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VoteEarlyNY Incident Report
Change is exciting, but it can take some time to implement reforms perfectly. Did you have difficulty voting early? We want to hear about it. Please complete a VoteEarlyNY Incident Report below.

Please be as detailed as possible. Identity will be kept anonymous. Please complete a separate report for each distinct issue, even if they arise at the same time/location. It is appropriate to report incidents resolved on-site if they are capable of repetition.

We also encourage you to report incidents of voter suppression or intimidation to the NYS Attorney General (800-771-7755). For emergencies, please dial 911.
Email *
Reporter Contact Information
Identity will be kept confidential. We may need to follow up for details or to notify you of any developments.
First Name *
Last Name *
Mobile # *
Incident Information
County where early voting incident occurred *
Did you personally witness this incident? (If not, it's OK. We still want your report) *
Honesty and accuracy are critical to safeguarding voting rights. Unless you are reporting an instance of "Misinformation", examples of when to choose "No" to this question include: "I saw on Facebook..."; "My friend called me and said..."; "I heard on the news that..."
Name of Early Voting location *
Address of Early Voting location
Type of incident *
Please be as specific as you can.
Scope of Incident? *
Time incident occurred or was discovered *
Please include approximate time incident arose or was discovered.
Time
:
Time incident was resolved (if any)
Leave blank if unresolved. Please include approximate time of incident resolution. Please don't guess!
Time
:
Brief description of incident *
Please be specific. Use this checklist: 1) who was involved; 2) what occurred; 3) where; 4) when did this occur. Just the facts. Please avoid speculating (DO NOT try to explain "why" something occurred, unless you are certain, or an Election Official provided an explanation (orally or in writing. If written, submit photos or documentation by email as indicated below))
Is follow up required? *
Is the incident ongoing (or capable of repetition if not addressed)
Any Evidence of the Incident?
If you or an impacted voter has any photos, videos, emails, flyers, texts, voicemails, or anything in writing, PLEASE email it to Tips@VoteEarlyNY.org once you submit this incident report.
Do you have relevant evidence related to the incident? *
Impacted Voter Information (if applicable)
If an incident impacted specific voters, please complete this section with as much information as you can.
Early Voter 1: Full Name (as appears on registration), mobile #, Email, full DOB, zip code, demographics
Early Voter 2: Full Name (as appears on registration), mobile #, Email, full DOB, zip code, demographics
Early Voter 3: Full Name (as appears on registration), mobile #, Email, full DOB, zip code, demographics
Impacted Early Voter Demographics (optional)
This section is used to identify patterns so we can evaluate whether incidents are targeted or systemic in nature.
Is/Are the impacted voter(s) part of an identifiable group? Do you believe voter was targeted because they are (or are perceived to be) a member of such a group?
E.g: Race, religion, country of origin, student, disabled, elderly, gender, LGBTQ+, ideology/political views?
A copy of your responses will be emailed to the address you provided.
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