Poll Watcher's Certificate Request
Requester Details
Requester First Name:
*
Requester Last Name:
*
Requester E-mail:
*
example@example.com
Requester Phone Number:
*
Please enter a valid phone number.
Select one:
*
Party-assigned Watcher
Candidate-assigned Watcher
Party:
*
Please Select
Democratic
Republican
Libertarian
Working Families Party
West is Best
Third-Party Name:
*
Please Select
Independent
Modern Whig
No Affiliation
Philadelphia Pirate Party
Office & Candidate:
*
Candidate Name
*
Watcher Information:
*
*
I understand that all requested Poll Watcher Certificates must
have been authorized
in advance by the candidate or political party here submitted.
*
I understand that all Poll Watchers must be registered voters in Philadelphia and registered to vote at the address here given.
*
I understand that no more than two Poll Watcher Certificates may be issued for the same division on behalf of the same candidate, and no more than three Poll Watcher Certificates may be issued for the same division on behalf of the same political party.
*
I understand that all Poll Watchers must abide by the rules listed in p. 34-35 of the
Election Board Guide.
Submit
Should be Empty: