1 MAC Pt. 10, R. 7.1
Mail-in Voter Registration Form
Cite as 1 Miss. Admin. Code Pt. 10, R. 7.1
Mail-in Voter Registration Form. All local registrars and designated voter registration
agencies shall use a uniform voter registration form (Exhibit D) for registering citizens who
register by mail. This voter registration form is available upon request from the Secretary of
State and publicly available by the Secretary of State’s website at www.sos.ms.gov.
Federal law requires the states to accept and use the mail-in voter registration application form
described in the National Voter Registration Act (NVRA) for registration of voters in elections
for federal office. Further, NVRA requires states to designate as voter registration agencies all
offices that provide public assistance and offices that provide state-funded programs to persons
with disabilities.
In addition to the Mississippi Department of Public Safety, these agencies so designated by
Governor Ronnie Musgrove are the Department of Human Services, the Governor’s Office,
Division of Medicaid, Department of Health, Department of Rehabilitation Services and
Department of Mental Health. These designated agencies are required to provide the opportunity
to register or decline to register to vote to each applicant for assistance, recertification, re-
application or whenever an applicant or recipient updates his/her address.