Form Ds-De 49 Os - Provisional Ballot Voter'S Certificate And Affirmation - Provisional Ballot Processing Procedures (2006) Page 2

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O
S
PTICAL
CAN
P
B
P
P
ROVISIONAL
ALLOT
ROCESSING
ROCEDURES
Procedures for Election Official to Follow:
Information Verified At Supervisor’s Office
1. Check reason(s) for provisional ballot in box below.
Registered? Yes______ No______
Status ____________
2. Have the voter complete the Provisional Ballot Voter’s Certificate and
Affirmation.
FVRS Voter ID Number ____________________
3. Witness the voter’s signature and complete the “Election Official” section of the
Certificate.
Address (if different )___________________________________
4. Issue the voter the Notice for Provisional Ballot Voter.
5. Issue the voter a provisional ballot, secrecy envelope, and this Certificate
Voted in Correct Precinct?
Yes______ No______
envelope.
6. Instruct voter to place provisional ballot envelope in ballot box after voting.
Voter Cast Absentee Ballot? Yes______No______
Reason for Provisional Ballot (Check all that apply)
Voted During Early Voting?
Yes______No______
Voter’s name does not appear on the precinct register and voter’s eligibility
cannot be verified.
Signature Match? Yes______No______ (Attach copy)
Voter refutes the supervisor’s office confirmation that he or she is not
registered/eligible.
Investigative Findings:
There is an indication on the precinct register that the voter has requested an
_______________________________________________________
absentee ballot and the voter does not have a ballot to surrender. Poll worker
_______________________________________________________
cannot verify that the voter has not voted.
There is an indication on the precinct register that the voter has returned the
Procedures for Canvassing Board to Follow:
absentee ballot or has voted in the office or at an early voting site, but the voter
maintains that he or she has not voted, even after a call to the office.
1. Review information provided in the Voter’s Certificate and Affirmation.
Voter did not provide picture/signature identification.
2. Determine if voter is registered in state FVRS.
There is an indication on the precinct register that the voter has been
3. Determine if voter voted in the correct precinct.
challenged in this election.
4. Match voter’s signature with signature on file.
5. Determine whether voter cast an absentee ballot or voted during early
Voter is challenged at the precinct (Attach copy of challenge).
voting.
Voter’s ID signature and signature given do not match. Voter refused affidavit.
6. Review all information provided by supervisor’s office, evidence provided
Indication on precinct register that voter’s Fl DL #, Fl ID card # or SSN is not
by voter, if any, and any evidence provided by challenger, if applicable.
yet verified by the Department of State in conjunction with DHSMV.
7. Accept or reject provisional ballot based on preponderance of the
evidence.
Other (provide comment) ______________________________________
______________________________________________________________
FOR SUPERVISOR OF ELECTIONS
Extended Hours Only:
AND CANVASSING BOARD USE ONLY
Vote cast after 7 p.m. due to extended hours at polls by:
CANVASSING BOARD ACTION
STATE REASON IF REJECTED
Qualified voter
Eligibility undetermined
COUNTED
NOT COUNTED
DS-DE #49 OS/ (eff. 01/06)
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