Election Volunteer Records Release Form
Please complete this form to authorize the release of your volunteer records for election purposes.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Volunteer Service
-
Month
-
Day
Year
Date
Volunteer Role/Position
Reason for Records Release
Signature
Submit
Should be Empty: