00 naaltsoos bik’i
jizd1h7g77 doo nee h0l=0g00 “NONE”
bik11’ 1d77l77[.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go bik44’ jiz98go
azh’doo’a[ biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. &7n7nzingo,
doo 77shj32 da, kwe’4 biyi’ 1d77l77[.
Ha7d7g77 sh99 bits’33d00 dabik11’7g77
d7n77[‘88[ Application Instructions
bik11’7g77 biyi’ Bin1’1sdzoh Tseeb77
g0ne’ <naaki g0ne’ naaltsoos>.
9. Y7zh7 Naashch’22’.Floridaj7
hazh’dil44hgo:
• K4yah ashdladiin sinil7g77
biyi’k44hojit’98 doolee[
• Florida hahoodzoo7 biyi’ k44hojit’98
doolee[ d00 hahoodzoo7 1[ts’7s7g77 biyi’
k44hojit’98 doolee[
• Tseeb77ts’11dah hon11hai doolee[
<hast33’11dah hon11haigo hazh’
dil44hgo t’11 1ko>
• Floridaj7 47 doodago Hahoodzoo7
n11n1 [ahd00 biyi’ azee’ 1l’9n7d00
honits4kees doo y1’1t’44h da
hodoo’niidgo 47 dooda, 47 doodago
1k0t’4ego hw1 k’44h1z--dgo t’47y1.
• Bee haz’1anii doo k’7zhn7ti’ da
doolee[, 47 doodago hw1
k’44h1zdoodgo t’47y1 1[ts4.
• D77 bee yazhdiilnih:

State Instructions
“K4yah Ashdladiin Sinil7g77
biConstitution d00 Florida Hahoodzoo7j7
biConstitution bich’33h naash1 doolee[,
Florida biContsitution d00 bee haz’32nii
biyi’d00 an1’1sh’a’go bee sh1 l3 azl99’,
d00 d77 naaltsoos t’11 1t’4 bik11’7g77 t’11
an77.
Naaltsoos 1l’97j8’:
State of Florida
Department of State
Division of Elections
The R.A. Gray
Building
500 South Bronough St, Rm 316
Tallahassee, Florida 32399‑0250

Georgia
N1k’33z: 08-15-2013
Hada’dinl44hj8’ Haz’3 —
Ada’ii’n77[j8’ hoolzhishgo t’11
bich’8’7d00 Dam0o Biisk3n7
ashdla’di adoolee[go, 47 doodago
ada’ii’n77[ a[’22 1daat’4h7g77
Georgia Election Code woly4ego
bee haz’32nii bik’ehgo. T’11
sahdii ha’77 sh88 biniiy4 ada’ii’n77[
doolee[ hodoo’niidgo yoo[k11[7g77
Georgia Election Code doo biyi’
bik11’7g77, hada’dilne’7g77 baa
h00ne’d00 ashdla’ yisk3 bil11h
g0ne’ doolee[.

7. H11j7 Ajitah. Ni n0h0ln77h. H11j7

aj7tah doolee[7g77 doo [a’ bik44’
nideesh11[ da n7n7zingo t’11 1ko
ada’ii’n77[ biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77.
&7n7nzingo, doo 77shj32 da, kwe’4 biyi’
1d77l77[. Ha7d7g77 sh99 bits’33d00
dabik11’7g77 d7n77[‘88[ Application
Instructions bik11’7g77 biyi’
Bin1’1sdzoh Tseeb77 g0ne’ <naaki
g0ne’ naaltsoos>.
9. Y7zh7 Naashch’22’. Georgiaj7
hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Georgiaj7 hahoodzoo7 biyi’ k44hojit’98
doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ t’11 bich’8’7d00
hazh’diilaad00 biisk3n7 d00
ada’ii’n77[j8’, d00 tseeb77ts’11dah
hon11haigo azhdoo’ah
• Bee haz’1anii doo k’7zhn7ti’ da doolee[
• Azee’1l’9n7d00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda,
hw1 k’44h1zdoodgo t’47y1

Naaltsoos 1l’97j8’:
Elections Division
Office of the Secretary of State
2 Martin Luther King Jr. Drive
Suite 802 Floyd West Tower
Atlanta, Georgia 30334

6. ID N1mboo. W11shindoon

bibee haz’32nii 1n7igo, GAj7
bik’ehgo na’ab22s7 bee 44h0zin7g77
47 doodago GAj7 naaltsoos
bik’ijizd1ago bee 44h0zin7g77 bee
44h0zin. GAj7 bik’ehgo na’ab22s7
47 doodago GAj7 naaltsoos bik11’
jizd1ah7g77 hwee 1dengo,
Naaltsoos Doot[‘izh7 bik11’
n1mboo ak44’di d88’go bik11’7g77
baa hojilnih. Naaltsoos Doot[‘izh7
n1mboo t’11 1t’4 bik11’ 1j7l44hgo
t’11 hw7 bee h0h0ln77h. D77 doo
baa hane’ da doolee[ d00
Hadahwiisdzohg00 ada’iin7[7 bee
a[xh22h naalkaah doolee[ t’47y1
biniiy4 doolee[. GA bik’ehgo
na’ab22s7 47 doodago Naaltsoos
Doot[‘izh7 nee 1dengo, bee
44h0zin7g77 [a’ n1 1dooln77[.

Hawaii
N1zk’33z: 06-18-2018
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo

6. ID N1mboo. Hawaiij7 bik’ehgo

na’ab22s7 bee 44h0zin7g77 47 doodago
naaltsoos bik’ijizd1ago bee
44h0zin7g77 bee 44h0zin, [a’ nee
h0l=0go. Bik’ehgo na’ab22s7 47
doodago naaltsoos bik11’ jizd1ah7g77
hwee 1dengo, Naaltsoos Doot[‘izh7
bik11’ n1mboo ak44’di d88’go
bik11’7g77 baa hojilnih. D77 t’11 a[tso
doo nee h0l=0g00, Clerk’s Office
hooly4ed00 bee 44h0zin7g77 [a’ n1
1dooln77[. D77 binahj8’ nee 44h0zin
doolee[ ada’ii’n77[go.

OMB bee wójíhígíí námboo 3265-0015

11

7. H11j7 Ajitah. “H11j7 aj7tah”
doolee[7g77 doo [a’ bik44’ nideesh11[
da n7n7zingo t’11 1ko naaltsoos
hazhdil44hgo.
8. B7la’ Ashdla’ii J7l9n7g77. B7la’
ashdla’ii h17d77 sh88 j7lin7g77 baa
hane’7g77 doo bik11’ 1j7l44hg00 t’11
1ko.
9. Y7zh7 Naashch’22’.
Hawaiij7 hazh’dil44hgo:
• K4yah ashdladiin
• sinil7g77 biyi’ k44hojit’98 doolee[
• Hawaiij7 hahoodzoo7 biyi’ k44hojit’98
doolee[
• Hast33ts’11dah hon11hai doolee[
hazh’dil44hgo <tseeb77ts’11dah
hon11hai doolee[ ada’ii’n77[j8’
ahoolzhiizhgo>
• Bee haz’1anii doo k’7zhn7ti’ da doolee[
• Azee’1l’9n7d00 “non compos mentis”
hodoo’niidgo 47 dooda
Naaltsoos 1l’97j8’:
Office of Elections
State of Hawaii
802 Lehua Avenue
Pearl City, HI 96782

Idaho
N1k’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — Naadiin
ashdla’ j9 ada’ii’n77[j8’ hoolzhishgo

6. ID N1mboo. Bik’ehgo na’ab22s7
bee 44h0zin7g77 bik11’ 1jii[‘88h.
Bik’ehgo na’ab22s7 hwee 1dengo
Naaltsoos Doot[‘izh7 bik11’ n1mboo
ak44’di d88’go bik11’7g77 bik11’
1jii[‘77h.
7. H11j7 Ajitah. H11j7 aj7tah
doolee[7g77 doo [a’ bik44’
nideesh11[ da n7n7zingo t’11 1ko
ada’ii’n77[ biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Idahoj7
hazh’dil44hgo:
• K4yah Ashdladiin
• sinil7g77 biyi’ k44hojit’98 doolee[

State Instructions
• Idahoj7 hahoodzoo7 d00 biyi’ 1[ts’7s7go
hadahwiisdoo7g77 biyi’ t1diin j9
k44hojit’98 doolee[ ada’ii’n77[ bich’8’7d00.
• Tseb77ts’11dah hon11hai doolee[ Bee
haz’1anii doo k’7zhn7ti’ da doolee[, d00
hw1 k’44h1zdoon ndi, 47 doodago
aw1alyaa h0tsa1di jizd1ago bee haz’32nii
y4ego 7l9n7g77 k’7zhn7ti’go
Naaltsoos 1l’97j8’:
Secretary of State
P.O. Box 83720
State Capitol Bldg.
Boise, ID 83720‑0080

Illinois
N1k’33z: 09-03-2019
Ha’diln44hj8’ Haz’3 — B44sh [ich7’ii
biyi’d00 22’1t’4 hast’33ts’11dah j9
ada’ii’n77[ bich’8’d00 1ad00 Ada’ii’n77[
Bij9 bich’i’ hoolzhishgo d00 1k0ne’
t’11 hw7 11di yah ajigh11hgo
hazh’dil44hgo bee hw1 haz’3.

6. ID N1mboo. Illinoisj7 bik’ehgo

na’ab22s7 bee 44h0zin7g77 <47 doodago
Secretary of State naaltsoos
bik’ijizd1ago bee 44h0zin7g77> 47
doodago Naaltsoos Doot[‘izh7
bin1mboo ak44’di d99’go bik11’7g77
1jii[‘88h. Din4 d77 [a’ bee 1daadengo, d00
Illinoisj7 t’ahdoo ha’dil44hg00,
naaltsoos nin1h1jeehj7 [a’ 1dooln77[ d77
naaltsoos a[’22 1daat’4h7g77 bi[go: d77
naaltsoos bi[ 1jii[‘88h7g77, i>
bik’ijizd1h7g77 [a’ be’elyaago, 47
doodago ii> bik’ehgo hw1 da’dilt[i’7g77,
b44s0 b1 hooghand44’ honaaltsoos,
W11ashindoond44’ hoch’i’ni’iily4h7g77,
naanishd00 hoch’i’ nihely4h7g77, 47
doodago W11shindoond00 naaltsoos
hwaa nin1dahajeeh7g77 h0zhi’ d00
naaltsoos hwaa nin1h1jeehdi7g77
bik11’7g77. D77 doo bi[ yah ajij11hg00,
an1’1t’ahdi nidaalnish7g77 d77 baa jini[ i>
47 doodago ii> w0dahgo dabik11’7g77
1[ts44di naaltsoos aji’ahgo ada’ii’n77[gi.
7. H11j7 Ajitah. Biyi’ ak’e’00[ch77[
l1go. !ko ndi: al11hdi b1
ada’iis’nil7g77 b1 an11da’ii’n77[go,
naaltsoos ii’ah7g77 na’7d7kid n1t’33’ [a’
1dadeeshlii[ n7zingo, h11j7 ajitah7g77
bik11’ 1jii[’88h.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’

ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. H0zhi’
naashch’22’7g77 77shj33 1jii[‘88h. H0zhi’
naashch’22’7g77 naaltsoos b22h 1dengo,
nich’8’ hodoonih d00 ninaaltsoos doo
a[tso da nididoo’nii[. Illinoisj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Illinoisj7 hahoodzoo7 d00 biyi’
1[ts’7s7go hadahwiisdoo7g77 biyi’
t1diin j9 k44hojit’98 doolee[
ada’ii’n77[ bich’8’7d00.
• Tseb77ts’11dah hon11hai doolee[
1[ts44di ada’iin77[ g0ne’ 47
doodago Consolidated Election
woly4h7g77 g0ne’
• Bee haz’1anii doo k’7zhn7ti’ da
doolee[ d00 aw1alyaa h0tsa1di
jizd1ago bee haz’32nii y4ego
7l9n7g77 k’7zhn7ti’go
• N11n1 [a’ h11di da i]’j7’ahgo
Tsosts’idts’11dah b44d11hai7g77
hada’dile’go. Illinoisj7
tsosts’idts’11dah bin11hai7g77
naaltsoos haidil44hgo bee b1 haz’3
tseeb77ts’11dah bin11hai doolee[go
ada’ii’n77[ g0ne’ <47 doodago
Consolidated Election, doo 1k0ne’
yihah7g77 kin dashijaa’gi, 1[ah
n1’1dleehgi, 0lta’ bitsiineeshj99’gi
d00 nida’nishg00> ha’diln44hgo
d00 ada’ii’n77[ biniiy4 <47 doodago
Consolidated Primary> de7jeeh7g77
b1 ada’diyoo’ni[ biniiy4
an11da’ii’n77[ g0ne’ <47 doodago
Consolidated Election>
Naaltsoos 1l’97j8’:
State Board of Elections
2329 S. MacArthur Boulevard
Springfield, IL 62704
N1k’33z: 03-01-2006

Indiana
Ha’diln44hj8’ Haz’3 — Naadiin
n1h1st’47 j9 ada’ii’n77[j8’ hoolzhishgo

OMB bee wójíhígíí námboo 3265-0015

6. ID N1mboo. NiID n1mboo 47
neezn11go n1mboo bik11’ Indianaj7
ninaaltsoos bik’ijizd1ago bee
44h0zin7g77. Indianaj7 bik’ehgo
na’ab22s7 nee 1dengo, 77shj33
niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77 bik11’
1d77l77[. H17d77 n1mboo 77nila1g77
77shj3n7 1d77l77[. <Indiana Code 3-7-1313>
7. H11j7 Ajitah. Biyi’
ak’e’00[ch77[ l1go.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Indianaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Hahoodzoo7 biyi’ t1diin j9 k44hojit’98
doolee[ ada’ii’n77[ bich’8’7d00.
• Tseb77ts’11dah hon11hai
doolee[ada’iin77[ g0ne’
• Doo aw1alyahdi jizd1a da doolee[ bee
haz’32nii k’7zh7nti’go biniiy4
Naaltsoos 1l’97j8’:
Election Division
Office of the Secretary of
State 302 West Washington
Street, Room E‑204
Indianapolis, IN 46204‑2743

Iowa
N1k’33z: 10-31-2020
Ha’diln44hj8’ Haz’3 — T’ahdoo
ashdlaj8’ e’elkeed7 ada’ii’n77[
bich’8’ t’ahdoo neezn11 yi[kaah7,
1[ts44di ada’ii’n77[go; n11n1
ada’ii’n77[ [ahgo0g77 47 [a’ts’11dah j9
t’ahdoo aleehg00. Naaltsoos
naag4h4d00 naaltsoos 1lya1g77
ashdla’ts’11dah d00 y7wohj8’ 1lyaa
]t’44’go t’11 b77ghah azh3 sh99
bil1’ooskid ndi.
*D77 w0dahgo dabik11’7g77 doo n1
b77ghahg00 naaltsoos had7l44h7g77 d00
i’7’11d7g77 ada’ii’n77[ bij9 gone’
bik’ehgo 7’d77l77[. Iowa Secretary of
State bib44sh [ich7’ii biyi’d00
d7n77[‘88[: https://sos.iowa.gov/
elections/voterinformation/edr html.
.

12

State Instructions
6. ID N1mboo. NiID n1mboo 47
Iowaj7 bik’ehgo na’ab22s7 bik11’7g77 <
47 dood ago ninaaltsoos bik’ijizd1ago
bee 44h0zin7g77 bin1mboo> nee h0l=go, 1dengo 47 niNaaltsoos Doot[‘izh7
n1mboo bik11’7g77 ak44’di d99’go
sinil7g77 bik11’ 1d77l77[. ID n1mboo
77nila1g77 Iowa Department of
Transportation 47 doodago Social
Security Administrationd00 bee
b44hodooz88[.
7. H11j7 Ajitah. H11j7 aj7tah

doolee[7g77 doo [a’ bik44’ nideesh11[
da n7n7zingo t’11 1ko ada’ii’n77[
biniiy4. Ada’ii’n77[ bij9 g0ne’ [ahgo
1ndeeshdl77[ jin7zingo bee hw1 haz’3.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.

9. Y7zh7 Naashch’22’. Iowaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Iowaj7 hahoodzoo7 biyi’ k44hojit’98
doolee[
• Tsosts’idts’11dah hon11hai doolee[;
Tseeb77ts’11dah bin11hai7g77 ada’ii’n77[
bij98 gone’ e’e’11d doolee[. Naaki
g0ne’ ada’ii’n77[go tseeb77ts’11dah
bin11hai doolee[ bij9 47 doodago
bich’8’ hoolzhishgo
• Bee haz’1anii doo k’7zhn7ti’ da
doolee[ 47 doodago hw1 k’44h1zdon
ndi
• !nahwii’aahii bits’33d00 “a’doo’ah7g77
doo y77ghah da” hodoo’niidgo dooda
• N11n1 [ahgi azhdoo’ah7g77 dooda
• N11n1 [ahgi azhdoo’ah7g77 nahj8’
1jiilaago
Naaltsoos 1l’97j8’:
Elections Division
Office of the Secretary of State
Lucas Building‑1st Floor
321 E. 12th Street
Des Moines, IA 50319

Kansas
N1zk’33z: 10-25-2013
Ha’diln44hj8’ Haz’3 — Naaltsoos
nehegeehd00 naadiin[a’ j9 t’ahdoo
ada’ii’n77[g00 1lyaago 47 doodago
n7diiltsoozgo.

6. ID N1mboo. Naaltsoos had7l4h7g77

77shj33 bik’ehgo na’ab22s7 bee 44h0zin7g77
47 doodago naaltsoos bik’ijizd1ago doo
bik’ehgo na’ab22s7g77 bee 44h0zin7g77
naaltsoos nee h0l0-go. Bik’ehgo na’b22s7
47 d00dago doo bik’ehgo na’ab22s7g77 bee
44h0zin7g77 naaltsoos nee 1dengo,
niNaaltsoos Doot[‘izh7 n1mboo bik11’7g77
ak44’di d99’go sinil7g77 bik11’ 1d77l77[.
Bik’ehgo na’ab22s7 d00 naaltsoos bik’i
jizd1h7g77 d00 Naaltsoos Doot[‘izh7 doo
nee h0l=0g00 “NONE” bik11’ 1d77l77[.
Bee 44h0zin7g77 [a’ n1 1dooln77[
Hahoodzoo7d00. N1mboo bik11’
77nila1g77 doo bi[ hane’7 da doolee[ d00
ndaalnish7g77 t’47y1 choidayoo[’98 doolee[.
<KSA 25-2309>.
7. H11j7 Aj7tah. H11j7 aj7tah doolee[7g77
77shj33 bik11’ 1jii[‘77h ada’ii’n77[go
11j7go bik44’ jiz98go azh’doo’ah biniiy4.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Kansasj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Kansasj7 hahoodzoo7 biyi’ k44hojit’98
doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[go
• Bee haz’1anii k’7zhn7ti’go a[tso ajisl99[
doolee[; t’ahdii aw1alyaadi jizd1ago 47
doo bee hw1 haz’3a da
• N11n1 [ahgi azhdoo’ah7g77 dooda d00
h0zhi’ [ahgo 1t’4ego azhdoo’aah7g77 doo
bee haz’12 da
• !nahwii’aahiid00 a’doo’ah7g77 doo
y7neel’33 da hodoo’niidgo

Naaltsoos 1l’97j8’:
Secretary of State
1st Floor, Memorial Hall
120 SW 10th Ave.
Topeka, KS 66612‑1594

Kentuck
N1zk’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — Naadiin
n1h1st’47 j9 ada’ii’n77[ bich’8’
hoolzhishgo

6. ID N1mboo. NiNaaltsoos
Doot[‘izh7 n1mboo bik11’7g77 1jii[‘88h
77shj33. Nida’anish t’47y1 biniiy4
choo’98 doolee[ d00 doo h17 da bi[
hane’4 da doolee[ <KRS 116.155>. H17
da doo dooda bididoo’nii[ da ada’ii’n77[
biniiy4 ha’dil44hgo biNaaltsoos
Doot[‘izh7 n1mboo bee 1dengo.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go bik44’ jiz98go
azh’doo’ah biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’.
Kentuckyj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Kentuckyj7 hahoodzoo7 biyi’ k44hojit’98
doolee[
• Hahoodzoo7 1[ts’7s7j7 biyi’ naadiinn
tseeb77 j9j8’ k44hojit’98 doolee[ ada’ii’n77[
bich’8’hoolzhishgo
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ bij9 57 doodago bich’8’
hoolzhishgo
• Bee haz’1anii k’7zhn7ti’go bik’4h a[tso
ajis[99’ doolee[ d00 hw1 k’44h1zdood
doolee[
• !nahwii’aahiid00 a’doo’ah7g77 doo
y7neel’33 da hodoo’niidgo
• N11n1 [ahgi Kentucky bil11hg00
azhdoo’ah7g77 dooda
Naaltsoos 1l’97j8’:
State Board of Elections 140
Walnut Street Frankfort, KY
40601‑3240

OMB bee wójíhígíí námboo 3265-0015

13

State Instructions

Louisian
N1zk’33z: 02-28-2019
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo

6. ID N1mboo. Louisianaj7 bik’ehgo
na’ab22s7 bee 44h0zin7g77 47 doodago
Louisianaj7 naaltsoos bik’ijizd1ago bee
44h0zin7g77 bi[ 1jii[‘88h , hwee h0-0go.
Hwee 1dengo, Naaltsoos Doot[‘izh7
bin1mboo ak44’di d99’go bik11’7g77
1jii[‘88h. Naaltsoos Doot[‘izh7
bin1mboo t’11 1t’4 1j7l44hgo t’11 hw7
h0h0ln77h. Louisianaj7 bik’ehgo
na’ab22s7, Louisianaj7 naaltsoos bik11’
jizd1ago bee 44h0zin77 47 doodago
Naaltsoo Doot[‘izh7 1dengo,
ha’dil4h7g77 d77 naaltsoos [a’ yi[ yah
iidoo[tsos: a> naaltsoos bik11’
jizd1h7g77; 47 doodago b> bik’ehgo
hw1 da’dilt[i’7g77, b44s0 b1
hooghand44’ honaaltsoos,
W11ashindoond44’ hoch’i’ni’iily4h7g77,
naanishd00 hoch’i’ nihely4h7g77, 47
doodago W11shindoond00 naaltsoos
hwaa nin1dahajeeh7g77 h0zhi’ d00
naaltsoos hwaa nin1h1jeehdi7g77
bik11’7g77. D77 naaltsoos yah ajij11h7g77
ndaalnish7g77 47 doodago Department of
State doo yaa halne’7 da doolee[ 47
doodago Naaltsoos Doot[‘izh7
bik11’7g77 doo h17 da yi[ halne’ da
doolee[ <R.S. 18:104 and 154; 42 U.S.C.
§ 405)>.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 doo bik11’ 1jii[‘77hg00
Presidential Preferance Primary
woly4h7g77 d00 atah dah nah11zt3n7g77
doo b1 azhdoo’ah dago 1t’4. H11j7
ajitah7g77 doo b7na’7d7kid da n11na
[ahgo ada’ii’n77[go.
8. B7la’ Ashdla’ii J7l9n7g77.
&7n7nzingo kwe’4 biyi’ 1d77l77[. Ha7d7g77
sh99 bits’33d00 dabik11’7g77 d7n77[‘88[
Application Instructions bik11’7g77 biyi’
Bin1’1sdzoh Tseeb77 g0ne’ <naaki
g0ne’ naaltsoos>.

