VOLUSIAVOTE.COM

Voter Problem Report Form

We encourage voters to resolve any voting issues by first calling the Volusia County Supervisor of Elections at (386 area code for all numbers) 736-5930 West Volusia, 254-4690 North East Volusia, 423-3311 Southeast Volusia and 574-0598 ext 5930 for the Osteen area. 

If you are unable to resolve the problem with the Supervisor of Elections and or believe that improper voting related activities maybe taking place please call (386) 675-0100 or use the form bellow to file your report with the Volusia County Democratic Party legal team.

Please enter information as precisely as possible, even impressions and information that may seem of minor importance. Every detail is extremely important, as apparently insignificant details may show an important and obvious pattern when seen several times. So, please tell everything and let our researcher and legal team determine whether it is important.

To ensure the validity of this report we will ask for an email address for verification. Anonymous reports will be accepted, but they will be treated with less importance.

(Please submit a separate report for each type of incident and each person.)

People Involved
Personal Involvement:
Number of people who had the problem?:
Were there witnesses?:

 
Description of Incident
What is the specific problem?
Details of Incident:
Was Problem Resolved?: Yes: No:
Are You Satisfied?: Yes: No:
Describe Resolution:
   

Location
* (means required field)
*City:
*Precinct/Voting District:
*Location of Incident:
   
Date and Time
Date (mm/dd/yy):
Time (hour:min):
   
Reporting of Problem
Did you report problem?: Yes: No:
First Report Made to:  
More Details:  
Did You Get a Response?:   Yes: No:
Details of Response:  

 
Did Response resolve Problem?:   Yes: No:
Why or why not:  

 
Did you make a second report?: Yes: No:

 
Second Report Made to:
More Details:
Did You Get a Response?: Yes: No:
Details of Response:

 
Did Response resolve Problem?: Yes: No:
Why or why not:

 
Did you make a third report?: Yes: No:
Third Report Made to:
More Details:
Did You Get a Response?: Yes: No:
Details of Response:

 
Did Response resolve Problem?: Yes: No:
Why or why not:

 

 

PERSONAL INFORMATION
It VERY important that you can be contacted to verify your report. Anonymous reports are of much less value. No information that can identify you will be made public without your consent.
 
Person Involved in Incident
Voting Precinct:
First Name:
Last Name:
Address:
Address 2:
*Zip/Postal Code:
Email:
Telephone: - Ext.
May we contact you?: Yes: No:
Would you be willing to speak to the press?: Yes: No:
Would you be willing to speak to investigators?: Yes: No:
Person Filing Report (if different)
First Name:
Last Name:
Address:
Address 2:
*Zip/Postal Code:
Email:
Telephone: - Ext.
May we contact you?: Yes: No:
Would you be willing to speak to the press?: Yes: No:
Would you be willing to speak to investigators?: Yes: No:

 

REPORT NARRATIVE 

Comments:
Suggestions:

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