Minn. R. agency 133, ch. 8200, FORMS, pt. 8200.9940 - PRECINCT LIST OF PERSONS VOUCHING FOR VOTER RESIDENCE ON ELECTION DAY AND NUMBER OF PERSONS VOUCHED FOR

Precinct List of Persons Vouching
City/Town_____	Ward_____	Precinct_____

.	To be completed by election judges.
.	Use to track the number of people vouched for by each voucher.
.	Cross out the next number each time that person vouches for a registrant.
.	Employees of residential facilities may vouch for an unlimited number of facility residents who are registering to vote at the facility's address. Otherwise, vouchers may only vouch for a maximum of eight registrants.

Voucher's Name	Voucher's Voter ID No.	Number Vouched for on Election Day
Example: John Doe	1234567	1 2 3 4 5 6 7 8
1		1 2 3 4 5 6 7 8
2		1 2 3 4 5 6 7 8
3		1 2 3 4 5 6 7 8
4		1 2 3 4 5 6 7 8
5		1 2 3 4 5 6 7 8
6		1 2 3 4 5 6 7 8
7		1 2 3 4 5 6 7 8
8		1 2 3 4 5 6 7 8
9		1 2 3 4 5 6 7 8
10		1 2 3 4 5 6 7 8
11		1 2 3 4 5 6 7 8
12		1 2 3 4 5 6 7 8
13		1 2 3 4 5 6 7 8
14		1 2 3 4 5 6 7 8
15		1 2 3 4 5 6 7 8
16		1 2 3 4 5 6 7 8
17		1 2 3 4 5 6 7 8
18		1 2 3 4 5 6 7 8
19		1 2 3 4 5 6 7 8
20		1 2 3 4 5 6 7 8
21		1 2 3 4 5 6 7 8
22		1 2 3 4 5 6 7 8
23		1 2 3 4 5 6 7 8
24		1 2 3 4 5 6 7 8
25		1 2 3 4 5 6 7 8
26		1 2 3 4 5 6 7 8
27		1 2 3 4 5 6 7 8
28		1 2 3 4 5 6 7 8
29		1 2 3 4 5 6 7 8
30		1 2 3 4 5 6 7 8

Certified by the Head Election Judge of the Precinct:
_____	_____	_____
Printed Name	Signature	Date

Notes

Minn. R. agency 133, ch. 8200, FORMS, pt. 8200.9940

32 SR 2055; 38 SR 1368

Statutory Authority: MS s 201.061; 201.221; 203B.09