9. Y7zh7 Naashch’22’. Louisianaj7

hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Louisianaj7 hahoodzoo7 biyi’ k44hojit’98
doolee[ <Naaltsoos hwaa nin1h1jeeh7g77
hwighan7gi n1mboo bik11’7g77 b22h
doolee[, ndi s32nii baa 1dahay3n7gi da
sil1o[tso7 baa 1dahay3n7gi da 47 doodago
hooghangi doo bi[ 0lta’gi. Wodahgo
bidziilgi 0[ta’7g77 t’11 bihangi
n1mbo0g77 47 doodago 0[ta’gi
n1mbo0g77 choidoo[‘88[go b1 ah00t’i’.>
• Tsosts’ids’11dah hon11hai doolee[
ada’ii’n77[ t’11 bich’8’7d00
<hast33ts’11dah hon11hai doo
Louisianaj7 bik’ehgo na’ab22s7
biniiy4 hazhdil44hgo 47 doodago
yah ajigh11h ada’ii’n77[ b1
hooghandi>, d00 tseeb77ts’11dah
hon11hai doolee[ ada’ii’n77[go
• Bee haz’1anii doo k’7zhn7ti’ da
doolee[; 47 doodago biyaagi 1>
doo yah aho’doolt’e’ da doolee[
ashdla’ n11haid00 ada’ii’n77[j8’
d00 2> doo aw1alyaa g0ne’ jizd1a
da bee haz’12nii k’7zhn7ti’go
ada’ii’n77[ b7d445’i’go 47 doodago
ada’ii’n77[j7 naazt’i’7g77 R.S.
18:1461.2.
• Azee’1l’9n7d00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda
i’ii’n77[j7 hots’33’ ni’ k0lyaago
Naaltsoos 1l’97j8’:
Secretary of State
Attention: Elections Division
P.O. Box 94125
Baton Rouge, LA 70804‑9125

Maine
N1zk’33z: 08-14-2012
Ha’diln44hj8’ Haz’3 — Naadiin[a’ j9
ada’ii’n77[j8’ hoolzhishgo n1lwodgo
<47 doodago e’e’11d7g77 t’11 b7 yah
77y1ago ada’ii’n77[j8’ hoolzhishgo d00
ada’ii’n77[ bij9j8’>.

OMB bee wójíhígíí námboo 3265-0015

14

6. ID N1mboo. Mainej7 bik’ehgo
na’ab22s7 bee 44h0zin7g77 bik11’
1jii[‘88h. Mainej7 bik’ehgo na’ab22s7
hwee 1dengo Naaltsoos Doot[‘izh7
bik11’ n1mboo ak44’di d88’go
bik11’7g77 bik11’ 1jii[‘77h. An1’1’ah7
bik’ehgo na’ab22s7 d00 naaltsoos bik’i
jizd1h7g77 doo bee h0l=0g00 “NONE”
yik11’ 77dool77[.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go bik44’ jiz98go
azh’doo’ah biniiy4 <h11j7 aj7tah7g77
[ahgo hwi[ dahalne’go da>.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Mainej7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Maine hahoodzoo7 biyi’ d00 kin
dashijaa’gi a]j7’ahgo k44hojit’88
doolee[
• Tsosts’idts’11dah hon11hai doolee[
<ada’iin77[ g0ne’ 47 tseeb77ts’11dah
hon11hai doolee[>
Naaltsoos 1l’97j8’
Elections Division Bureau
of Corporations,
Elections and Commissions 101
State House Station Augusta, ME
04333‑0101

Marylan
N1zk’33z: 06-26-2008
Ha’diln44hj8’ Haz’3 — Naadiin[a’ j9
ada’ii’n77[j8’ hoolzhishgo t’1adoo
n1h1st’47 bik’ih da’ak55s7.

6. ID N1mboo. Naaltsoos had7l4h7g77
77shj33 Marylandj7 bik’ehgo na’ab22s7
bee 44h0zin7g77 47 doodago Motor
Vehicle Administrationj7 naaltsoos
bik’ijizd1ago bee 44h0zin7g77 naaltsoos
biyi’d00 n1mboo bik11’7g77 1jii[‘88h.
Marylandj7 bik’ehgo na’b22s7 47
d00dago Motor Vehicle
Administrationj7 naaltsoos b44h0zin7g77
nee 1dengo, niNaaltsoos Doot[‘izh7
n1mboo bik11’7g77 ak44’di d99’go
sinil7g77 bik11’ 1d77l77[. !ko ndi, ni[
b44h0zin doolee[, Naaltsoos Doot[‘izh7
bin1mboo t’11 1t’4 bik11’ 1n7l44h7g77
t’11 ni bee n0h0n77h. Election Law
Article, Section 3-202, Annotated Code
of Maryland woly4ego

State Instructions

bee haz’22nii niNaaltsoos Doot[‘izh7
bin1mboo y0keed7g77 bee ah00t’i’.
N1mboo doo bi[ hane’7 da doolee[ d00
ada’ii’n77[gi ndaalnish7g77 t’47y1
choidayoo[’98 doolee[.

7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go bik44’ jiz98go
azh’doo’ah biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Marylandj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Maryland hahoodzoo7 biyi’ k44hojit’88
doolee[
• Tseeb77ts’11dah hon11hai doolee[
• Doo honts4kees bi’ohgo biniiy4 hwaa
1h1y32 da
• Doo bee haz’1anii k’7zhn7ti’ da
doolee[, 47 doodago k’7zhn7ti’go,
aw1alyaa h0tsaadi jizd1ago bee
haz’32nii y4ego 7l9n7g77 k’7zhn7ti’go
a[tso 1jiilaago, 22jizt9n7g77 ndi
Naaltsoos 1l’97j8’:
State Board of Elections
P.O. Box 6486
Annapolis, MD 21401‑0486

Massachusetts
N1zk’33z: 09-03-2019

6. ID N1mboo. W11shindoon bibee
haz’23nii 1n7igo bik’ehgo na’ab22s7
bin1mboo bik11’ 1jii[‘88h.
Massachusettsj7 bik’ehgo na’ab22s7
nee 1dengo, 77shj33 niNaaltsoos
Doot[‘izh7 n1mboo bik11’7g77 ak44’di
d99’go sinil7g77 bik11’ 1d77l77[. D77
bik’ehgo na’ab22s7 d00 Naaltsoos
Doot[‘izh7 doo nee h0l=0g00,
“NONE” bik11’ 1d77l77[. Bee
44h0zin7g77 [a’ n1 1dooln77[.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 doo bik11’ 1jii[‘77hg00
unenrolled woly4h7g77 hw1 1l’88h.
T’11 1k0t’4e ndi t’11 an1’7’ah
doolee[.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’.
Massachusettsj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Massachusettsj7 hahoodzoo7 biyi’
k44hojit’88 doolee[
• Hast33ts’11dah hon11hai doolee[ <
ada’ii’n77[go tseeb77ts’11dah hon11hai
doolee[>
• Doo bee haz’12nii i’ii’n77[j7 b7d44t’i’go
k’7zhn7ti’ da doolee[
• Doo i’ii’n77[ biniiy4 hwaa 1h1y32 da
• Doo aw1alyaadi jizd1a da bee haz’12nii
k’7zhn7ti’go
Naaltsoos 1l’97j8’:
Secretary of the Commonwealth
Elections Division, Room 1705
One Ashburton Place
Boston, MA 02108

Ha’diln44hj8’ Haz’3 — Naadiin j9
ada’ii’n77[j8’ hoolzhishgo.

Michiga
N1zk’33z: 11-07-2019
Ha’diln44hj8’ Haz’3 — Naaltsoos
nehegeehd00 ashdla’ts’11dah j9
t’ahdoo ada’ii’n77[g00 1lyaago; 47
doodago ada’ii’n77[ bij98 gone’
t’1adoo tseeb77di e’elkeed7 yah
aji[tsos kin dah shijaa’gi i’ii’n77[ b1
haz’3n7gi. D99’ts’11dah j9 g0ne’
hazh’dil44hgo, k44hojit’9n7g77
binaaltsoos yah aji[tsosgo hw1
l3 aleeh.

OMB bee wójíhígíí námboo 3265-0015

15

6. ID N1mboo. Naaltsoos
i’ii’n77[ biniiy4 had7l4h7g77 77shj33
nihahoodzoo7d00 bik’ehgo
na’ab22s7 bin1mboo 47 doodago
naaltsoos bik’ijizd1ago bee
44h0zin7g77 bik11’ 1jii[‘88h.
Bik’ehgo na’ab22s7 47 doodago
naaltsoos bik’ijizd1ah7g77 nee
1dengo, 77shj33 niNaaltsoos
Doot[‘izh7 n1mboo bik11’7g77
ak44’di d99’go sinil7g77 bik11’
1d77l77[. D77 bik’ehgo na’ab22s7
d00 naaltsoos bik’ijizd1h7g77 d00
Naaltsoos Doot[‘izh7 doo nee
h0l=0g00, “NONE” bik11’
1d77l77[. Bee 44h0zin7g77 [a’ n1
1dooln77[ Hahoodzoo7d00.
7. H11j7 Aj7tah. “H11j7 aj7tah”
doolee[7g77 doo 1jii[‘88hg00 bee
ah00t’i’.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Michiganj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[go
• Massachusettsj7 hahoodzoo7
biyi’ k44hojit’88 doolee[ d00
t1diin j9j8’ kin dah shijaa’gi
k44hojit’98 doolee[ ada’ii’n77[
bich’8’ hoolzhishgo
• Doo bee haz’12nii
k’7zhn7ti’go biniinaa
aw1alyaadi jizd1a doolee[
Baa 1kon7nzin: Naaltsoos ii’11d7g77
Michiganj7 bik’ehgo na’ab22s7
<DL> 47 doodago naaltsoos bik11’
jizhd1h7g77 <PID>, Michigan bibee
haz’32nii 1n7igo naaltsoos hwaa
nin1h1jeeh7g77 t’11 47 doolee[
i’ii’n77[ biniiy4 d00 DL/PID
biniiy4. D77 naaltsoos had7l4h7g77
a[d0’ niDL/PID bik11’7g77
b44’dooln77[. Secretary of State
naaltsoos naa nin1h1jeehdi7g77
bik11’go nich’i’ 77dool77[ ni
DL/PID b1.

State Instructions
Naaltsoos 1l’97j8’:
D77 naaltsoos hadinila1g77
naaltsoos naag4h7d00 47 doodago
t’11 ni 1k== d77[tsos
k44hon7t’9n7gi. Kin dah shijaa’gi
nidaalnish7g77 h1d7d77’88[ kwe’4
Michigan.gov/Vote. Kin dah
shijaa’ k44hon7t’9n7gi
nidaalnish7g77 ch’44h
h1d7n7’99’go, koj8’ naaltsoos
1d77l77[:
Michigan Department of State
Bureau of Elections
P.O. Box 20126
Lansing, MI 48901‑0726

Minnesota
N1zk’33z: 12-31-2008
Ha’diln44hj8’ Haz’3 — Naadiin[a’ j9
ada’ii’n77[j8’ hoolzhishgo t’1adoo
ashdla’ bik’ih da’ak55s7 <ada’ii’n77[
g0ne’ a[d0’ hazh’didool77[>.

6. ID N1mboo. Minnesotaj7 bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’ijizd1ago bee 44h0zin7g77 bik11’
1jii[‘88h an1’1sh’a’ doolee[ jin7zingo.
Minnesotaj7 bik’ehgo na’ab22s7 47
doodago naaltsoos bik’ijizd1ah7g77 nee
1dengo 77shj33 niNaaltsoos Doot[‘izh7
n1mboo bik11’7g77 ak44’di d99’go
sinil7g77 bik11’ 1d77l77[. Doo nee
h0l=0g00, “none” bik11’ 1d77l77[.
7. H11j7 Ajitah. Biyi’
ak’e’00[ch77[ l1go.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Minnesotaj7
hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Minnesotaj7 hahoodzoo7 biyi’ naadiin j9
k44hojit’98 doolee[ ada’ii’n77[ bich’8’
hoolzhishgo
• Naaltsoos bik11’gi k44hojit’9n7g77
1jiila1g7 k44hojit’98 doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ bij9
• Bee haz’1anii
• k’7zhn7ti’go, a[tso hw1 k’44h1zdood
doolee[
• I’ii’n77[ hots’3deet’32go hwaa 1h1y3ago
dooda

• !nahwii’aahiid00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda
Naaltsoos 1l’97j8’:
Secretary of State
60 Empire Drive, Suite
100 St. Paul, MN
55103‑1855

