Selecting a language will automatically trigger the translation of the page content.

Application for registration on the electoral roll (Form 12669*02)

Ministry of the Interior - Cerfa n° 12669*02

Allows a citizen French to register on the electoral list of a town hall.

This form must be completed and supported by supporting documents.

Go to the online administrative form

Verified 15 March 2023 - Directorate for Legal and Administrative Information (Prime Minister)

To whom shall I send this form ?