Waiver to Administer a Split Precinct Request

Use this form to submit a request to administer an already existing split precinct.
Pursuant to Virginia Code ยง 24.2-307, split precincts must be eliminated by the 2021 November Election, unless a waiver is granted. A locality may only administer a split precinct for elections held in the year the waiver is granted (i.e. you must request a new waiver each year).
The governing body must approve to apply for a waiver to administer a split precinct. The governing body's meeting minutes or resolution must be submitted with this request.
Would you like to list the precincts or upload a VERIS report? *

Reason for Waiver Request (select all that apply): *