Mississippi
N1zk’33z: 05-07-2010
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. Bik’ehgo na’ab22s7
n1mboo bik11’7g77 bik11’ 1jii[‘88h 47
doodago, doo hwee h0l=-g00,
Naaltsoos Doot[‘izh7 bin1mboo ak44’di
d99’go bik11’7g77 bik11 1jii[‘88h.
7. H11j7 Aj7tah. Mississippij7 h11j7
aj7tah doolee[7g77 doo bik11’ 1l’98 da.
Ak0, H11j7 aj7tah doolee[7g77 bik11’
1jii[‘77h7g77 bee h0h0ln77h. 9. 8.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Mississippij7
hazh’dil44hgo:
• K4yah ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Mississippij7 hahoodzoo7 biyi’ d00
1[ts’7s7go hahoodzoo7 <d00 kin dah
shijaa’> biyi’ t1diin j9 k44hojit’98 doolee[
ada’ii’n77[ bich’8’ hoolzhishgo
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ bij9Bee haz’1aniik’7zhn7ti’go,
a[tso hw1 k’44h1zdood doolee[
• Doo d77gi 1t’4ego bee haz’32nii
k’7zhn7ti’ da doolee[ ajiisx9, i[ nizhn7d44l,
hona’adlo’go nahoji’1h, ant’88h,
hozhdii[ti’, hona’dlo’go b4eso da
naajaah7 da n7jiil11h, hoyooch’99dgo
yazhdiilnih, y7zh7 doo hw7g00 naach’22h,
b4eso nit’88h, bee tx7zhdool77[7g77 bee
ajini’88h, doo bee haz’32g00 b4eso
n7jiil11h, b4eso binaaltsoos doo hw7g00
hajiiz00s, naaly4h4 b1 hooghandi ajini’88h,
ajini’88h, naaly4h4 jini’88h, chid7 jini’88h,
noos4[7 bi[ ni’7d44l, chid7 doo hw7g00
jidii[ts’99hgo jini’88h, t’11 77d33’ ajizyehgo
n11n1 [a’ n11j7sgehgo, 47 doodago bee
haz’33nii bee hw1 k’44h1zdoodgo

OMB bee wójíhígíí námboo 3265-0015

16

• !nahwii’aahiid00 honits4kees doo
y1’1t’44h da hodoo’niidgo 47 dooda
Baa 1kon7nzin: 1998 y44d33’
W11shindoon bibee haz’32nii
[ahgo 1yiilaa d00 Hahoodzoo7
biyi’ bee haz’32nii 2000 y44d33’.
K’ad naaltsoos i’ii’n77[ biniiy4
hadilne’7g77 n7dahiidl11h
hahoodzoo7 t’11 1t’4 d00
W11shindoonj7 nida’anish7gi.
Naaltsoos 1l’97j8’:
Secretary of State
P.O. Box 136
Jackson, MS 39205‑0136
Naaltsoos nin1dahajeeh7gi:
Naaltsoos had7l4h7g77 county
circuit clerk/registrar
woly4h7g77 a[d0’ baa d77[tsos
k44hon7t’9n7gi. County circuit
clerk/registrar t’11 a[tso
dabik11’ Mississippi bib44sh
[ich7’ii biyi kwe’4 www.sos.
ms.gov.

Missouri
N1zk’33z: 09-12-2006
Ha’diln44hj8’ Haz’3 — Naadiin
tseeb77 j9 ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. Bik’ehgo

na’ab22s7 bin1mboo bik11’
1jii[‘88h an1’1sh’a’ doolee[
jin7zingo. NiNaaltsoos Doot[‘izh7
bin1mboo bik11’7g77 ak44’di
d99’go sinil7g77 a[d0’ naaltsoos
had7l4h7g77 bik11’ 1d77l77[ 77shj33.
<Section 115.155, RSMo>.
Bik’ehgo na’ab22s7 47 doodago
Naaltsoos Doot[‘izh7 doo nee
h0l=0g00, “NONE” bik11’
1d77l77[. N1mboo bee 44h0zin7g77
Hahoodzoo7d00 [a’ n1 1dooln77[.
B44sh [ich7’ii biyi’d00, naaltsoos
be’alne’7g77, 47 doodago
naaltsoos naag4h4 b47diiljah7g77
d77 bee haz’33nii biyaad00 doo
an1’1’ah7 bib44sh bee hane’4 d00
Naaltsoos Doot[‘izh7 bik11’7g77
baa hane’ da doolee[. <Section
115.157, RSMo>.

State Instructions
7. H11j7 Ajitah. H11j7 aj7tah

doolee[7g77 doo [a’ bik44’ nideesh11[ da
n7n7zingo t’11 1ko ada’ii’n77[ biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Missourij7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Missourij7 hahoodzoo7 biyi’ k44hojit’88
doolee[
• Tsosts’ids’11dah d00 a[n77’ hon11hai
doolee[ <ada’ii’n77[go tseeb77ts’11dah
hon11hai doolee[>
• Doo bee haz’12nii k’7zhn7ti’go
biniinaa 22hjizt98 da doolee[, hw1
k’44h1zdoongo 7nda
• !nahwii’aahiid00 doo b1 h0n44dz32 da
hodoo’niidgo dooda
• Doo aw1alyaadi jizd1a da doolee[
Naaltsoos 1l’97j8’:
Secretary of State
P.O. Box 1767
Jefferson City, MO 65102‑1767

Montana
N1zk’33z: 11-07-2019
Ha’diln44hj8’ Haz’3 — T1diin
j9 ada’ii’n77[j8’ hoolzhishgo.
Haz’3aj8’ s7n7sihgo, t’11
ha’did77l77[go 1t’4 d00 I’d77’ah
ada’ii’n77[go hwa’dit’11hgo
hazh’dii[‘88h7g77 bee hahoodzoo7
b1 nida’anish7gi. Ada’ii’n77[j8’
ahoolzhiishgo ndi bij9 t’11
ha’did77l77[go bee haz’3, ndi
yisk33go ada’ii[n77[ doolee[
g0ne’ a[n7’n7’32d00 ashdla’di
ooki[j8’ 47 doo bee haz’32 da.

bik’ehgo hw1 da’dilt[i’7g77, b44s0
b1 hooghand44’ honaaltsoos,
W11ashindoond44’
hoch’i’ni’iily4h7g77, naanishd00
hoch’i’ nihely4h7g77, 47 doodago
W11shindoond00 naaltsoos hwaa
nin1dahajeeh7g77 h0zhi’ d00
naaltsoos hwaa nin1h1jeehdi7g77
bik11’7g77.
7. H11j7 Ajitah. Montanaj7 h11j7
aj7tah doolee[7g77 doo [a’ bik44’
nideesh11[ da n7n7zingo t’11 1ko
ada’ii’n77[ biniiy4

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Montanaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Ada’ii’n77[go tseeb77ts’11dah hon11hai
doolee[
• Montana7 hahoodzoo7 biyi’
k44hojit’88 doolee[ d00
1[ts’7s7go hadahwiisdzo0g77
biyi' k44hojit'98 doolee[
ada’ii’n77[ bich’8’ hoolzhishgo
t1diin j9j8’ i’deesh’a[ jin7zingo
• Doo aw1alyaadi jizd1a da doolee[
• !nahwii’aahiid00 doo b1 h0n44dz32 da
hodoo’niidgo dooda
• D77 k’ad doo hw1 b77ghahg00
ada’ii’n77[j8’ ahoolzhiizhgo hw1
k’44hodoodoo[go
Naaltsoos 1l’97j8’:
Naaltsoos a[tso hadinilaago kin
dah shijaa’d00 hahoodzoo7gi
naaltsoos nehegeeh b1 haz’3n7d00
1d77l77[. Hahoodzoo7 bich’8’
hane’7g77 47 kwe’4 Montana
Secretary of State b44sh [ich7’ii:
https://sosmt.gov/

6. ID N1mboo. Montanaj7

bik’ehgo na’ab22s7 bee 44h0zin7g77
bi[ 1jii[‘88h. Montanaj7 bik’ehgo
na’ab22s7 hwee 1dengo, Naaltsoos
Doot[‘izh7 bin1mboo ak44’di d99’go
bik11’7g77 1jii[‘88h. Montanaj7
bik’ehgo na’ab22s7 47 doodago
Naaltsoo Doot[‘izh7 1dengo,
“NONE” bik11’ 1jii[‘88h d00
ha’dil4h7g77 d77 naaltsoos [a’ yi[ yah
iidoo[tsos: naaltsoos bik11’
jizd1h7g77, 0lta’j7 hw1 1daalne’7g77
da 47 doodago w0dahgo bidziilgo
0lta’j7 hw1 1daalne’7g77 48 doodago
bits8’ yisht[izhii j9l99go hw1
1daalne’7g77, h0zhi’ bi[; 47 doodago

OMB bee wójíhígíí námboo 3265-0015

17

Portals/142/Elections/Forms/
electionadministrators.pdf.
Ch44h I’ii’n77[ b1 haz’3n7g77
han7t1ago, koj8’ hod77lnih
Montana Secretary of State
Elections d00 Voter Services
Division n7k1 adoojah (888)
884‑8683 47 doodago (406)
444‑9608, 47 doodago email 1d77l77[
soselections@mt.gov.
<Baa !kon7nzin: Naaltsoos
Montana Secretary of State bi[
haz’3n7j8’ 1d77l77[, ndi, doo h2hda
da doolwo[7g77 biniinaa,
naaltsoos hadinila1g77 t’11 ni
I’ii’n77[ bi[ haz’32gi yah
ad77[tsos>.
Secretary of State’s Office
P.O. Box 202801 Helena,
MT 59620‑2801

Nebrask
N1zk’33z: 03-08-2018
Ha’diln44hj8’ Haz’3 —
Ada’ii’n77[j8’ t’ahdoo ahalzh7shg00
t11’di Nida’iin77sh g0ne’
<ada’ii’n77[j8’ t’ahdoo ahalzh77shg00
naakidi Nida’iin77sh g0ne’ t’11doo
hast33di oolki[ bik’ih da’akees7> .

6. ID N1mboo. Nebraskaj7 bik’ehgo
na’ab22s7 bee 44h0zin7g77 bi[ 1jii[‘88h.
Nebraskaj7 bik’ehgo na’ab22s7 hwee
1dengo, Naaltsoos Doot[‘izh7
bin1mboo ak44’di d99’go bik11’7g77
1jii[‘88h.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go bik44’ jiz98go
azh’doo’ah biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Nebraskaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Nebraskaj7 hahoodzoo7 biyi’ k44hojit’88
doolee[
• Ada’ii’n77[go tseeb77ts’11dah hon11hai
doolee[ 47 doodago N7[ch’ihts’0s7 yizi[
g0ne’ Dam0o Naakij8 1[ts4edi aleeh7g77
Dam0o 1[ts4edi aleehgo

State Instructions
• Bee haz’32nii doo k’7zhn7t’i’ da
doolee[, 47 doodago k’7zhn7t’i’go,
ada’ii’n77[j8’ ahoolzhiizhgo naaki n11hai
y4ed33’ hw1 k’44h1zdoodgo, 22hjizt98
]t’44’go da
• !nahwii’aahiid00 bints4kees doo b1
h0n44dz32 da hodoo’niidgo dooda
Naaltsoos 1l’97j8’:
Nebraska Secretary of State Suite
2300, State Capitol Bldg.
Lincoln, NE 68509‑4608

Nevada
N1zk’33z: 05-01-2020
Ha’diln44hj8’ Haz’3 —
Naaltsoos nehegeehd00 47
doodago t’11 hw7 yah ajj[ts00sgo
22’1t’4 ada’ii’n77[ bich’8’d00
Dam0o Naakij9 d99’di
adoolee[go. D77 yoo[k11[7g77: 1>
naaltsoos naag4h4d00 bik’i
ni’7t’32go; 47 doodago 2> t’11
hw7 yah ajigh11h County
Clerk/Registrar of Voters
b1 haz’3n7di. B44sh [ich7’ii
biyi’d00 1j7l44hgo
www.RegisterToVoteNV.gov
biyi’d00 47 Dam0o D99’7j9
ada’ii’n77[ t’11 bich’8’d00.
Ada’ii’n77[ Bij9 bich’i’
hoolzhishgo d00 1k0ne’ t’11 hw7
11di yah ajigh11hgo
hazh’dil44hgo bee hw1 haz’3.

6. ID N1mboo. Nevadaj7
bik’ehgo na’ab22s7 bee
44h0zin7g77 47 doo dago
naaltsoos bik’ijizd1ago0g77
DMVd00 hweet99h7g77 bi[
1jii[‘88h. Nevadaj7 bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’i jizd1h7g77 hwee 1dengo
Naaltsoos Doot[‘izh7 bin1mboo
ak44’di d99’go bik11’7g77
1jii[‘88h.Nevadaj7 bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’ijizd1h7g77 47 doodago
Naaltsoos Doot[‘izh7 hwee
1dengo, County Clerk/Registrar
of Voters bich’8’ hod77lnih d00
bee 44h0zin77 [a’ n1 1deedool77[.

