Division of Election Law Enforcement Online Complaint Form

Division of Election Law Enforcement

Online Complaint Form
SECTION 1: Complainant’s Information

Person making the complaint.
YOUR PERSONALLY IDENTIFIABLE INFORMATION WILL NOT BE MADE PUBLIC.

Your information is not required; however, if you do not provide it, we will be unable to contact you if more information is needed or provide you with our final determination after the case is closed. Additionally, you will not be sent an email acknowledgment that we have received your complaint.
YesNo
Complainant's Name

First NameLast Name
Complainant's Residential Address
Street Address
Address Line 2
City
State / Province
Postal Zip Code
Complainant's Primary Phone
Please enter a number where we can reach you.Format: (000) 000-0000.
Complainant's Secondary Phone
Please enter a number where we can reach you.Format: (000) 000-0000.
Complainant's E-Mail
example@example.com

SECTION 2: Person or Entity Against Whom Complaint is Brought

If your complaint involves more than one individual and/or entity, please provide those details within the narrative in Section 3.
Subject's Name

First NameLast Name
Subject Entity Name (if any)
Subject's Residential or Business Address
Street Address
Address Line 2
City
State / Province
Postal Zip Code
Subject's Phone
Please enter a phone number if known. Format: (000) 000-0000.
Subject's E-Mail
example@example.com
Date of Occurrence

MonthDayYear
County of Occurrence
YesNo
Please provide the name(s) of the other law enforcement agencies.

SECTION 3: Narrative of the Alleged Violation

Explain the basis for your complaint. Please provide a detailed listing of facts, circumstances, witnesses, procedures, occurrences, and other relevant information, including the names of persons you believe have information about the alleged violation(s) by the person(s) or entity named in Section 2.
Narrative of alleged election law violation*
Please provide as much information as possible.
Upload supporting documentation or evidence.

If available, please provide additional documents or pictures supporting your complaint. We only allow the following file type's to be uploaded. (pdf, csv, txt, jpg, png). Max allowed upload size is 5 MB. If the file size is greater than 5 MB, please email the supporting documentation to enforcement@elections.ny.gov.
Cancelof
If you have provided your email address and do not receive an acknowledgment email, please check your spam and/or junk email folder. The email will be from noreply@jotform.com.
Please verify that you are human*
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Division of Election Law Enforcement