Dear Citizen,
Thank you for your interest in becoming an Officer of Election for the City of Virginia Beach.
Election Officials are placed at each of the city’s 100 polling locations. Each precinct will also have a
designated Chief Officer and Assistant Chief Officer. All Election Officials are given a great deal of
responsibility and trust in the election process. Officials work together to produce accurate election results,
provide for equal access to voting and assist individual voters that need help.
Compensation for working is $140.00. As a general requirement before working, you will attend a 3-hour
training workshop. Compensation for training is an additional $20.00. Processing payment may take up to six
weeks. Please note that if you attend training and then for some reason cannot work on Election Day,
we cannot pay you for the training session. In addition, we encourage you to attend an informal meeting
which is scheduled by your Chief Officer to organize the voting room prior to Election Day.
In order to confirm your appointment, you must carefully read the minimum requirements and essential
qualifications listed on the next page. An active email address is required in order to receive communications
and Election Day assignments. The Constitution of Virginia prohibits any person who holds any elective office
or is the deputy or employee of such elected official under the government of the United States, the
Commonwealth, or any Virginia county, city or town from serving as an Officer of Election. June Primary
elections are always tentative and require fewer Election Officials. We will not have confirmation of a June
Primary until April. A notice will be emailed prior to each election.
WHAT’S NEXT:
1) Complete and return the Election Official Appointment Form and Oath Your oath should be witnessed
by an Assistant Registrar from Voter Registration & Elections, a notary, Clerk or Deputy Clerk of the Circuit
Court. Your bank may also provide notary service. Bring identification such as driver’s license or military ID
or passport. Identification cannot be expired.
2) Complete I-9 Form in person at Voter Registration & Elections by presenting the acceptable document(s).
Returning workers do not need to complete this form again.
3) Complete Direct Deposit Form. Effective January 2021, all workers are encouraged to participate for
faster payment, eliminate lost check incidents/mail delay and save on payroll costs. Original or photocopy
of voided check is acceptable.
2021/2022 ELECTION DATES
Primary Election (if held) - June 8, 2021
General Election November 2, 2021
Primary Election (if held) June 14, 2022
General Election November 8, 2022
Sincerely,
Lauralee M. Grim
Secretary
Virginia Beach Electoral Board
REQUIREMENTS AND ESSENTIAL QUALIFICATIONS
REQUIREMENTS
Must be a registered voter of the Commonwealth of Virginia.
You cannot hold elected office or be the employee of an elected official.
Must attend the November Election training session.
Be able to speak, read and write English.
You must choose a political party to represent so each precinct is staffed appropriately.
ESSENTIAL QUALIFICATIONS
You must not engage in any political conversation with voters and/or fellow Election Officials.
Communicate no bias or opinions on the election or candidates.
You must have working knowledge of computers so that you can operate the Electronic Pollbooks to
check in voters in addition to the ability to complete online training when provided.
You must have access to a computer/tablet/smart phone in order to receive email communication to
access and utilize our Easy Vote Web Portal.
Must be able to follow directions, understand and operate the voting equipment once trained.
Cannot conduct personal business within the polling location.
Election Officials work for the Electoral Board and follow the guidelines and standards that lead to
exceptional customer service for our citizens in helping them be successful voters on Election Day.
Election Officials must maintain a “good reputation” with colleagues and voters in the precinct. Be
courteous, professional and helpful to our voters.
Must be willing to do what is necessary to maintain and secure voting environment.
Wear appropriate attire (no blue jeans, workout clothes, t-shirts, or shorts).
PERFORMANCE STANDARDS
Chief Election Officers will observe the performance of assigned officers and should communicate their
concerns to provide the opportunity for corrective action. Certain circumstances may call for an Election Official
to be asked to leave or removed before duties are complete. Any questionable performance by an appointed
Election Official will be communicated to Voter Registration & Elections. Staff will review the situation and take
one of the following actions: reassign to another polling location, not assigned for future election, or not
recommend officer for reappointment. Election Officials may not be assigned to work future elections. Officers
not satisfied with action taken may appeal to the Electoral Board by emailing electiontraining@vbgov.com.
HOURS AND PLACEMENT
You must be available to work the entire Election Day. For security reasons, no exceptions are permitted.
Arrive at the polling location at 5:00 a.m. and remain there until the election results have been reported, all
paperwork has been completed and the polling place is returned to its original order (generally around 9:00
p.m.; for Presidential Election - 11:00 p.m.).
