Please complete the following information, this allows us to verify and inform you of the status of your voter registration application.Upon submission of this form, you will be forwarded to the Secretary of State to finalize the online voter registration process. Translate this form into (language): English Arabic French Hindi Urdu Chinese Korean Vietnamese Spanish Swahili Portuguese Somali Name * First Name Last Name Email * x Please enter a valid number. Phone Number * (###) ### #### Georgia County * Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie McIntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth Date of Birth * MM DD YYYY Do you have a Georgia ID? * Yes No You can use your Georgia ID to register to vote online. If you’d like Go Vote GA to be able to advocate on your behalf in the case of unlawful voter purges or other situations, please enter your address below. Address Street Address Address Line 2 City * I agree to the Terms and Conditions
