MN Election Integrity Incident Report

Election Incident Report

To report an incident, please provide the following information
Full Name

First NameLast Name
Email
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Date and time when incident occurred:

MonthDayYear
Date
Hour MinutesAM/PM Option
County where incident occurred
Location (Please provide specific details - Precinct, Drop Box Location, etc.)
Incident details
Was this reported to any authority/authorities (for example Head Election Judge, Police, Sheriff's Department)?
Please give details of your report to authorities:
Please provide details (who, what, where, when).
Upload any supporting documents or photos

Cancelof
Certify your statement
Should be Empty:

Election Incident Report