Information Request Form

Poll Worker Information Request
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Address (for purpose of finding a vote center near your home)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Comments
Are you a registered voter in Victoria County?
Thank you for your interest in serving as a poll worker for Victoria County Elections.

The Victoria County Elections Office will be using the contact information you provided to reach out regarding the next steps in the onboarding process. You will be required to complete a Poll Worker Information Form and a W-2 form at the Elections Office. Additionally, you will need to provide a copy of your Texas Drivers License and Social Security card for payroll purposes.

We appreciate your willingness to serve your community and play an important role in the democratic process. Your commitment helps ensure that elections are conducted fairly, accurately, and efficiently.
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Poll Worker Information Request