Minnesota Administrative Rules
Agency 133 - Secretary of State
Chapter 8200 - VOTER REGISTRATION
FORMS
Part 8200.9940 - PRECINCT LIST OF PERSONS VOUCHING FOR VOTER RESIDENCE ON ELECTION DAY AND NUMBER OF PERSONS VOUCHED FOR

Universal Citation: MN Rules 8200.9940
Current through Register Vol. 49, No. 13, September 23, 2024

Precinct List of Persons Vouching
City/Town_____ Ward_____ Precinct_____

. To be completed by election judges.
. Use to track the number of people vouched for by each voucher.
. Cross out the next number each time that person vouches for a registrant.
. Employees of residential facilities may vouch for an unlimited number of facility residents who are registering to vote at the facility's address. Otherwise, vouchers may only vouch for a maximum of eight registrants.

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
1 1 2 3 4 5 6 7 8
2 1 2 3 4 5 6 7 8
3 1 2 3 4 5 6 7 8
4 1 2 3 4 5 6 7 8
5 1 2 3 4 5 6 7 8
6 1 2 3 4 5 6 7 8
7 1 2 3 4 5 6 7 8
8 1 2 3 4 5 6 7 8
9 1 2 3 4 5 6 7 8
10 1 2 3 4 5 6 7 8
11 1 2 3 4 5 6 7 8
12 1 2 3 4 5 6 7 8
13 1 2 3 4 5 6 7 8
14 1 2 3 4 5 6 7 8
15 1 2 3 4 5 6 7 8
16 1 2 3 4 5 6 7 8
17 1 2 3 4 5 6 7 8
18 1 2 3 4 5 6 7 8
19 1 2 3 4 5 6 7 8
20 1 2 3 4 5 6 7 8
21 1 2 3 4 5 6 7 8
22 1 2 3 4 5 6 7 8
23 1 2 3 4 5 6 7 8
24 1 2 3 4 5 6 7 8
25 1 2 3 4 5 6 7 8
26 1 2 3 4 5 6 7 8
27 1 2 3 4 5 6 7 8
28 1 2 3 4 5 6 7 8
29 1 2 3 4 5 6 7 8
30 1 2 3 4 5 6 7 8

Certified by the Head Election Judge of the Precinct:
_____ _____ _____
Printed Name Signature Date

Statutory Authority: MS s 201.061; 201.221; 203B.09

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