Whenever possible, you will be placed in your “voting” precinct. However, if there are no vacancies, you will be
placed at a nearby precinct not more than 10 miles from your registered address or placed on a waitlist until
there is availability. There is a possibility that we might ask you to change polling locations prior to Election Day
in order to meet staffing requirements.
CANCELLATION / LATE / NO SHOW POLICY
We understand that unexpected obligations, work commitments and illnesses can affect your schedule.
However, the sooner you notify Voter Registration & Elections, the better chance we have to find a
replacement. Late cancellations and No Shows have a significant impact on a polling location.
CANCELLATIONS: Two (2) cancellations may put you on a waitlist for future elections and will only be placed after verbal
confirmation of availability.
LATE: Arriving late not only reflects negatively on you but it also impacts the other Election Officials preparing to open the
polls. Late arrival to a training class or on Election Day may result in you being waitlisted or your Election Official
appointment being cancelled.
NO SHOW: If you fail to show up on Election Day, your Election Official appointment is automatically cancelled. Election
Officials are considered “no shows” when they fail to cancel.
2021/2022 OFFICER OF ELECTION APPOINTMENT FORM
Full Legal Name
Address
Address
City/Zip
Check here if this is a different address from your previous appointment
Home Phone
Cell Phone
Email Address REQUIRED
City of VB Employee ID # (if applicable)
COMPLETE ALL SECTIONS ON BOTH SIDES IN ORDER TO PROCESS YOUR ELECTION OFFICIAL APPOINTMENT
I ACCEPT appointment as an Officer of Election and agree as follows.
I UNDERSTAND that Officers of Election are required to attend the November Election
training session and that failure to attend any such training may render me ineligible to serve at
the election.
I DO NOT hold any elected office, whether paid or unpaid, under the government of the
United States, the Commonwealth of Virginia, or any Virginia county, city or town; and
I AM NOT the deputy or the employee of an elected official.
I AFFIRM that I read and meet the requirements and essential qualifications for performing
Election Day assignments (refers to previous page).
Must choose ONLY one party:
This Board is required by Section 24.2-115 of the Code of Virginia to assure that both the Democratic and
Republican Parties have equal representation among the Officers of Election appointed. When you check either
box, please understand that you are not stating that you are a member of that particular party but are merely
agreeing to serve as that party’s representative on Election Day.
I agree to represent the Democratic Party.
I agree to represent the Republican Party.
AND select the following (if agreeable)
I also agree to represent either the Republican or Democratic Party when so needed at the
polls.
COMPLETE THIS SECTION IF YOU DO NOT WANT TO BE REAPPOINNTED AS AN OFFICER OF ELECTION.
PRINT YOUR NAME, MARK THE BOX AND RETURN TO VOTER REGISTRATION & ELECTIONS.
NAME _________________________________________________
I DO NOT accept reappointment as an Officer of Election
AGREEMENT
ELECTION DATES
INITIAL next to the election dates you intend to participate.
______ June 8, 2021 (if held) Primary Election
______ November 2, 2021 General Election
______ June 14, 2022 (if held) Primary Election
______ November 8, 2022 General Election
DEDICATION & LOYALTY AGREEMENT
INITIAL that you have read, understand and agree to each one to the best of your ability.
______ Requirements and Essential Qualifications
______ Performance Standards
______ Hours and Placement
______ Cancellation/Late/No Show Policy
ELECTION OFFICIAL PAYMENT
______ INITIAL that you understand payment processing could take up to 6 weeks.
OATH OR AFFIRMATION
I, _______________________________, do SOLEMNLY SWEAR (or affirm) that I will support the Constitution
of the United States and the Constitution of the Commonwealth of Virginia, and that I will faithfully and
impartially discharge all the duties incumbent upon me as an Officer of Election of the City of Virginia Beach for
the term of two years beginning March 1, 2021 (or enter today’s date ______________, 20____,if appointed
after the term begins) according to the best of my ability (so help me God).
Signature (required)
WITNESS OPTIONS: Take the oath and sign it before one of the following: a Notary, an Assistant Registrar, Member
of the Electoral Board, the General Registrar, or the Clerk or Deputy Clerk of the Circuit Court. Any Assistant
Registrar at Voter Registration & Elections can witness your signature. Be sure to bring your identification.
NOTARY SEAL
Photographically
reproducible stamp
is required.
Signature of Notary or Person Administering Oath (required)
Title (i.e., Notary, Assistant Registrar, Clerk) Date
Voter Registration & Elections, 2449 Princess Anne Rd, Bldg. 14, P.O. Box 6247, Virginia Beach, VA 23456
Phone (757)385-8683 Fax (757)385-5632
Email electiontraining@vbgov.com
USCIS
Form I-9
OMB No. 1615-0047
Expires 10/31/2022
Employment Eligibility Verification
Department of Homeland Security
U.S. Citizenship and Immigration Services
Form I-9 10/21/2019
Page 1 of 3
START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically,
during completion of this form. Employers are liable for errors in the completion of this form.
ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which document(s) an
employee may present to establish employment authorization and identity. The refusal to hire or continue to employ an individual because the
documentation presented has a future expiration date may also constitute illegal discrimination.
Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later
than the first day of employment, but not before accepting a job offer.)
Last Name (Family Name)
First Name (Given Name)
Middle Initial
Other Last Names Used (if any)
Address (Street Number and Name)
Apt. Number
City or Town
State
ZIP Code
Date of Birth (mm/dd/yyyy)
-
-
Employee's E-mail Address
Employee's Telephone Number
U.S. Social Security Number
1. A citizen of the United States
2. A noncitizen national of the United States (See instructions)
3. A lawful permanent resident
4. An alien authorized to work until
(See instructions)
(expiration date, if applicable, mm/dd/yyyy):
(Alien Registration Number/USCIS Number):
Some aliens may write "N/A" in the expiration date field.
I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in
connection with the completion of this form.
I attest, under penalty of perjury, that I am (check one of the following boxes):
Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:
An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.
1. Alien Registration Number/USCIS Number:
2. Form I-94 Admission Number:
3. Foreign Passport Number:
Country of Issuance:
OR
OR
QR Code - Section 1
Do Not Write In This Space
Signature of Employee
Today's Date (mm/dd/yyyy)
Preparer and/or Translator Certification (check one):
I did not use a preparer or translator. A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)
I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my
knowledge the information is true and correct.
Signature of Preparer or Translator
Today's Date (mm/dd/yyyy)
Last Name (Family Name)
First Name (Given Name)
Address (Street Number and Name)
City or Town
State
ZIP Code
Employer Completes Next Page
Form I-9 10/21/2019
Page 2 of 3
USCIS
Form I-9
OMB No. 1615-0047
Expires 10/31/2022
Employment Eligibility Verification
Department of Homeland Security
U.S. Citizenship and Immigration Services
Section 2. Employer or Authorized Representative Review and Verification
(Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. You
must physically examine one document from List A OR a combination of one document from List B and one document from List C as listed on the "Lists
of Acceptable Documents.")
Last Name (Family Name) M.I.
First Name (Given Name)
Employee Info from Section 1
Citizenship/Immigration Status
List A
Identity and Employment Authorization
Identity
Employment Authorization
OR List B AND List C
Additional Information
QR Code - Sections 2 & 3
Do Not Write In This Space
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Document Title
Issuing Authority
Document Number
Expiration Date (if any) (mm/dd/yyyy)
Certification: I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee,
(2) the above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge the
employee is authorized to work in the United States.
The employee's first day of employment (mm/dd/yyyy):
(See instructions for exemptions)
Today's Date (mm/dd/yyyy)
Signature of Employer or Authorized Representative
Title of Employer or Authorized Representative
Last Name of Employer or Authorized Representative
First Name of Employer or Authorized Representative
Employer's Business or Organization Name
Employer's Business or Organization Address (Street Number and Name)
City or Town
State
ZIP Code
Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.)
A. New Name (if applicable)
Last Name (Family Name)
First Name (Given Name)
Middle Initial
B. Date of Rehire (if applicable)
Date (mm/dd/yyyy)
Document Title Document Number
Expiration Date (if any) (mm/dd/yyyy)
C. If the employee's previous grant of employment authorization has expired, provide the information for the document or receipt that establishes
continuing employment authorization in the space provided below.
I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if
the employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the individual.
Signature of Employer or Authorized Representative
Today's Date (mm/dd/yyyy)
Name of Employer or Authorized Representative
LISTS OF ACCEPTABLE DOCUMENTS
All documents must be UNEXPIRED
Employees may present one selection from List A
or a combination of one selection from List B and one selection from List C.
LIST A
2. Permanent Resident Card or Alien
Registration Receipt Card (Form I-551)
1. U.S. Passport or U.S. Passport Card
3. Foreign passport that contains a
temporary I-551 stamp or temporary
I-551 printed notation on a machine-
readable immigrant visa
4. Employment Authorization Document
that contains a photograph (Form
I-766)
5. For a nonimmigrant alien authorized
to work for a specific employer
because of his or her status:
Documents that Establish
Both Identity and
Employment Authorization
6. Passport from the Federated States
of Micronesia (FSM) or the Republic
of the Marshall Islands (RMI) with
Form I-94 or Form I-94A indicating
nonimmigrant admission under the
Compact of Free Association Between
the United States and the FSM or RMI
b. Form I-94 or Form I-94A that has
the following:
(1) The same name as the passport;
and
(2) An endorsement of the alien's
nonimmigrant status as long as
that period of endorsement has
not yet expired and the
proposed employment is not in
conflict with any restrictions or
limitations identified on the form.
a. Foreign passport; and
For persons under age 18 who are
unable to present a document
listed above:
1. Driver's license or ID card issued by a
State or outlying possession of the
United States provided it contains a
photograph or information such as
name, date of birth, gender, height, eye
color, and address
9. Driver's license issued by a Canadian
government authority
3. School ID card with a photograph
6. Military dependent's ID card
7. U.S. Coast Guard Merchant Mariner
Card
8. Native American tribal document
10. School record or report card
11. Clinic, doctor, or hospital record
12. Day-care or nursery school record
2. ID card issued by federal, state or local
government agencies or entities,
provided it contains a photograph or
information such as name, date of birth,
gender, height, eye color, and address
4. Voter's registration card
5. U.S. Military card or draft record
Documents that Establish
Identity
LIST B
OR AND
LIST C
7. Employment authorization
document issued by the
Department of Homeland Security
1. A Social Security Account Number
card, unless the card
includes one of
the following restrictions:
2. Certification of report of birth issued
by the Department of State (Forms
DS-1350, FS-545, FS-240)
3. Original or certified copy of birth
certificate issued by a State,
county, municipal authority, or
territory of the United States
bearing an official seal
4. Native American tribal document
6. Identification Card for Use of
Resident Citizen in the United
States (Form I-179)
Documents that Establish
Employment Authorization
5. U.S. Citizen ID Card (Form I-197)
(2) VALID FOR WORK ONLY WITH
INS AUTHORIZATION
(3) VALID FOR WORK ONLY WITH
DHS AUTHORIZATION
(1) NOT VALID FOR EMPLOYMENT
Page 3 of 3
Form I-9 10/21/2019
Examples of many of these documents appear in the Handbook for Employers (M-274).
Refer to the instructions for more information about acceptable receipts.
City of Virginia Beach
Finance Payroll Division
Employee Direct Deposit Authorization
2424 Courthouse Drive, Bldg 18, Room 209 Tel: 385-4301 Fax: 385-8943 FinancePayroll@vbgov.com
Revised: 06/28/12
Instructions
For each checking account(s) attach a voided check or photocopy of voided check
For each savings account(s) attach bank documentation for verification of bank routing and account number(s)
A deposit slip is not acceptable documentation
Provide at least two (2) weeks notice to the Finance Payroll Division prior to changing or closing any account(s)
For one account, complete Section 1 ONLY. For two accounts, complete Section 1 and 2. For 3 accounts, complete
Section 1, 2 and 3. Return completed form to the Finance Payroll Division. (Maximum of three accounts.)
Voter Registration & Elections
Employee Name: (Last First MI)
Organization
SECTION 1) Deposit Net Pay
Effective Date
1/1/2021
Checking Savings
New Change Stop
Name of Financial Institution
Account Type (Select one)
Action Requested (Select one)
Routing Number
Account Number
SECTION 2) Deposit Fixed Amount
$
Effective Date
Checking Savings
New Change Stop
Name of Financial Institution
Account Type (Select one)
Action Requested (Select one)
Routing Number
Account Number
SECTION 3) Deposit Fixed Amount
$
Effective Date
Checking Savings
New Change Stop
Name of Financial Institution
Account Type (Select one)
Action Requested (Select one)
Routing Number
Account Number
I authorize the City and Financial Institution(s) listed above to deposit automatically to the indicated account(s) all
amounts payable to me by the City. If funds to which I am not entitled are deposited into my account(s), I authorize the
City to direct the Financial Institution to return said funds. This authority shall remain in effect until canceled in writing.
Employee Signature
Date
Daytime Phone Number
For Finance Payroll Office Use Only:
System Input:
Date: