Election Worker Payment Audit Form
Audit and verify compensation records for election workers. Please complete all fields for accurate payment review.
Worker Full Name
*
First Name
Last Name
Worker Position/Role
*
Please Select
Poll Worker
Supervisor
Technician
Clerk
Other
Date of Shift
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Shift End Time
*
Hour Minutes
AM
PM
AM/PM Option
Total Hours Worked
*
Hourly Pay Rate (USD)
*
Total Pay Calculated (USD)
*
Payment Status
*
Paid
Pending
On Hold
Not Paid
Discrepancies or Issues Found
Auditor Follow-Up Actions
Submit
Should be Empty: