Election Incident Report

ElectionEyes

ElectionEyes

State *

Report submitted by *

Report submitted by

First

Last

Phone

Email *

Date of Incident *

Did you observe the incident? *

Yes

No

What was your postition when you observerd/heard about the issue? *

Poll Observer

Precinct Election Official

Reporting Poll Voter (if not the above two)

In what county did the incident occur? *

Where did the issue occur? *

Address/Precinct name where issue occurred *

What was impacted? Check all that apply.

Ballots

Equipment

Access

Voter Issue

Other

Describe the incident

If you have one or more files, please upload here:

Maximum file size: 134.22MB

Do you want to file a formal complaint if the option is avaialble?

Yes

No

If you are human, leave this field blank.