Fillable Election Data Request Form PDF (Charter Township of Waterford)

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Election Data Request Form PDF (Charter Township of Waterford)

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BOARD OF TRUSTEES
Gary Wall, Supervisor
Kim Markee, Clerk
Margaret Birch, Treasurer
Anthony M. Bartolotta, Trustee
Art Frasca, Trustee
Karen Joliat, Trustee
Steven Thomas, Trustee
5200 Civic Center Drive
Waterford, Michigan 48329-3773
Telephone: (248) 674-6266 Fax: (248) 674-5455
www.waterfordmi.gov
Kim Markee
Clerk
kmarkee@waterfordmi.gov
Kari Vlaeminck
Deputy Clerk
kvlaeminck@waterfordmi.gov
There are approximately 55,000 registered voters in Waterford Township. In order to provide
the exact information you are requesting we must have the exact criteria. Please complete the
following form and return to the Clerk’s office with payment.
Please allow 2-5 business days for preparation. For files required to be mailed postage
and handling is $5.00. All orders must be paid in advance.
E-Mail:
Registered Voter / Voter History File Requests are $40.00 (Section A)
Daily Absent Voter Reports are $20.00 (Section B)
E-mail files must be paid in advance
Payment includes sending to one e-mail address only
Files are provided in Excel format
Files are also available in ASCII Text are available on request
LISTS:
The cost of a list is $0.50 per page
FLASH DRIVES:
Flash drive files are $40.00
All files must fit on one flash drive
Files are provided in Excel format
Files are also available in ASCII Text are available on request
Page 2
A. REGISTERED VOTER / VOTER HISTORY FILE REQUESTS $40.00
On what type of media do you need your report?
List Flash Drive E-mail __________________________@______________
Which voters do you want included?
All registered voters
All registered voters over 60 years of age
All registered voters in Precinct Number __________
All registered voters in State House District No. 43 44
All registered voters in County Commissioner District No. 4 5 6
All registered voters in a School District Waterford Clarkston Pontiac
All permanent absentee voters (AV) only ALL of Waterford WSD CCS PSD
Listing of voters that request an absent voter ballot (mass mailing)
Other – Please explain
Would you like voting history?
Primary Election Year(s) _______________ General Election Year(s) _______________
If you choose voter history for more than one election, please note that it will not indicate in which election
the person voted. If you want detailed voter history you must order a report for each individual election.
B. DAILY ABSENTEE VOTER REPORTS $20.00
On what type of media do you need your report?
List or E-mail ___________________________@_______________._______
If only voters in a specific school district are required please check the appropriate box.
Waterford Clarkston Pontiac
THE DAILY LIST CONTAINS VOTERS THAT ARE MAILED BALLOTS AFTER THE MASS MAILING OF BALLOTS.
DAILY ORDERS CONTAIN NAME AND ADDRESS ONLY
DAILY UPDATE ORDERS WILL BE AVAILABLE AFTER 4:30 P.M.
Contact /Pick up Person ________________________Organization______________________
Email Address_________________________________@________________._____________
Cell No. ___________________ Work No. __________________ Home No. ______________
Payment Received Cash Check Receipt No.______________________________
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Election Data Request Form PDF (Charter Township of Waterford)

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Completed 5 August 2020

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