Slide 21

This is an example of a Request for Assistance form, which you will use for voters needing assistance at the voting booth with reading, translating, or marking their ballot.

In total, 3 people must mark this form:

• An election officer should write the precinct number & name and the date at the top of the form.
• The voter must print and sign their name in Section A.
• The assistant must print and sign their name and address in Section B.

NOTE: If election officer is asked to translate the ballot as the assistant, officer must ask Authorized Representative if they have a volunteer interpreter to observe. Party interpreter should fill out section C.