2020 Caucus Location Request Form
This form is for Congressional District Chairs to designate the official location and the official points of contact for each voting location in your Congressional District. Please complete this form for each voting location (i.e. if there will be 3 voting locations in your congressional district, complete this form 3 times - one for each location). Please complete this form by 5 p.m. EST on Monday, February 3, 2020.
Congressional District # *
(Note: if this is a Joint CD Location, list all of the CD #s)
Your answer
Your First Name *
Your answer
Your Last Name *
Your answer
Your Email *
Your answer
Your Phone *
Your answer
Caucus Date *
(Note: if this site is being used on both April 2 and April 4, and all other information including voting hours, Caucus Manager, and Registration Manager are the same, you can select both dates here. Otherwise, submit a separate form for each date)
Required
Name of Caucus Location *
Your answer
Street Address of Caucus Location *
Your answer
City of Caucus Location *
Your answer
Zip Code of Caucus Location *
Your answer
Voting Start Time at This Location *
(Note: April 4 locations must open by 10 a.m.)
Time
:
Voting End Time at This Location *
(Note: April 4 locations must be open till at least 2 p.m.)
Time
:
Does this location have adequate parking? *
Is this location ADA compliant? *
Does this site have Internet access? *
Is there a fee for use of this site? *
Sites with fees should only be considered when efforts to obtain an adequate free facility have been exhausted.
If there is a fee, how much is it?
Please note the submission of fee details is for informational purposes only and not an FDP approved expense.
Your answer
Caucus Manager First Name *
This is the person who will oversee operations at the caucus, including ballot tally.
Your answer
Caucus Manager Last Name *
Your answer
Caucus Manager Day-of Email *
Your answer
Caucus Manager Day-of Phone *
Your answer
Registration Manager First Name *
This is the person who will oversee the voter sign-in, VAN verification and data entry, and ballot dissemination process.
Your answer
Registration Manager Last Name *
Your answer
Registration Manager Day-of Email *
Your answer
Registration Manager Day-of Phone *
Your answer
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