Fill - Free fillable VOTER FEEDBACK FORM MONROE COUNTY BOARD OF ELECTIONS (monroe county) PDF form

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MONROE COUNTY BOARD OF ELECTIONS

39 West Main Street, Room 106/108, Rochester, NY 14614 PHONE (585) 753‐1550 FAX (585) 753‐1570 TDD/TTY (585) 753‐1544

Email: mcboe@monroecounty.gov  Website: http://www.monroecounty.gov/elections‐index.php

VOTER FEEDBACK FORM

VOTER NAME DATE

ADDRESS

HOME PHONE CELL PHONE

EMAIL ADDRESS

My intent in filing this form is for: (Please check one)

1. Complaint



3. Comment



2. Concern



4. Other



_________________________________________________

Please provide as much information as possible below:

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VOTER FEEDBACK FORM MONROE COUNTY BOARD OF ELECTIONS (monroe county)

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