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Precinct Election Official Application

Affiliation*
1. Democrat
1. Republican
Name*
Email Address*
Address*
City*
State*
Zip Code*
Phone Number*
Fax Number
Cell Phone Number
Can you speak another language?*
1. Yes
1. No
If so, what language?
1. I understand that transportation is the responsibility of the Pollworker to be where they need to be when they need to be there.

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1. Receive an email copy of this form.
Email address

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Submit