7. H11j7 Aj7tah. H11j7 al11hgo
aj7tah doolee[7g77 77shj33 bik11’
1jii[‘77h ada’ii’n77[go 11j7go bik44’
jiz98go azh’doo’ah biniiy4. H11j7 t’11
h0yahgo0g77 aj7tah doolee[go 47
doodago nonpartisanj7 aj7tahgo,
ada’ii’n77[go nonpartisanj77g77
hweeltsos.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Nevadaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ bij9j8’
• Nevada hahoodzoo7 biyi’
k44hojit’88 doolee[, 1[ts’7s7
hahoodzoo7 biyi’ 47 t1diin j9j8’
ada’ii’n77[ bich’8’ hoolzhishgo d00
kin dah shijaa’ biyi’ k44hon7t’9n7g77
bin1h1sdzohgi 47 neezn11 j9
ada’ii’n77[ bich’8’ hoolzhishgo
• Doo bee haz’1anii k’7zhn7ti’go
biniinaa aw1alyaagi jizd1a da
doolee[
• !nahwii’aahiid00 doo
honts4kees bi’oh hodi’niih dago
• N11n1 h11di da doo k44hojit98 da
Tsosts’idts’11dah b44d11hai7g77
hada’dile’go. Nevadaj7
tsosts’idts’11dah bin11hai7g77
naaltsoos haidil44hgo bee b1
haz’3 tseeb77ts’11dah bin11hai
doolee[go ada’ii’n77[ g0ne’go.
Ha’diilaago tseeb77ts’11dah
bin11haigo t’11 77d33’ an1’1’ah7
nil98 doolee[.
Bee Haz’32nii K’7zhn7ti’go ~
Nevadaj7 k44hat’8n7g77 bee
haz’32nii k’77n7ti’go aw1alyaadi
sid32 ]t’44’go ch’44bi’deelt’e’go
t’11 77d33’ b1 k’44hodoodoo[ d00
an1’1’1h doolee[. Doo 1[ts4 47
doodago k0n7n44h bididoo’nii[
da. B1 k’44h1dooh7g77 I’ii’n77[
biniiy4 t’11 tsx7[7go b1 l3 aleeh
aw1alyaad00 ch’7n1d11hgo,
hait’4ego 7yis77 bee haz’32nii
k’77n7ti’ doo hwiindzing00 47
doodago 22h sit98go da. I’ii’n77[ b1
k’44h1dooh7g77 b7na’7d7[kidgo

OMB bee wójíhígíí námboo 3265-0015

18

kwe’4 bik11’ doolee[ Nevada
Secretary of State bib44sh
[ich7’ii biyi’: www.nvsos.gov.
Naaltsoos 1l’97j8’:
Secretary of State Elections
Division
101 North Carson Street, Suite 3
Carson City, NV 89701‑4786
Naaltsoos Secretary of State bi[
haz’3n7j8’ 1d77l77[, ndi, doo h2hda
da doolwo[7g77 biniinaa, naaltsoos
hadinila1g77 t’11 ni i’ii’n77[ bi[
haz’32gi yah ad77[tsos
k44hon7t’98gi.
![ts’7s7go hahoodzoh7g77:
Ha’diln44hj8’ bee haz’3n7g77
bik’e’jil44hgo, ada’ii’n77[ bich’8’
hoolzhishgo aan77 naaki dam0o
hoolzhishgo, naaltsoos koj8’ yah
ad77[tsos County Clerk/ Registrar of
Voters. County Clerks and
Registrars of Voters danil9n7g77
dabik11’ kwe’4 Nevada Secretary of
State’s bib44sh [ich7’ii: www.
nvsos.gov.

New Hampshire
N1k’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — New
Hampshirej7 kin dah naazhjaa’ clerks
danil9n7g77 d77 naaltsoos naaltsoos
naag4h4d00 1j7l44h doogo t’47y1
n44didoo[tsos, 47 ada’ii’n77[ bich’8’
hoolzhishgo t’11doo neezn11 j8 bil11h
aleeh7 baa doolwo[.

State Instructions
New Hampshirej7 kin dah
naazhjaa’ clerks danil9n7g77 d77
naaltsoos naaltsoos naag4h4d00
1j7l44h doogo t’47y1
n44didoo[tsos. Bin1’1sdzoh
t’11[1’7 d00 Bin1’1sdzoh naaki 47
doodago t11’ gone’7g77 77shj33
hadid77l77[.
Naaltsoos k44hon7t’9n7j8’
1d77l77[ 47 doodago clerk bich’8’
t’11
ni nizip code7g77 b22hgo.
D77 1da’alne’j8’ dabik11’
kwe’4 Secretary of State
b44sh [ich7’ii biyi’
www.state.nh.us/sos/clerks.htm
T’ah kod7d33’k44hon7t’9n7gi city
clerk nil9n7g77 n47dii[tsooz d00
11d66’ naaltsoos nich’8’
1n47doodl77[ b77ghahj8’ 1ko
t’11doo neezn11 bil1 yilkaah7
ada’ii’n77[j8’ ahodoolzhish.

Jersey
N1zk’33z: 03-28-2008
Ha’diln44hj8’ Haz’3 — Naadiin[a’j9
ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. Naaltsoos

Doot[‘izh7 bik11’ n1mboo
ak44’di d88’go bik11’7g77 bik11’
1jii[‘77h 47 doodago New
Jerseyj7 bik’ehgo na’ab22s7 bee
44h0zin7g77 bik11’ 1jii[‘88h. D77
hwee 1dengo “NONE” bik11’
1jii[‘88h. Hahoodzoo7d00
n1mboo bee 44h0zin7g77 [a’
hw1 1dayii[‘88h bee an1’1t’ah
biniiy4.

7. H11j7 Aj7tah. New Jerseyj7

h11j7 aj7tah doolee[7g77 doo
naaltsoos bik11’ da. !niid
an1’1t’ah biniiy4 ha’diila1g77 47
doodago t’ahdoo e’e’11dg00
ada’ii[n77[ bij98 g0ne’ h11j7 aj7tah
doolee[7g77 yik11 77d00l77go b1
haz’3. New Jerseyj7, naaki g0ne’
ada’ii’n77[7g77 Jaan44z d00 Ch’88h
Yee Adilohiij7 t’47y1 ada’ii’n77[.
An1’1’ah7g77 h11j7 aj7tah
doolee[7g77 biniiy4 naaltsoos
haididool77[. H11j7 aj7tah7g77
[ahgo 1n1shdl44h n7igo naaltsoos
biniiy4h7g77 haididool77[ t’ahdoo
ada’ii’n77[g00 ashdladiin j9
hadziihgo, binahj8’ azhdoo’ah.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. New Jerseyj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ bij9j8’
• D77 hahoodzoo7 biyi’ k44hojit’88
doolee[ t1diin j9j8’ ada’ii’n77[
bich’8’ hoolzhishgo
• Doo bee haz’1anii k’7zhn7ti’go
biniinaa aw1alyaagi jizd1a da
doolee[ 47 doodago 22hjizt98
doolee[ d77 hahoodzoo7 biyi’d00 47
doodago n11n1 [a’ hahoodzoo7
biyi’d00 47 doodago K4yah
Ashdladiin sinil7g77 biyi’
Naaltsoos 1l’97j8’:
New Jersey Department of
Law and Public Safety
Division of Elections PO
BOX 304
Trenton, NJ 08625‑0304

New
N1zk’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — Naadiinj9
ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. Naaltsoos Doot[‘izh7
n1mboo bik11’7g77 t’11 1t’4 bik11’
1jii[‘88h. Naaltsoos Doot[‘izh7
bin1mboo t’11 1t’4 bik11’ 1n7l44h7g77
an1’1t’ah biniiy4 sinil doolee[

OMB bee wójíhígíí námboo 3265-0015

19

k44hon7t’98gi, d00 [ah da clerk
danil9n7g77 h11dee’ni[ doolee[
naalkaahgo. Ndi, niNaaltsoos
Doot[‘izh7 bin1mboo d00
ni’dizhch9n7g77 doo bi[ hane’7 da
doolee[. B44h nits4kees7 biyi’ gone’
a[k44’ naaznil doolee[ <Naaltsoos
Doot[‘izh7 n1mboo d00
ho’dizhch9n7g77 b22h 1dengo>
n4l’98go bee haz’3, d00
nidaalnish7g77, b1 ada’ii’n77[7g77,
aahwiin7t’98d00, d00 b7dad44t’I’7g77
day0keedgo I’ii’n77[ t’47y1 biniiy4
<S1-5-19B, NMSA 1978>.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go azh’doo’ah biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. New
Mexicoj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• New Mexico hahoodzoo7 biyi’
k44hojit’88 doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ bij9
• !nahwii’aahiid00 honts4kees bi’oh
hodi’niidgo dooda d00, bee haz’32nii
k’7n7ti’go, a[tso sh1 k’44h1zdood d00 doo
22h s4t98 da, aw1alya1g77 a[tso 1shlaa 47
doodago Governor nil9n7g77
ch’44shin7[t’e’.
Naaltsoos 1l’97j8’:
Bureau of Elections
325 Don Gaspar, Suite 300 Santa
Fe, NM 87503

New
N1zk’33z: 06-19-2014
Ha’diln44hj8’ Haz’3 —
Naadiinashdla’j9 ada’ii’n77[j8’
hoolzhishgo.

State Instructions
6. ID N1mboo. W11shindoon
bibee haz’32nii 1n7igo bik’ehgo
na’ab22s7 bin1mboo bik11’
1jii[‘88h an1’1sh’a’ doolee[
jin7zingo. Bik’ehgo na’ab22s7 47
doodago nee 1dengo 77shj33
niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77
bik11’ 1d77l77[. Doo nee
h0l=0g00, “NONE” bik11’
1d77l77[ naaltsoos. Hahoodzoo7d00
bee 44h0zin7g77 n1mboo [a’ n1
1dooln77[.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go biniiy4.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. New Yorkj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• ![ts’7s7 Hahoodzoo7 biyi’, 47
doodago City of New Yorkgi,
k44hojit’88 doolee[ t1diin j9
ada’ii’n77[ bich’8’ hoolzhishgo
• Tseeb77ts’11dah hon11hai
doolee[ ada’ii’n77[ bij9
N7[ch’ihtsoh t1diin t’11[1’7
yoo[k11[j8’ d77 yihah g0ne’
had7l4h7g77 <Baa !kon7nzin:
Tseeb77ts’11dah nin11hai doolee[
1[ts44di d00 naak9 gone’
ada’ii’n77[ g0ne’>.
• Doo aw1alyaadi jidz1a da d00 doo 22h
jizt98 da
• !nahwii’aahiid00 honts4kees bi’oh
hodi’niidgo dooda
• N11n1 h11di da a]j7’a’go dooda
Naaltsoos 1l’97j8’
NYS Board of Elections
40 North Pearl Street, Suite 5
Albany, NY 12207‑2729

North Carolina
N1zk’33z: 03-01-2006
Ha’diln44h8’ Haz’3 —
Ada’ii’n77[ hoolzhishjj8’ naadiin
ashdla’ j9j8’ bik’i’ni’7t’32go 47
doodago ada’ii’n77[ bich8’
hoolzhishgo I’ii’n77[ nda’anishj7
t’1adoo ashdla’j8’ e’elkeed7 naadiin
ashdla’ j9j8’.

6. 6. ID N1mboo North Carolinaj7
bik’ehgo na’ab22s7 bin1mboo
bik11’ 1jii[‘88h an1’1sh’a’ doolee[
jin7zingo. Bik’ehgo na’ab22s7 47
doodago nee 1dengo 77shj33
niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77
bik11’ 1d77l77[.
7. H11j7 Aj7tah. H11j7 aj7tah

doolee[7g77 77shj33 bik11’ 1jii[‘77h
ada’ii’n77[go 11j7go bik44’ jiz98go
azh’doo’ah biniiy4 ndi doo bik11’
1jii[‘88hg00 daats’7 bik44’
aj7tah7g77 hw1 has’32 doolee[.
H11j7 atah7g77 doo b44h0zing00
b1 aj’i’ahgo, 47 doodago 1dengo,
“Unaffiliated” bika11’go
n44ho’d7lzin doolee[.

