2024 Prince William County GOP Poll Watcher Election Day Shift Report

State *

Election Year *

Election *

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Note that if you have selected a specific locality and/or affiliation some fields may stay hidden at the poll watcher team lead request. To see all possible fields reload the page and do not select a locality before clicking this radio button.

Your information

Date of Your Shift *

It is critically important that your poll watcher report be submitted as soon as possible after the completion of your poll watching duties. However, if you must fill out this form significantly after the fact, please enter the data and time of the last observation that is covered by your report.

Shift worked: *

Opening 5am On
MIDDAY
PM/Closing (TIL APPROVAL TO LEAVE)
Other / Specific Incident Report

Email *

Your Party / Candidate Affiliation? *

General Information

Precinct Type *

Central Absentee
Election Day

Email Address

Magisterial District *

Precinct Number Brentsville

Precinct Number Coles

Precinct Number Potomac

Precinct Number Gainesville

Precinct Number Occoquan

Precinct Number Neabsco

Precinct Number Woodbridge

Name *

Mobile Phone Number

Departure Time *

Enter the time you left the precinct

Arrival Time *

Enter the time you arrived at the precinct

Precinct Chief Name

Enter the Name of the precinct chief.

Asst Chief Name

Enter the name of the Assistant Precinct Chief

Scanner #1

Scanner #2

Serial Number *

Enter Scanner 1 Serial Number

Serial Number *

Enter Scanner 2 Serial Number

vDrive seal Number Scanner #1 *

vDrive seal Number Scanner #2 *

Enter the vDrive seal number for the Scanner 2

Ballot Box Seal #1 *

Ballot Box Seal #2 *

Lifetime Count #1 *

Lifetime Count #2 *

Opening Ballot Count *

Is the Zero Tape on the Wall? *

Yes
No

Is the Zero Tape on the Wall? *

Yes
No

Were 3 tapes printed at opening? *

Yes
No

Were 3 tapes printed at opening? *

Yes
No

Are there paper pollbooks in the precinct? *

Yes
No

How many ePollbooks are in the precinct? *

ePollbook #1 Serial Number *

From the Chief’s Pollbook Summary Form

ePollbook #2 Serial Number *

From the Chief’s Pollbook Summary Form

ePollbook #3 Serial Number *

From the Chief’s Pollbook Summary Form

Are pollbooks operational? if not, use incidents report with details using the template below

Incident (one or more can be described here)

————————————-

Are scanners operating properly, abnormal ballot kickouts, ie No reboots to operate, any technician calls? (There are times when ballots that are supposed to kick out noted in the election officer training manual such as under, over, provisional votes) *

Were you permitted inside before polls opened? If not, please use incident report with details using the template on page 3. *

Has anyone been told they already voted?  *

Are you able to see and hear voter check-ins, receive answers to your questions, and was check-in done according to the Code of Virginia?  *

Did voters wishing assistance sign their own request for assistance form, and did the assistant also sign their own form? *

Were you allowed to observe curbside voting and were curbside voters processed correctly? *

Any poll watcher intimidation noticed? *

Any election officer intimidation noticed? (by another election offcier or a voter, for example) *

Are Same Day Registrations noted with special color paper, a provisional ballot, NOT SCANNED, with all paperwork placed in an envelope for the electoral board? *

How are absentee ballots spoiled? *

CLOSING SECTION: Closing Procedure Observations

Were 3 tapes printed at closing for each scanner?

Did they count the Drop Box ballots and transfer them to Envelope #9 for transport, complete Chain of Custody form on Envelope #9 and seal that Envelope?

Were ballots from under each scanner removed and placed in the #3 Box(es), taped and signed?

Were any ballots hand counted or tabulated?

Was the flash drive from the pollbook Merlin removed and placed in the pouch #7 with zipper closed?

Did the same two Collector EOs receive the vDrives from the EOs who closed the scanners, and place the vDrives in the #7 pouch?

Were there serial numbers or ID numbers on the scanner vDrives?

Were unused ballots packed in Box #6?

Were Ballot Drop Box ballots counted and packed into Envelope #9?

Opening/Morning and Closing/Afternoon shifts will report any incident from their shift reports.

Incident

CLOSING FORMS, WORKSHEETS, OBSERVATIONS: Obtain information for these items for your personal observation, from the Chief's Closing Numbers Worksheet or from the Statement of Results (SOR)

# Boxes Voted Ballots (Obtain from your personal observation) *

# Boxes Unvoted Ballots (Obtain from your personal observation) (copy) *

# Drop Box Ballots (And any pouch seal number, get from the election officers before they leave) *

# Hand Counted Ballots (See SOR) *

Cumulative Pollbook count #

Does the # of Voters Check-in Match the # of Ballots Cast? *

Yes
No

If NO please note by how many in the space below

If NO, by how many? Provide details in incident report

All Officers Signed #3 Label for each box of voted ballots? (from your personal observation) *

Yes
No

Two Officer Signed #6 Seal for Cardboard Boxes for Unused Ballots (from your observation)? *

Yes
No

Are you a robot? Please answer the following question. *

=

ID Verification *

By electronically signing this form I attest that I am an authorized poll watcher and that the statements made here are truthful and accurate to the best of my ability.

Your information

General Information

Scanner #1

Scanner #2

Are pollbooks operational? if not, use incidents report with details using the template below

————————————-

CLOSING SECTION: Closing Procedure Observations

Opening/Morning and Closing/Afternoon shifts will report any incident from their shift reports.

CLOSING FORMS, WORKSHEETS, OBSERVATIONS: Obtain information for these items for your personal observation, from the Chief's Closing Numbers Worksheet or from the Statement of Results (SOR)

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