Circuit Court copy Place in envelope 2

Appendix: Voting Outside of Polling Place

Precinct:

Election Date: ___________________

6	Ballots cast outside of polling place (curbside voting/outside polls) Two officers of election from different political parties must accompany equipment taken to voters voting outside of the polling place. Three officers of election must remain inside the polling place at all times. If only four officers are assigned to the polling place, then either the Chief Officer or the Assistant Chief Officer must accompany equipment while all others remain inside.
Name of first officer of election	Name of second officer of election	Machine serial number	Time machine was taken to the curb	Number on counter before taken to curb	Time machine was returned	Number on counter after returned from curb

Election Type: ___________________

County/City of: __________________

Registrar’s Office copy Place in envelope 2

Appendix: Voting Outside of Polling Place

Precinct:

Election Date: ___________________

Election Type: ___________________

County/City of: __________________

6	Ballots cast outside of polling place (curbside voting/outside polls) Two officers of election from different political parties must accompany equipment taken to voters voting outside of the polling place. Three officers of election must remain inside the polling place at all times. If only four officers are assigned to the polling place, then either the Chief Officer or the Assistant Chief Officer must accompany equipment while all others remain inside.
Name of first officer of election	Name of second officer of election	Machine serial number	Time machine was taken to the curb	Number on counter before taken to curb	Time machine was returned	Number on counter after returned from curb