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Election Inspector Application

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Please fill out this Secure On-line form and select "submit" or "submit and print" at the bottom of the page upon completion. Thank you.
Applicant Information:
I CERTIFY THAT I am not a member or a known active advocate*of a political party other than the party identified above. I FURTHER CERTIFY THAT the forgoing statements are true to the best of my knowledge and belief: (To be signed and dated by applicant upon an "in person" interview).
* A 'known active advocate" of another political party is defined to mean a person who 1) is a delegate to the convention or an officer of another party 2) is affiliated with another party through an elected or appointed government position or 3) has made documented public statements specifically supporting by name another political party or its candidates in the same calendar year as the election at which the person will serve as an inspector. "Documented public statements" means statements reported by the news media or written statements with a clear and unambiguous attribution to the applicant.
ANY FALSE STATEMENTS MADE ON THIS APPLICATION WILL DISQUALIFY THE APPLICANT.
 
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