POLL C.O.P.
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Official Poll Watcher*
Election Day and Early In-Person Voting
Incident Report Form*
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Poll Cop - Poll Watcher Report
Date
Arrival
Departure
WATCHER INFORMATION
First Name*
Last Name*
Telephone Number*
Email
Address
Address 2
City
State
Select a state
Zip
County
Select a county
Name of polling station
Precinct
Instructions
Read the questions carefully. Please make a check in the appropriate box. If you cannot answer the question, or it is not relevant, leave it blank. If clarification is required, briefly explain in the comment section of the form. If at any time you are prevented from observing any process, please challenge this, and if the challenge is not resolved, immediately file an incident report.
Before Opening
1. Were you allowed to observe the set-up of the precinct before opening? (if no, prepare and immediately file an incident report)
Yes
No
2. Are all polling team members and required materials present?
Yes
No
3. Are there inspectors from both major parties on the polling team?
Yes
No
4. Has an area been designated for poll watchers?
Yes
No
5. Is an American flag displayed in the precinct?
Yes
No
6. Did the "inspectors" swear an oath to conduct fair elections?
Yes
No
7. Did "judge" confirm the seals on the machines were unbroken, and that the numbers on the seals matched the numbers in the log?
Yes
No
8. Did "inspector" open the tabulators and show you that the main and emergency boxes were empty, before resealing the machines?
Yes
No
9. Was a zero tape printed and "signed" "inspectors"?
Yes
No
10. Were you able to confirm the zero tape listed all candidates, and showed no votes?
Yes
No
11. Was the zero tape left attached to the tabulator?
Yes
No
12. Did the precinct open on time (open_time)?
Yes
No
13. Were you able to see voter's "ID" and their name on the e-pollbook?
Yes
No
14. Were you able to see voter's name in the pollbook?
Yes
No
15. Was each voter's name called out so it could be heard by all poll watchers?
Yes
No
16. Were voters with shaded signature boxes required to show acceptable ID?
Yes
No
17. Could voters mark and cast their ballots in secret, without anyone see how they voted?
Yes
No
If yes, please provide details
18. Were any voters challenged?
Yes
No
If yes, please provide details
19. Were any procedures challenged?
Yes
No
If yes, please provide details
20. Were any provisional votes cast?
Yes
No
If yes, please provide details
21. Did any voters complain that someone had already voted in their name?
Yes
No
If yes, please provide details
22. Did any voters vote using only an ID Confirmation Statement?
Yes
No
If yes, please provide number and relevant details
23. Were there any problems with the voting machines?
Yes
No
If so, please provide details
24. Were "challengers" present from both major parties?
Yes
No
25. Were any poll watchers present during the day?
Yes
No
Closing the Poll and the Counting Process
26. Did the "precinct" close at "close_time"?
Yes
No
27. Were voters in the line at closing time allowed to vote?
Yes
No
28. Were there any ballots in the emergency (auxiliary) ballot storage area of the tabulator? (if yes, question
, and provide explanation in comment section, or file incident report)
Yes
No
Please provide comments
29. Was a results report run on the "tabulator"
Yes
No
30. Were you given a copy (or allowed to copy) the results tape from the "tabulator" (if no, file an incident report).
Yes
No
31. Were you allowed to observe all aspects of the polling and counting process? (If no, file an incident report)
Yes
No
32. Record the total number of voters from "pollbook"
33. Record the total number of ballots cast from "tabulator"
34. Did the total number of votes cast from the tabulator report equal the total number of voters checked off in the
? (If no, provide details in the comment section, or file an incident report).
Yes
No
If no, please provide details, or file an incident report
Record total provisional ballots by not-registered
Record total provisional ballots by no-ID
Record total provisional ballots by other
Record the total number of voters that complained that someone had already voted in their name
35. Which political party do you represent?
Republican
Democrat
Other
Other:
Please record the total votes for each candidate below
Candidate Name
Votes
Candidate Name
Votes
Candidate Name
Votes
Submit Observations