8. B7la’ Ashdla’ii J7l9n7g77.
&7shj32 kwe’4 biyi’ 1d77l77[. Ndi,
naaltsoos doo nits’33’ k0dooln77[
da doo 77nilaag00. Ha7d7g77 sh99
bits’33d00 dabik11’7g77 d7n77[‘88[
Application Instructions
bik11’7g77 biyi’ Bin1’1sdzoh
Tseeb77 g0ne’ <naaki g0ne’
naaltsoos>.
9. Y7zh7 Naashch’22’. North

Carolinaj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• North Carolinaj7 hahoodzoo7 biyi’
k44hojit’88 doolee[ ada’ii’n77[ bich’8’
hoolzhishgo t1diin j9j8’
• Ada’ii’n77[go tseeb77ts’11dah hon11hai
doolee[
• Ada’ii’n77[j8’ ahoolzhiizhgo hw1
k’44hodoodoo[go 1nahwii’aahiid00
Naaltsoos 1l’97j8’:
State Board of Elections
P.O. Box 27255
Raleigh, NC 27611‑7255

North Dakota
N1zk’33z: 03-01-2006
North Dakotaj7 doo ida’ii’n77[ biniiy4
hadazhdile’7g77 bi[ haz’32 da.

OMB bee wójíhígíí námboo 3265-0015

20

Ohio
N1zk’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo.

6. Naaltsoos Doot[‘izh7 bin1mboo
bik11’7g77 1jii[‘88h. T’11 hw7 bee
h0h0ln77h. D77 Board of Elections
b1 nee 44h0zin doolee[ h11di da.
<O.R.C. 3503.14>. [W11shindoo
bibee haz’33nii 1n7igo bik’ehgo
na’ab22s7 47 doodago Naaltsoo
Doot[‘izh7 ak44’di n1mboo d99’go
bik1’7g77 1jii[‘88h. T’11 a[ch’ihj7
1dengo, “NONE” bik11’ 1jii[‘88h
d00 Hahoodzoo7gi n1mboo [a’ n1
1dooln77[.]
7. H11j7 Aj7tah. H11j7 aj7tah doolee[7g77
doo bik11’ 1jii[‘88h da b1 adeish’ah
jin7zingo. Ada’ii’n77[go 7nda h11j7 aj7tah
doolee[7g77 bik11’ 1jii’88h.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.

9. Y7zh7 Naashch’22’. Ohioj7

hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Ohioj7 hahoodzoo7 biyi’ k44hojit’88
doolee[
• Ada’ii’n77[go tseeb77ts’11dah
hon11hai doolee[. ![ts44di
ada’99n77[go tseeb77ts’11dah
hon11hai doolee[ 1ad00 naaki
g0ne’ an11da’ii’n77[go de7jeeh7g77
t’47y1 b1 aji’11d doolee[.
• Doo aw1alyaadi jizd1ago aji’11d da
• !nahwii’aahiid00 boo b1
b0h0n44dz32 da adoo’a[7g77
ha’n7igo 47 dooda
Naaltsoos 1l’97j8’:
Secretary of State of Ohio
Elections Division
180 E. Broad Street — 15th Floor
Columbus, OH 43215

State Instructions

Oklahoma
N1k’33z: 09-19-2019
Ha’diln44hj8’ Haz’3 — Naadiin
ashdla’ j9 ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo )klahomaj7 d77

h17d7g77 da bik11’ 1jii[‘88h:
Oklahomaj7 bik’ehgo na’ab22s7
bin1mboo 47 doodago naaltsoos
bik11’ jizd1ago bee 44h0zin7g77 47
doodago niNaaltsoos Doot[‘izh7
n1mboo bik11’7g77 ak44’di d99’go
sinil7g77.

• Naaltsoos h0zhi’ bik11’
naashch’22’7g77 1jii[‘88h, yoo[k11[7g77
bi[. Y7zh7 47 7yis77 t’11 hw7 bik11’
1jiila1g77 doolee[ 47 doodago bik’i
aj77zhoh7g77. N11n1 h17 da h0zhi’ hw1
77l44hgo doo bee haz’33 da, d00 no
be’eln44h da d00 doo facsimile
woly4h7g77 dooda, b44sh bee
ak’e’lch7g77 beego dooda.
Naaltsoos 1l’97j8’:
Oklahoma State Election Board Box
528800
Oklahoma City, OK 73152‑8800

Oregon

7. H11j7 Ajitah. H11j7 aj7tah

doolee[7g77 [a’ bik44’ nideesh11[
jin7zingo, 47d7g77 bik11’ 1jii[‘88h.
Oklahomaj7 h11j7 da’atah7g77
dabik11’ Oklahoma State Election
Board b44sh [ich77’ii biyi’. Doo
h11j7 aj7tah7g77 bik11’ 1j7l44hgo t’11
b1 l3 aleehgo 1t’4. H11h7
da’atah7g77 dabik11’7g77 d00
an7da’a’ni[7g77 b1 1h00t’i’7g77
kwe’4 d7n77[‘88[:
https://www.ok.gov/elections/Elect
ion_Info/Policital_Party_info.ht
ml.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Oklahomaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 d00
hahoodzoo7 biyi’ k44hojit’88
doolee[
• Ada’ii’n77[g bich’8’ d00 gone’
tseeb77ts’11dah hon11hai doolee[
• Bee haz’32nii k’7zhn7ti’go,
b77ghah ajis[98’ doolee[
aw1alyaadi jizd1ago , d00
hw1 nihoot’3n7g77, 22h
jizt9n77, 47 doodago hok’ih
ad44st’99’, 47 doodago
22hjizt98go a[tso 1jiilaago
1nahwii’aahiid00.
• !nahwii’aahii doo b1
b0h0n44dz33 da ho[n7igo 47
dooda, 47 doodago t’1ay0
I’ii’n77[ doo y77ghah da
ho[n7igo.

N1zk’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 — Naadiin
t’11[1’7 j9 ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. W11shindoon bibee

haz’32nii 1n7igo bik’ehgo na’ab22s7
bin1mboo bik11’ 1jii[‘88h an1’1sh’a’
doolee[ jin7zingo. Bik’ehgo na’ab22s7 47
doodago nee 1dengo 77shj33
niNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77 bik11’
1d77l77[. Doo nee h0l=0g00, “NONE”
bik11’ 1d77l77[ naaltsoos.
Hahoodzoo7d00 bee 44h0zin7g77
n1mboo [a’ n1 1dooln77[.

7. H11j7 Ajitah. H11j7 aj7tah

doolee[7g77 [a’ bik44’ nideesh11[
jin7zingo, 47d7g77 bik11’ 1jii[‘88h.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Oreganj7
hazh’dil44hgo:
• K4yah Ashdladiin
sinil7g77 d00 hahoodzoo7
biyi’ k44hojit’88 doolee[
• Oreganj7 hahoodzoo7g77 biyi’ k44hojit’98
doolee[.
• Ada’ii’n77[ gone’ tseeb77ts’11dah
hon11hai doolee[

OMB bee wójíhígíí námboo 3265-0015

Mailing address:
Secretary of State
Elections Division
141 State Capitol
Salem, OR 97310‑0722

Pennsylvania
N1zk’33z: 05-01-2020
Ha’diln44hj8’ Haz’3 —
Ashdla’ts’11dah j9 ada’ii’n77[j8’ 47
doodago naaki g0ne’ ada’ii’n77[
bich’8’ hoolzhishgo.

6. ID N1mboo Bik’ehgo na’ab22s7
bin1mboo bik11’ 1jii[‘88h, hwee
h0l0ogo. Bik’ehgo na’ab22s7 doo
hwee h0l0og00, hwiNaaltsoos
Doot[‘izh7 n1mboo bik11’7g77
ak44’di d99’go sinil7g77 bik11’
1jii[‘88h. T’11 1[ah doo hwee
h0l0og00, “NONE” bik11’ 1jii[‘88h
bin1’1sdzoh biyi’.
7. H11j7 Ajitah. H11j7 aj7tah
doolee[7g77 [a’ bik44’ nideesh11[
jin7zingo, 47d7g77 bik11’ 1jii[‘88h
77shj33.
8. B7la’ Ashdla’ii J7l9n7g77. &7shj32
kwe’4 biyi’ 1d77l77[. Ndi, naaltsoos doo
nits’33’ k0dooln77[ da doo 77nilaag00.
Ha7d7g77 sh99 bits’33d00 dabik11’7g77
d7n77[‘88[ Application Instructions
bik11’7g77 biyi’ Bin1’1sdzoh Tseeb77
g0ne’ <naaki g0ne’ naaltsoos>.
9. Y7zh7 Naashch’22’. Pennsylvaniaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[ t’11[1’7 n7deezidj8’
ada’ii’n77[ bich’8’
• Pennsylvania hahoodzoo7 biyi’ d00
hahoodzoo7 1[ts’7s7g77 biyi’ k44hojit’88
doolee[ ada’ii’n77[ bich’8’ t1diin j9j8’
• Ada’ii’n77[ gone’ tseeb77ts’11dah
hon11hai doolee[
Naaltsoos 1l’97j8’:
Office of the Secretary of
the Commonwealth
210 North Office Bldg.
Harrisburg, PA 17120‑0029
B44sh [ich7’ii biyi’d00 a[d0’ ha’did77l77[go
1t’4 kwe’4 register.votespa.com.

21

State Instructions

Island
N1zk’33z: 09-03-2019

Naaltsoos 1l’97j8’:
Rhode Island State
Board of Elections
50 Branch Ave. Providence,
RI 02904‑2790

Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. Rhode Islandj7
bik’ehgo na’ab22s7 47 doodago
naaltsoos bik’ijizd1ago bee
44h0zin7g77 bi[ 1jii[‘88h 1niid hw1
1lya1g77 Rhode Islandj7 bik’ehgo
na’ab22s7 47 doodago naaltsoos
bik’ijizd1ago bee 44h0zin7g77.
Rhode Islandj7 bik’ehgo na’ab22s7
47 doodago naaltsoos bik’i
jizd1h7g77 hwee 1dengo Naaltsoos
Doot[‘izh7 bin1mboo ak44’di d99’go
bik11’7g77 1jii[‘88h. T’11 a[tso hwee
1dengo, State of Rhode Islandd00
bee 44h0zin77 [a’ n1 1deedool77[.
7. H11j7 Ajitah. H11j7 aj7tah

doolee[7g77 [a’ bik44’ nideesh11[
jin7zingo, 47d7g77 bik11’ 1jii[‘88h
77shj33. Doo h11j7 aj7tah7g77 bik11’
1j7l44hgo t’11 1ko d00 ada’ii’n77[
g0ne’ 1j7l44hgo bee haz’3. Doo
bik11’ 1jii[‘88hg00, 1[ts44di
ada’ii’n77[7g77 g0ne’ aji’ahgo t’11
1ko d00 doo h11j7 aj7tah7g77 bee
1dee aji’11dgo bee l3 as[9.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’

ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Rhode
Islandj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Rhode Island biyi’ k44hojit’88
doolee[
• Hast33ts’11dah hon11haigo
hazh’dil44hgo <tseeb77ts’11dah
hon11hai doolee[ ada’ii’n77[ g0ne’>
• Doo aw1alyaadi jidz1a da doolee[
bee haz’32nii k’7zhn7ti’go
• !nahwii’aahiid00 honts4kees
bi’oh hodi’niidgo dooda

N1zk’33z: 5-1-2021
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. HoNaaltsoos
Doot[‘izh7 bee 44h0zin7g77 ak44’di
n1mboo d99’go bik11’7g77 77shj33 bi[
1jii[‘88h. Naaltsoos Doot[‘izh7 n1mboo
t’11 1t’4 bik11’7g77 1j7l44hgo t’11 hw7
bee h0h0ln77h. State Election
Commissiond00 naaltsoos
hahinid44h7g77 doo bik11’ da doolee[
Naaltsoos Doot[‘izh7 n1mboo d00 doo
h17 da bich’8’ 1l’98 da.(South Carolina
Title 7‑5‑170)
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 doo bik11’ 1jii[‘77hg00
ada’ii’n77[ biniiy4 t’11 1ko doolee[.
8. B7la’ Ashdla’ii J7l9n7g77. &7shj32
kwe’4 biyi’ 1d77l77[. Naaltsoos da
nits’33’ doo n7didooltosos doo
77nilaag00. Ha7d7g77 sh99 bits’33d00
dabik11’7g77 d7n77[‘88[ Application
Instructions bik11’7g77 biyi’
Bin1’1sdzoh Tseeb77 g0ne’ <naaki
g0ne’ naaltsoos>.
9. Y7zh7 Naashch’22’. South
Carolinaj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Ada’ii’n77[go tseeb77ts’11dah
hon11hai doolee[
• South Carolinaj7 hahoodzoo7
biyi’ k44hojit’88 doolee[ d00
1[ts’7s7go hadahwiisdzo0g77 biyi'
k44hojit'98 doolee[
• Doo aw1alyaadi jizd1a da doolee[
bee haz’32nii k’8zhn7ti’go
• Doo h1d33’ da i’ii’n77[j7
na’anish7g77 bits’33d00 bee
haz’32nii k’7zhn7ti’ da doolee[

OMB bee wójíhígíí námboo 3265-0015

22

• !nahwii’aahiid00 doo b1
h0n44dz32 da i’doo’a[7g77
hodoo’niidgo dooda
• Naaltsoos bik11’gi k44hon7t’9n7g77
bik11’ 77nila1g77 t’47y1 1kwe’4
k44hon7t’98 doolee[ d00 doo n11n1 h11di
da bi[ 77n7[ta’ da doolee[
Naaltsoos 1l’97j8’:
State Election Commission
P.O. Box 5987
Columbia, SC 29250‑5987

Dakota
N1zk’33z: 03-01-2006
Ha’diln44hj8’ Haz’3 —
Ashdla’ts’11dah j9 ada’ii’n77[j8’
hoolzhishgo.

