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Form Revised on 6/2009
VR Request for Purchase Approval to Use Chapter 19 Funds TAC 81.13
Date: / / County Name: Voter Registrar’s Name:
County Fax Number: ( ) -
Check one or all that apply to this request:
Increase the number of registered voters in the State
Maintain and report an accurate list of the number of registered voters
Increase the efficiency of the voter registration office through the use of technological equipment
Introduction - PURPOSE FOR THE PURCHASE
Product Name/Number: Anticipated Cost: $_____________________
HOW WILL THE PURCHASE ENHANCE THE VOTER REGISTRATION PROCESS?
Activity/Process - WHAT PERCENTAGE OF TIME WILL THIS PURCHASE BE USED BY THE VR DEPARTMENT?
PLEASE PROVIDE AN EXAMPLE AND OUTLINE BELOW
EXAMPLE OF VR USAGE:
WHAT OTHER AREA’S WILL HAVE ACCESS AND USAGE OF THIS PRODUCT OR SERVICE?:
Conclusion – PROVIDE A DETAILED EXPLANATION OF PURCHASE AND WHY IT SHOULD BE CONSIDERED for
the use of CHAPTER 19 FUNDS?
Return to Elections Funds Management by :
- FAX: 512-463-7552 (no cover sheet needed )
- E-mail: elections@sos.state.tx.us OR
- Mail: P.O. BOX 12060, Austin, Texas 78711
FOR SOS APPROVAL ONLY
Increase the number of registered voters in the State
Maintain and report an accurate list of the number of registered voters
Increase the efficiency of the voter registration office through the use of technological equipment
EFM Manager:
(Initial) DATE
____/ /
Approved
Disapproved -
