Petition to Request Recount of Ballot Questions

Petition to Request Recount of Ballot Questions
I FIRST NAME* LAST NAME* of TOWN/CITY* , New Hampshire, a legal voter, in accordance to NH TITLE LXIII ELECTIONS Chapter 660:13 POST-ELECTION PROCEDURE; Local Questions Recounts Section 660:13, call upon the NH Secretary of State, formally request, by way of petition, a recount of all questions listed on the March 8th, 2022 ballot of all votes cast upon on said questions in the town of TOWN/CITY*, New Hampshire.
Address*

STREET ADDRESS

APT/UNIT

CITYSTATE

ZIP CODE
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Signature of Voter*

Clear
Date Signed*

MonthDayYear
Date
.
Should be Empty: