ADMINISTRATIVE PROCEDURES MANUAL
| ADDENDUM 118 A |
VOTER REGISTRATION APPLICATION TRANSMITTAL FORM |
NVRA Voter Registration Application Transmittal Form
Department of Health
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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