Proposal To Fix Some ATV Problems
Last Updated:
11/19/23 18:06
If "ID" is on label (HAVA ID required) and the voter presents a valid ID,
mark below the type of ID presented:
| Photo ID |
Government Check |
| Bank Statement |
Paycheck |
| Utility Bill |
Other Government Document |
If sending the voter to the Help Table, select reason(s):
| No photo ID (this is ONLY for the
NC-required photo ID check) |
| "ID" on label (but no ID) |
"V" on label (Verify Address) |
| Party dispute |
Address on label is wrong |
| Jurisdiction dispute |
Name on label is wrong |
| "A" on label (Absentee) |
Other: ___________ |
For partisan primary elections ONLY, if voter is Unaffiliated,
the Official checks box for the party selected by the voter:
- Democratic
- Republican
- Libertarian
- Green
- No Labels
I certify that:
- I am a registered voter in this county and I shall
have lived at my residence address for 30 days
immediately prior to this election. My residence address is
on the label above or is in Section C if I have moved from the
address on the label.
- I am a United States Citizen.
- I am at least 18 years of age, or will be at the date of the general election.
- I understand that it is a felony to vote more then one time in an election.
- I have not been convicted of a felony, or if so, I have completed my sentence (including
any probation, post-release supervision, or parole.)
- I am registered as noted in the label above (or as modified in Section C).
- In a partisan primary election, if Unaffiliated, I will receive the ballot
noted in the gray area above.
_______________________________________________________
Voter Signature
____________
Official's Initials