Combination Form

A form used at the polling place during early voting and election day that combines multiple functions and requirements into a single form. For example, the form contains the poll list and signature roster, space for election workers to add the name and address of a voter’s assistant, and notations that a voter is voting provisionally, is not on the list of registered voters, or has a similar name issue. The form also includes the “similar name” and “voter not on list” affidavits to be initialed by voters. The form has multiple carbon copy layers, with one copy each going into Envelopes 2, 3, and 4, and one copy in with ballot box #3.