Mail Ballot Issue Report Form
Use this form for ballots received for people who do not live at your address, or for multiple ballots received for the same voter. If you receive ballots for people who don't live at your address, the County requests that ballots be returned to sender. ATVHI recommends keeping the unopened ballots during the election season, mark as "return to sender", and send them back to the County as they request. The data submitted through this form will be collected for analysis and reporting by the ATVHI data group. All personal information will be confidential and remain in the ATVHI data and evidence repository by default, however, if you are willing to let us use the specific information on the ballot issue envelope (address, name of voter not residing at your address or name of duplicate voter) to better build a case for the extent of voter roll corruption, or if you are willing to sign an affidavit please indicate so below. Specific information may be submitted to the appropriate County Clerk, State Office of Elections, as well as the Elections Board of Registration.
Name
*
First Name
Last name
Email
*
example@example.com
County where ballot was mailed:
*
Please Select
Oahu
Maui
Hawaii
Kauai
For which election is the ballot?
*
Please Select
August 13 2022
November 8 2022
Data Reporting Agreement-select one of the following: 1) I authorize ATVHI to collect and report the following: ballot issue category, election cycle and county of ballot issue only. 2) I authorize ATVHI to collect and report the above, as well as collect and report the voter's name and address on the reported mail ballot issue 3) I agree to both of the above, and I am willing to sign an affidavit attesting to the ballot issue I reported (you will contacted by email with affidavit instructions)
*
Please Select
1) I authorize ATVHI to collect and report the following: ballot issue category, election cycle,county
2) I authorize ATVHI to collect and report #1, as well as voter's name and address
3)I agree to #1 & 2, and I am willing to sign an affidavit attesting to the ballot issue I reported
Mail Ballot Issue Category:
*
Please Select
Ballot received for person not living at this address
Multiple ballots received for the same person
Other (describe in comments)
Describe your issue if you selected "Other":
Upload photo of the ballot envelope here:
*
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