NON-ROUTINE VOTERS: Request for Assistance form

The top part of the Request for Assistance form is filled out by the Election Officer and then given to the voter to fill out Section A.

Section B is filled out by the person who will assist the voter. In Section B, that person is affirming that they are not one of the "prohibited" class of people.

Once this form is completed and returned to the Chief, the voter's assistant can provide any help with the ballot.