Ill. Admin. Code tit. 26, pt. 216, exh. C

Current through Register Vol. 48, No. 43, October 25, 2024
Exhibit C - Voter Registration Application Transmittal

Suggested

July, 1995

SBE No. R-25

VOTER REGISTRATION APPLICATION TRANSMITTAL

To: ___________________________________

Election OfficeDate

From: ___________________________

Agency Office Number or Designation

Number of Voter Registration Applications Enclosed: _____________

Comments: ________________________________________________

____________________________________________________________________

____________________________________________________________________

______________________________________________________________________

(To be completed by Election Authority)

Date Received: _________________

Number of Applications Received: _______________________________

Number of Duplicate Registrations in Group: ______________________

Number of Incomplete Applications: ______________________________

Problems or Other Comments: __________________________________

______________________________________________________________________

______________________________________________________________________

White Copy - Election AuthorityYellow Copy - Agency

TRANSMITTAL FORM SPECIFICATIONS

PRINT AS TWO PART SELF DUPLICATING FORM

Bottom of original - "Election Authority Copy"

Bottom of second sheet - "Agency Copy"

SIZE 8-1/2" x 11"

Ill. Admin. Code tit. 26, pt. 216, exh. C