Minnesota Regulations § 8200.9960 CHALLENGES TO VOTER REGISTRATION, FORM TO BE USED UNDER MINNESOTA STATUTES, SECTION 204C.12, SUBDIVISION 2
Regulation Text
I,_____, do hereby state under oath, | ||
Name of person making challenge | ||
I am: | ||
( ) an election judge. | ||
( ) a challenger authorized by Minnesota Statutes, section 204C.07 . | ||
( ) a Minnesota voter. | ||
I reside at_____,_____, | ||
Street Address | City or Township | |
Telephone number:_____ | ||
E-mail address (optional):_____ | ||
I challenge the registration of _____ | ||
Name of challenged voter | ||
whose registration lists his or her residence as | ||
_____ | _____ | |
Street Address | City or Township | |
This challenge is based on my personal knowledge. The grounds for my challenge are:_____ | ||
_____ | ||
_____ | ||
(attach additional sheets of signed statement if necessary). | ||
I swear or affirm that the information stated here is truthful. | ||
__/__/____ | _____ | |
Date | Signature of Challenger | |
Signed and sworn to or affirmed before me | ||
__/__/____ | _____ | |
Date | Signature of Election Judge | |
For Election Judge Use Only: | ||
Challenge was administered by Election Judge:_____ | ||
Time:_____ | ||
( ) Voter refused to take challenge oath. | ||
( ) Challenge was dismissed: Voter passed challenge and voted. | ||
( ) Challenge was sustained: Voter failed challenge and did not vote. | ||
Additional Comments: |
History
32 SR 2055
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