ADDENDUM 118 A
NVRA Voter Registration Application Transmittal Form
Department of Health and Social Services
Public Assistance
When submitting voter registration applications to the Division of Elections, please complete the information below:
Public Assistance Office Location: _____________________________________
Number of voter registration applications enclosed: _________
To submit registration applications or for additional applications and/or postage paid return envelopes, contact the appropriate Division of Elections office as listed below:
Division of Elections Regional Office |
Public Assistance Offices |
Region I PO Box 110018 Juneau, AK 99811-0018 907-465-3021 |
Homer District Office Juneau Field Office Kenai Peninsula Job Center Ketchikan District Office Kodiak District Office SE APA & Specialized Med Sitka District Office |
Region II 2525 Gambell Street, Suite 100 Anchorage, AK 99503-2838 907-522-8683 |
Anchorage District Office Coastal Field Office Anchorage APA Office Eagle River Job Center Mat-Su District Office Muldoon District Office |
Region III 675 7th Avenue, H3 Fairbanks, AK 99701-4594 907-451-2835 |
Fairbanks District Office |
Region IV PO Box 577 Nome, AK 99762-0577 907-443-5285 |
Bethel District Office Kotzebue District Office Nome District Office |
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