REPORT AN INCIDENT AT AN ELECTION POLLING LOCATION

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REPORT AN INCIDENT AT AN ELECTION POLLING LOCATION

If you would like to report an incident at an election polling location, please complete this form.

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Phone Number *

Your answer

Email *

Your answer

I am a: *

Poll Worker

Poll Challenger

Voter

Other:

Date of Incident *

MM

/

DD

/

YYYY

Address/Description of Polling Location *

Your answer

City of Polling Location *

Your answer

County *

Your answer

Please submit your incident report below:

Your answer

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