Kentucky Secretary of State
Michael G. Adams

Download the paper application Here:

Please enter the information below as it appears on your paper application. Required fields are denoted by an asterisk (*).

1)Enter your FULL LEGAL NAME as it is to appear on your commission certificate:

First Name*:

Middle Name:

Last Name:*

Name Suffix (i.e. Jr., Sr., III, etc.):

2) Date of Birth*:

3) This Application is for a

A New Application
A Reappointment