NC Voting Anomaly Report

Canvasser Section

This form is to be completed if you have an anomaly or questionable voting irregularities that would require a sworn affidavit on behalf of the canvasser of an address.
Canvasser Full Name (Person doing the work)*

First NameLast Name
Canvasser Email*
example@example.com
Canvasser county*
Canvasser Phone Number*
Please enter a valid phone number.
Voter Anomaly Found
Type of canvasing*
County being canvased*
Person being canvased*

First NameMiddle NameLast Name
Voter's Party*
Voter's Gender*
Voter's Race*
Walk Book ID:
leave blank if no walk book
Voter's NCID*
Voter's 2nd NCID
If voter has multiple NCID's enter second NCID
Voter's Registered Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Anomaly at Address
Enter anomaly found at this address for this voters record
Votes Registered*

Voter does not live at this addressVoter has multiple active records (exact, name & address)Voting method miss match (Discussion with voter is required - Comparison from state voter look-up and actual voter statement)Voter voted in two different counites (exact name)Voted after 11/03/2020Voter has multiple NCID's (exact name)Voting record miss-matched (If the voter did not agree with the voting method, please choose the correct voting method)Voted but status is REMOVED or other
If the voter did not agree with the voting method, please choose the correct voting method stated by the voter.*

ABSENTEE BY MAIL - absentee ballot and returned ballot by mailABSENTEE CURBSIDE (early) —Voter cast a ballot during early voting at a regional voting location but drove up curbside& stayed in car to voteABSENTEE ONE-STOP (early) —Voter cast a ballot during one-stop early voting at one of the regional voting locations prior to election dayCURBSIDE (Election Day)—Voter cast a ballot on election day at his/herprecinct but drove up curbside & stayed in car to vote.IN-PERSON (Election Day)—Voter cast a ballot on election day at his/her precinctand walked into the precinct locationPROVISIONAL—Voter cast a provisional ballot because there was some issue about eligibility that needed to be reviewedTRANSFER—Voter is registered in another county but moved into this county; is transferring registration here & voted hereN/A or unknown
If registered and voted in multiple counties

(exact name in both counties)
Voted in county 1
Voting method in county 1
Voted on date County 1

MonthDayYear
Date
Voted in county 2
Voting method in county 2
Voted on date County 2

MonthDayYear
Date
Voted in county 3
Voting method in county 3
Voted on date County 3

MonthDayYear
Date
Other anomaly
(any other anomaly that is not captured in previous questions)
Supporting Images

(Upload the images from Voter Search and/or other photos to support this anomaly)
Cancelof
Affidavits are needed…

When registered VOTERs did not live at the residence on or before 10/04/2020, or are deceased prior to 11/03/2020. -- When the method by which the resident says he/she voted does not match the record (someone voted for me, different voting method, vote got lost).-- When address is a vacant lot, campground, church, hotel, business, PO Box, virtual mailbox… -- Reminder-an affidavit is a sworn statement based on what you hear and observe
Affidavit Upload

(If you have a completed and notarized affidavit upload the scanned file or images here before you submit this form)
Cancelof
Status of affidavit*

Affidavit Needed because you couldn't complete or uploadCanvassing Needed (Extra work is needed to validate this anomaly)Affidavit Completed and uploadedAffidavit will be emailed to info@ncvoting.org
Send these INSTRUCTIONS to your FAMILY, FRIENDS, CHURCH Members, etc.

Ask them to check their street and look up their personal voter information. IF the official NC Board of Elections record does not match their voting actions in 2020, INCLUDING THEIR VOTING METHOD
Should be Empty:

Canvasser Section

Voter Anomaly Found

If registered and voted in multiple counties

Affidavits are needed…

Send these INSTRUCTIONS to your FAMILY, FRIENDS, CHURCH Members, etc.