ELECT 659 - Request to Inspect Sealed Election Materials

Election Date: * +

Election Type: *

Date of Request: * +

Name of Requester *

Position *

If EB or Other, Title *

Email Address *

Confirm Email Address *

Phone Number *

Locality *

Precinct Name(s) *

Precinct #(s): *

Specific Envelope(s) which needs to be inspected: *

The Envelope(s) needs to be inspected to determine: *