Election Complaint Form

ELECTION COMPLAINT FORM

Thank you for your efforts to save our country.

Please use this form to file a complaint alleging a violation of election law.

This form, once filed, will become part of the public record and may be used in litigation.

Please record facts as accurately and concisely as possible.

Note: Submit a complaint only if YOU personally Witnessed and Experienced the incident. Any incident you heard about or read about should not be reported,

If you have more than one incident to report please submit ONE Election Complaint Form for each incident.

*=Required Information

I am submitting this report as a: (check one)

If you wish to change your selection, you must first uncheck the box that you selected.

If you have more than one incident to report please submit ONE Election Complaint Form for each incident.

Please describe your role, position or status in the voting process.

0 of 1000 max characters

Your Information:

First Name

Last Name

Street Address, including Unit/Apt. #

City:

State:

Zip Code

County

Email:

Contact Phone Number:

If you are human, leave this field blank.