6. ID N1mboo Bik’ehgo na’ab22s7

bin1mboo bik11’ 1jii[‘88h. Bik’ehgo
na’ab22s7 doo hwee h0l0og00,
hwiNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77
bik11’ 1jii[‘88h.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 doo bik11’
1jii[‘77hg00 ada’ii’n77[ biniiy4
t’11 1ko doolee[.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. South
Dakotaj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• South Dakota biyi’ k44hojit’88
doolee[
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[ g0ne’
• Doo n11s daazl9’7g77 bi’aw1alyaadi
jidz1a da doolee[ bee haz’32nii
k’7zhn7ti’go
• !nahwii’aahiid00 honts4kees bi’oh
hodi’niidgo dooda

State Instructions
Naaltsoos 1l’97j8’:
Elections, Secretary of State
500 E. Capitol
Pierre, SD 57501‑5070

Naaltsoos 1l’97j8’:
Coordinator of Elections
Tennessee Tower, Seventh Floor
312 Rosa L. Parks Ave.
Nashville, TN 37243‑1102

Tennessee
N1zk’33z: 05-01-2020
Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo.

6. ID N1mboo. NiNaaltsoos
Doot[‘izh7 n1mboo t’11 1t’4
bik11’7g77 bik11 1jii[‘88h 77shj33.
Naaltsoos Doot[‘izh7 n1mboo, h0l0go, choo’9 bee 44h0zin biniiy4 d00
doo naakidi h11zhdi’doodl77[ da
biniiy4 (TCA 2.2.116).
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 doo bik11’
1jii[‘77hg00 ada’ii’n77[ biniiy4
t’11 1ko doolee[.
8. B7la’ Ashdla’ii J7l9n7g77. T’11
hw7 bee h0h0ln77h.

9. Y7zh7 Naashch’22’. Tennesseej7

hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Tennesseej7 hahoodzoo7 biyi’
k44hojit’88 doolee[
• Ada’ii’n77[go tseeb77ts’11dah hon11hai
doolee[
• Doo bee haz’32nii k’8zhn7ti’ da
doolee[, ndi k’7zhn7ti’d00 hw1
nihoot’32go, ada’ii’n77[ biniiy4
azhdoo’ah y66 hati’4ego y4ego bee
haz’33nii k’7zhn7ti’ doolee[ d00
hahgo hw1 nohoot’aah doolee[.
Na’7d7kid hwee h0l=0go 877‑850‑
4959j8’ hojilnih 47 doodago
https://sos.tn.gov/ restoration. Bee
haz’32nii k’7zhn7ti’7g77 hw1 nahj8’
k0lyaago doo k’7zhn7ti’ woly4e da
doolee[.
• Anahwii’aahiid00 doo y77ghah da
i’doo’1[7g77 hodoo’niidgo dooda <hw1
k’44h1zdongo da>

Texas

Naaltsoos 1l’97j8’:
Office of the Secretary of State
Elections Division
P.O. Box 12060
Austin, TX 78711‑2060

Utah

N1zk’33z: 03-01-2006

N1zk’33z: 09-19-2019

Ha’diln44hj8’ Haz’3 — T1diin j9
ada’ii’n77[j8’ hoolzhishgo.

Ha’diln44hj8’ Haz’3 —
Ha’diln44hgo haz’3n7g77 a[’22
1daat’4:

6. ID N1mboo Bik’ehgo na’ab22s7

bin1mboo bik11’ 1jii[‘88h. Bik’ehgo
na’ab22s7 doo hwee h0l0og00,
hwiNaaltsoos Doot[‘izh7 n1mboo
bik11’7g77 ak44’di d99’go sinil7g77
bik11’ 1jii[‘88h. T’11 1[ah doo hwee
h0l0og00, “NONE” bik11’ 1jii[‘88h.
N1mboo bee 44h0zin7g77
Hahoodzoo7d00 [a’ hw1 1dayii[‘88h.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 doo bik11’
1jii[‘77hg00 ada’ii’n77[ biniiy4
t’11 1ko doolee[.

8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Texas7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• ![ts’7s7go hahoodzoo7 biyi’
k44hojit’88 doolee[ naaltsoos
hazhdil4h7g7
• Tsosts’idts’11dah hon11hai d00
neezn11 hwindeezid doolee[
hazh’dil44hgo <Tseeb77ts’11dah
hon11hai doolee[ ada’ii’n77[j8’
ahoolzhiizhgo>
• Doo bee haz’32nii k’8zhn7ti’ da
doolee[, ndi k’7zhn7ti’go hw1
k’44h1zdoon doolee[, aw1alyaa
a[tsogo, ch’44hodilt’eehgo binahj8’
bik’ehoj7[‘98go hw1 1l’88hgo, 22h azt9
da, hok’i’ad47st’99’ da, 47 doodago hw1
k’44h1zdoodgo
• Anahwii’aahiid00 doo y77ghah da
i’doo’1[7g77 hodoo’niidgo dooda

OMB bee wójíhígíí námboo 3265-0015

23

• Mail: naaltsoos nehegeehd00

naaltsoo 1j7l44hgo ada’ii’n77[
bich’8’ hoolzhishgo t’1adoo t1diin
yi[kaaj7 bik’in’doot’11[ 47 doodago
n7didooltos.
• In-person: naaltsoos t’11 hw7
count clerk naalnish7di t’11doo
tsosts’id yi[kaah7 ada’iin77[
bich’8’ hoolzhishgo yah aji[tsos
• Online: naaltsoos t’11doo
tsosts’id yi[kaah7 ada’ii’n77[
bich’8’ hoolzhishgo 1jii[‘88h.
Utahj7 bik’ehgo na’b22s7 47
doodago Utahj7 naaltsoos bee
44h0zin7g77 bi[ 1jii[‘88h.
• Same-Day: Ada’ii’n77[ g0ne’
ahoolzhiizhgo ada’ii’n77[di
ab7n7go da naaltsoos
hazhdii[‘88h d00 yah aji[tsos.

6. ID N1mboo. Naaltsoos
had7l4h7g77 d77 h17d7g77 da bi[
1jii[‘88h: Utahj7 bik’ehgo na’ab22s7
bin1mboo, Utahj7 naaltsoos
bik’ijizd1ago bee 44h0zin7, 47
doodago niNaaltsoos Doot[‘izh7
n1mboo bik11’7g77 ak44’di d99’go
sinil7g77 bik11’ 1d77l77[.Utahj7
bik’ehgo na’b22s7 47 doodago
Utahj7 bee 44h0znin7 doo nee
h0l=0g00, “NONE” bik11’ 1d77l77[
naaltsoos d00 niNaaltsoos
Doot[‘izh7 ak44’di n1mboo d99’go
bik11’7g77 bik11’ 1d77l77[.
7. H11j7 Ajitah. H11j7 aj7tah
doolee[7g77 doo [a’ bik44’ nideesh11[
da n7n7zingo t’11 1ko ada’ii’n77[
biniiy4. Ndi, Utahj7 bee haz’32nii
1n7igo 47 t’11 a[ch’ishj7 dah yikah7g77
b7dah0ln77h h17 b1 ada’dooni[7g77.
Doo h11j7 aj7tah7g77 bik11’
77nilaag00, naaki g0ne’ ada’ii’n77[go
da doo bee n1 ah00t’i’ da doolee[.

State Instructions
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’

ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Utahj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Utahj7 hahoodzoo7 biyi’ k44hojit’88
doolee[ ada’ii’n77[ bich’8’ hoolzhishgo
t1diin j7j8’
• Ada’ii’n77[go tseeb77ts’11dah
hon11hai doolee[ <hast33ts’11dah
d00 tsosts’idts’11dah bin11ha7g77
t’ahdoo ada’ii’n77[go, ha’didool77[go
bee b1 ah00t’i’ d00 naaki g0ne’
ada’ii’n77[go i’doo’ah>
• Doo aw1alyaadi jizd1a da doolee[ bee
haz’32nii k’8zhn7ti’go
• Doo h1d33’ da i’ii’n77[j7 na’anish7g77
bits’33d00 bee haz’32nii k’7zhn7ti’ da
doolee[, hw1 k’44h1zdoongo t’47y1
• !nahwii’aahiid00 bints4kees
doo b1 bee h0n44dz32 da
i’doo’a[7g77 hodoo’niidgo
dooda
• Ha’dil44hgi bin1h1sdzoh 47
doodago 1[ts’7s7go
hadahwiisdzohgi k44hojit’98
doolee[
Naaltsoos 1l’97j8’:
Office of the Lieutenant
Governor
P.O. Box 142325
Salt Lake City, UT 84114

Vermont
N1k’33z: 09-19-2019
Ha’diln44hj8’ Haz’3 — Naaltsoos
nehegeehd00 naaltsoos 77nilaago
clerk naalnish7j8’ t’ahdoo
d1’deelkaa[g00 n7diiltsooz doolee[
yisk3o ada’ii’n77[ doolee[go.
Vermontj7 ada’ii’n77[ g0ne’
hazh’dil44hgo bee haz’3 47
doodago b44sh [ich7’ii biyi’d00
1jii[‘88h.
B44sh [ich7’ii biyi’d00 1deeshl77[
jin7zingo kwe’4–
https://olvr. sec.state.vt.us.

6. ID N1mboo. Vermontj7 bik’ehgo
na’ab22s7 bin1mboo, 1jii[‘88h 47
doodago niNaaltsoos Doot[‘izh7
n1mboo bik11’7g77 ak44’di d99’go
sinil7g77 bik11’ 1d77l77[. Vermontj7
bik’ehgo na’b22s7 47 doodago
Naaltsoos Doot[‘izh7 n1mboo doo nee
h0l=0g00, “NONE” bik11’ 1d77l77[.
Secretary of State bi[ na’anish7d00 [a’
n1mboo bee 44h0zin7g77 [a’ n1
1dooln77[.
7. H11j7 Aj7tah. Vermontj7 h11j7 aj7tah
doolee[7g77 doo bik11’ 1jii[‘77hg00
ada’ii’n77[ biniiy4 t’11 1ko doolee[.
8. B7la’ Ashdla’ii J7l9n7g77. T’11 hw7
h0h0ln77h.
9. Y7zh7 Naashch’22’. Vermontj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Utahj7 hahoodzoo7 biyi’ k44hojit’88
doolee[ ada’ii’n77[ bich’8’ hoolzhishgo
t1diin j7j8’
• Ada’ii’n77[go tseeb77ts’11dah hon11hai
doolee[
• D77 bee yadinilnii’ doolee[: Bee
1deih44n7dz77’ doolee[ <47 doodago bee
s7n7z9> t’11 1ko an1’7’ahgo, Vermontj7
1dahoot’4h77 b7dad44t’i’7g77, hozh0’0
baa nits1h1keesgo bee 1d77d77n7[t’i’
doolee[, Constitutiond00 bits1sil4ii bee,
doo ha’77 da h17 da bich’8’ ni’j7l9n7
[Voter’s Oath, Vermont Constitution,
Chapter II, Section 42]
N1h1st’47 g0ne’ bin1’1sdzo7g77
n7zhi’ 77nilaago, Vermontj7 bee
ya’diin7h7 bik’i’dinit88h7gi 1t’4ego
bee yadinilnii’ d00 bik’eh hon7[’98
doolee[ din7 wodahgo bik11’7g77.
Naaltsoos 1l’97j8’:
Office of the Secretary of State
Elections Division
128 State Street
Montpelier, VT 05633‑1101

OMB bee wójíhígíí námboo 3265-0015

Virginia
N1zk’33z: 09-19-2019
Ha’diln44hj8’ Haz’3 — Naadiin
naaki j9 ada’ii’n77[j8’ hoolzhishgo
naaltsoos doolwo[ 47 doodago
bik’ini’7t’32 doolee[.

