2017 NYDLC Poll Site General Observation Form
This form is intended to be completed by NY poll watchers observing the Nov. 7, 2017 General Election.

This document is divided into four sections (i) opening (ii) middle of the day (iii) closing. Please fill out the appropriate section based on your poll site assignment.

PLEASE DO NOT USE THIS FORM FOR REPORTING INCIDENTS TO YOUR BOILER ROOM!
For election day incident reporting use the following form instead:

If you are assigned to monitor multiple poll sites, please complete a separate form for each site you visit. You should only fill out the section of this form that corresponds to your shift. For example, if you are (solely) "closing" a poll site in the PM, you should skip the section relating to "opening" the poll site in the AM. If you are monitoring "all day", then complete the entire form.

If you have difficulty using this form, a paper version is available here:

Poll watchers name *
Your answer
Poll watchers mobile number *
Your answer
In which county is your poll site located? *
Poll Site Name (please use name provided in your poll watcher assignment email) *
Your answer
Poll site address *
Your answer
For THIS poll site, what is the first Voter Protection shift are you reporting for? (If watching multiple poll sites complete a separate form for each) *
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