Precinct List of Persons Vouching | ||
City/Town _ | Ward _ | Precinct _ |
For election judges' use in recording the number of individuals for whom a voter signs proof-of-residence oaths (vouches for) on Election Day. Cross out a number for every individual for whom a voter registered in that precinct vouches. Unless vouching for residential facility residents pursuant to part 8200.5100, subpart 1, item E, a voter who is registered to vote in the precinct may sign no more than 15 proof-of-residence oaths (Minnesota Statutes, section 201.061).
Voucher's Name | Voucher's Voter ID No. |
Number Vouched for on Election Day |
Example: John Doe | 1234567 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 |
1 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
2 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
3 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
4 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
5 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
6 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
7 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
8 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
9 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
10 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
11 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
12 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
13 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
14 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
15 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
16 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
17 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
18 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
19 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
20 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
21 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
22 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
23 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
24 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
25 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
26 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
27 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
28 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
29 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
30 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 |
Certified by the Head Election Judge of the Precinct: | ||
_ | _ | _ |
Printed Name | Signature | Date |
32 SR 2055
May 22, 2008
Official Publication of the State of Minnesota
Revisor of Statutes