6. ID N1mboo. NiNaaltsoos Doot[‘izh7
n1mboo t’11 1t’4 bik11’7g77 bik11
1jii[‘88h 77shj33. Naaltsoos Doot[‘izh7
n1mboo ada’ii’n77[j7 nida’anish t’47y1
biniiy4 choo’9 doolee[ d00, aahwiin7t’88h
biniiy4 1k1’a’ayeedgo, aahwiin7t’8n7gi.
Article II, §2, Constitution of Virginia
(1971).
7. H11j7 Aj7tah. Biyi’ ak’e’00[ch77[ l1go.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Virginiaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Virginia biyi’ k44hojit’88 doolee[
d00 kin dah shijaa’ hahoodzoo7gi
k44hojit’8i doolee[
• Tseeb77ts’11dah hon11hai doolee[
T’33tsoh 47 doodago N7[ch’ihts’0s7
yizil77 biyi’ t’ahdoo
an11da’ii’n77[g00
• Doo bee haz’32nii k’7zhn7ti’ da
doolee[ d00 hw1 k’44h1zdood
doolee[
• !nahwii’aahiid00 honts4kees
bi’oh hodi’niidgo dooda
Naaltsoos 1l’97j8’:
Virginia State Board of Elections
1100 Bank Street, 1st floor
Richmond, VA 23219

Washington
N1k’33z: 09-19-2019
Ha’diln44hj8’ Haz’3 — B44sh [ich7’ii
biyi’d00 47 doodago naaltsoos
nehegeehd00 naaltsoos 1jiilaago
ada’ii’n77[ bich’8’ tseeb77 j9 bich’8’d00
n7didooltsos. T’11 ni yah ad77n11[ d00
ha’did77l77[go 1t’4 nida’iin77sh
da’7lkeed7g77 bik’ehgo nida’iin77sh
g0ne’ d00 t’11doo tseeb77di oolki[
bik’ih da’ak55s7 ada’ii’n77[ bij9 g0ne’.

24

Hadahwiisdzohj7 Bik’ehgo $’4ln44h
n1mboo bee 44h0zin7g77 [a’ n1 1dooln77[.

6. 6. ID N1mboo. Washingtonj7
bik’ehgo na’ab22s7 47 doodago
naaltsoos bik’ijizd1ago bee
44h0zin7g77 bi[ 1jii[‘88h. Washingtonj7
bik’ehgo na’ab22s7 47 doodago
naaltsoos bik’i jizd1h7g77 hwee
1dengo Naaltsoos Doot[‘izh7
bin1mboo ak44’di d99’go bik11’7g77
1jii[‘88h. Doo 1jii[‘88hg00 naaltsoos
hazhdil4h7g77 da hots’33’ t’00 nahj8’
k0l’88h.
7. H11j7 Aj7tah. Washingtonj7 h11j7
aj7tah doolee[7g77 doo bik11’
1jii[‘77hg00 ada’ii’n77[ biniiy4 t’11 1ko
doolee[.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’.
Washingtonj7 hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Washington biyi’ k44hojit’88
doolee[ d00 kin dah shijaa’
hahoodzoo7gi k44hojit’8i doolee[
t1diin j9j8’ ada’ii’n77[ bich’8’
hoolzhishgo
• Tseeb77ts’11dah hon11hai doolee[
ada’ii’n77[j8’ ahoolzhiizhgo
• Doo Washingtonj7
Department of Corrections
biyaad00 bee haz’32nii
k’7zhn7ti’go hwaa 1h1y32 da
doolee[
• Hast33ts’11dah d00
tsosts’idts’11dah bin11ha7g77
N11sg00 An1’1’ah7 biniiy4
ha’didool77[ d00 tseeb77ts’11dah
bin11haigo an1’1’ah doolee[
Naaltsoos 1l’97j8’: Secretary
of State Elections
Division
P.O. Box 40229
Olympia, WA 98504‑0229

Virginia
N1zk’33z: 09-12-2006

7. H11j7 Aj7tah. H11j7 aj7tah doolee[7g77
77shj33 bik11’ 1jii[‘77h ada’ii’n77[ biniiy4
<ndi bee an1’1t’a’7 t’11 bich’8’7d00
shich’8’ 1dooln77[ d7n7niidgo doo h11j7
an1’1t’a’7g77 adoo’ah biniiy4>
8. B7la’ Ashdla’ii J7l9n7g77.
Biyi’ ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. West Virginiaj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• West Virginia biyi’ k44hojit’88 doolee[
w0dahgo bik11’7gi 1t’1o
• Tseeb77ts’11dah hon11hai doolee[, 47
doodago tsosts’idts’11dahgo 1[ts4h7
g0ne’ 1ad00 tseeb77ts’11dah naaki
g0ne’
• Doo bee haz’32nii k’7zhn7ti’ da
doolee[ ada’ii’n77[ b7dad44t’i’7g77
biniiy4
• !nahwii’aahiid00 honts4kees bi’oh
hodi’niidgo dooda
Naaltsoos 1l’97j8’:
Secretary of State
Building 1, Suite 157‑K
1900 Kanawha Blvd. East
Charleston, WV 25305‑0770

Wisconsin
N1zk’33z: 08-31-2018
Ha’diln44hj8’ Haz’3 — Naaltsoos
nehegeehd00 naaltsoo 1j7l44hgo naadiin j8
ada’ii’n77[ bich’8’ hoolzhishgo 1jii[‘88h; 47
doodago nida’nish bi[ haz’3 g0ne’
hazhdil44hgo k44hoj9nt’8n7gi clerk
na’anish7gi t’1adoo ashdla’j8’ e’elkeed7
Nida’iin77shgo ada’ii’n77[ bich’8’
hoolzhishgo. Wisconsin a[d0’ b44sh
[ich7’ii biyi’d00 hazh’dil44hgo yee has’3
– Kwe’4 https://myvote.wi.gov naadiin j9
ada’ii’n77[ bij8 bich’7’d00 i’doo’ah7g77
Wisconsinj7 bik’ehgo na’ab22s7 47
doodago hahoodzoo7d00 naaltsoos bee
44h0zin7g77 1niid hw1 1n1lya1g77 bee.

Ha’diln44hj8’ Haz’3 — Naadiin
t’11[1’7 j9 ada’ii’n77[ bich’8’
hoolzhishgo
6. ID N1mboo. Bike’hgo na’ab22s7
n1mboo 1d77l77[. Bik’ehgo na’ab22s7 nee
1dengo, Naaltsoos Doot[‘izh7 n1mboo
ak44d00 d99’go bik11’7g77 bik11’ 1d77l77[.
Bik’ehgo na’ab22s7 47 doodago
Naaltsoos Doot[‘izh7 nee 1dengo,

OMB bee wójíhígíí námboo 3265-0015

25

2. 2. Hooghangi Naaltsoos Hwaa
Nin1h1jeehgi. Naaltsoos
had7l4h7g77 1n7l44hgo, 77shj33
nighangi k44hon7t’9n7g77 bee
44h0zin7g77 n7zhi’ al11j8’7g77 d00
ak44d00g77 bik11’go d00 naaltsoos
naa nin1h1jeeh7g77 bik11’go,
Wisconsinj7 bik’ehgo na’ab22s7 da
47 doodago naaltsoos bee 44h0zin7
bik11’ s7n7d1h7g77, nik4yah
b7hid7n7d44h7g77 bik11’7g77,
da’dilt[i’go binaaltsoos n1h1st’4diin
j9 t’11 bich’8’ naan1lwod7g77, b44so
b1 hooghand44’ naaltsoos, nich’8’
ni’iily4h7g77 bik’ehgo naaltsoos, 47
doodago W11shindoond44’
naaltsoos naa nin1h1jeeh7g77. Kwe’4
t’11 a[tso dabik11’ http://
elections.wi.gov.
6. ID N1mboo. Wisconsinj7

bik’ehgo na’ab22s7 47 doodago
DOTd00 naaltsoos bik’ijizd1ago bee
44h0zin7g77 bi[ 1jii[‘88h. Bik’ehgo
na’ab22s7 47 doodago DOTd00
naaltsoos bik’i jizd1h7g77 hwee
1dengo, Naaltsoos Doot[‘izh7
bin1mboo ak44’di d99’go bik11’7g77
1jii[‘88h.
7. H11j7 Aj7tah. H11j7 aj7tah
doolee[7g77 doo bik11’
1jii[‘77hg00 ada’ii’n77[ biniiy4
t’11 1ko doolee[.
8. B7la’ Ashdla’ii J7l9n7g77. Biyi’
ak’e’00[ch77[ l1go.
9. Y7zh7 Naashch’22’. Wisconsinj7
hazh’dil44hgo:
• K4yah Ashdladiin sinil7g77 biyi’
k44hojit’98 doolee[
• Wisconsin biyi’ k44hojit’88 doolee[
neezn11 j9j8’
• Tseeb77ts’11dah hon11hai doolee[
• Doo bee haz’32nii k’7zhn7ti’ da doolee[,
47 doodago 1kw77nidaa ]t’44’go, n1
k’44h1zdood n1 nohoot’3n44 a[tso
77nilaago 47 doo dago ch’7n1ni’deelt’e’go
• !nahwii’aadhiid00 ada’ii’n77[
bina’anishj7 doo bi[ b44h0zin da d00 doo
yi’i’diit88h da hodoo’niidgo
• Ada’ii’n77[j7 na’anish7g77 doo bits’33d00
h11di da biniiy4 hona’dlo’go
ada’iis’nilgo
• Doo n11n1 haa’7gi da an11’j77’ahgo t’11
a[x22h

Hadahwiisdzohj7 Bik’ehgo $’4ln44h
Naaltsoos 1l’97j8’:
Naaltsoos a[tso hadinila1g77 d00
haa’7gi sh99 nighan bee 44h0zin7g77
naaltsoos kin dah shijaa’
k44hon7t’8n7gi clerk bi[ haz’32j7
bich’8’ 1d77l77[: Municipal clerk
woly4h7g77 kwe’4 dabik11’
https://myvote.wi.gov/en‑US/
MyMunicipalClerk
Municipal clerk k44hon7t’9n7gi
ch’44h han7t12go naaltsoos bich’8’
1d77l77[7g77, koj8’ bich’8’ 1d77l77[:
Wisconsin Elections
Commission
212 East Washington Avenue,
Third Floor
P.O. Box 7984
Madison, WI 53707‑7984 <
<Baa !kon7nzin: Naaltsoos 1ln44h7g77
Wisconsin Elections Commission bi[
da’7n77shj8’ 1d77l77[ w0dahgo
bik11’7g77j8’, ndi doo hx2h da
n7doolwo[7g77 biniinaa, t’11 ni
k44hon7t’9n7gi municipal clerk bi[
da’7n77shj8’ yah ad77[tsos.>

Wyoming
N1zk’33z: 03-01-2006
Bee haz’32nii 1n7igo Wyoming d77
naaltsoos bee ha’diln4h7g77 doo
n47didoo[tsos da Hahoodzohj7 bee
haz’32anii [ahgo 1lyaago t’47y1.

OMB bee wójíhígíí námboo 3265-0015

26

</pre><Table class="table"><tr><Td>File Type</td><td>application/pdf</td></tr><tr><Td>File Title</td><td>National Voter Registration Application Form for U.S. Citizens (NAV)</td></tr><tr><Td>Subject</td><td>Register to Vote In Your State By Using This Postcard Form and Guide For U.S. Citizens</td></tr><tr><Td>Author</td><td>United States Election Assistance Commission</td></tr><tr><Td>File Modified</td><td>2021-11-15</td></tr><tr><Td>File Created</td><td>2021-11-15</td></tr></table></div></div></div><hr>
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