Formulaire

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

Cerfa 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.

    Fill out the form

    To whom shall I send this form ?

    For details, please use the practical information sheets :

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

    Je donne mon avis

    Émetteur du formulaire administratif : Ministry of the Interior

    Verified 09 July 2024 - Directorate for Legal and Administrative Information (Prime Minister)