PRECINCT LIST OF PERSONS VOUCHING FOR VOTER RESIDENCE ON ELECTION DAY AND NUMBER OF PERSONS VOUCHED FOR

Subpart 1. Required information. Information regarding persons vouching for voter residence on election day must be tracked according to the form and instructions in subpart 2. Counties, municipalities, or school districts authorized to use electronic rosters pursuant to Minnesota Statutes, section 201.225 , may instead collect this information electronically. Subp. 2. Instructions and form. Instructions and Form: Precinct List of Persons Vouching City/Town _ Ward _ Precinct _ • To be completed by election judges. • Use to track the number of people vouched for by each voucher. • Cross out the next number each time that person vouches for a registrant. • Employees of residential facilities may vouch for an unlimited number of facility residents who are registering to vote at the facility's address. Otherwise, vouchers may only vouch for a maximum of eight registrants. Voucher's Name Voucher's Voter ID No. Number Vouched for on Election Day Example: John Doe 1234567 1 2 3 4 5 6 7 8 1 1 2 3 4 5 6 7 8 2 1 2 3 4 5 6 7 8 3 1 2 3 4 5 6 7 8 4 1 2 3 4 5 6 7 8 5 1 2 3 4 5 6 7 8 6 1 2 3 4 5 6 7 8 7 1 2 3 4 5 6 7 8 8 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 10 1 2 3 4 5 6 7 8 11 1 2 3 4 5 6 7 8 12 1 2 3 4 5 6 7 8 13 1 2 3 4 5 6 7 8 14 1 2 3 4 5 6 7 8 15 1 2 3 4 5 6 7 8 16 1 2 3 4 5 6 7 8 17 1 2 3 4 5 6 7 8 18 1 2 3 4 5 6 7 8 19 1 2 3 4 5 6 7 8 20 1 2 3 4 5 6 7 8 21 1 2 3 4 5 6 7 8 22 1 2 3 4 5 6 7 8 23 1 2 3 4 5 6 7 8 24 1 2 3 4 5 6 7 8 25 1 2 3 4 5 6 7 8 26 1 2 3 4 5 6 7 8 27 1 2 3 4 5 6 7 8 28 1 2 3 4 5 6 7 8 29 1 2 3 4 5 6 7 8 30 1 2 3 4 5 6 7 8 Certified by the Head Election Judge of the Precinct: _ _ _ Printed Name Signature Date