Certification of Officers of Election Training

Locality *

First name of person preparing form *

Last name of person preparing form *

Role *

Email address of person who prepared form * 🛈

What was used to train officers of election? (choose all that apply) *

Training provided by ELECT

Training provided by my locality

Select the date this certification becomes effective (preferably when training was completed). * +

The undersigned certify to the Department of Elections that as required by the Code of Virginia (§24.2-103 (B), §24.2-115) and current Department of Elections Policy:

- I have personally reviewed the training program for officers of election to assure that it is current and consistent with Department of Elections training standards, instructions and election laws; and

- Within the past 30 days of this certification form's date, any officers of election that have been trained were trained according to current standards of the Department of Elections detailed in Department of Elections Policy.

Type full name to represent your signature and complete certification. *

Title of Signee *

Electoral Board Member

General Registrar

Other (indicate below) Other (indicate below)

SBE-115

Rev 10-2020