2024 UPUA Elections Violation Form

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This form is to be used by persons who desire the Elections Commission to take action regarding a violation of the 2023-24 UPUA Elections Code.

The code is viewable here: https://drive.google.com/file/d/15NSJ7ZOdXeoz2NTIFSC8iNHDi0lgx1qn/view?usp=sharing

Email *

Name of Ticket or Candidate: *

Location of Violation: *

Date of Violation: *

YYYY

Time of Violation: *

Time

Description of Violation (please include as many details as possible and attach any supporting evidence available): *

Rules Applicable to Violation: *

Witness(es) to Violation (please provide as much contact information as possible): *

I hereby submit this report to the UPUA Elections Commission for review and transfer all rights to the information and property contained within to the Elections Commission. By submitting this report, I am stating that the information contained in this report is truthful, to the best of my knowledge. I understand that I, any campaign with which I am affiliated, and/or any individual associated with me or this report may be asked to testify or submit further evidence to the Elections Commission and that I have notified all applicable parties as such. I understand that the Elections Commission is not responsible for any damages to me, any campaign with which I am affiliated, and/or any individual associated with me or this report that may result out of the submission of this report. *

I have read and agree to the above statement.

Name of Filer of Report: *

Email and Phone Number of Filer of Report: *

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