Election Fraud Complaints

Use this form to submit complaints about potential voter fraud to the Government Accountability Board. Please be as specific as possible. Please give us as much contact information as possible so we may follow up on your complaint, if necessary.

First Name: *

Last Name: *

Street Address: *

City: *

State:

Zip Code:

Telephone:

E-mail:

Date incident occurred: *

If you do not know the exact date, please approximate.

Time incident occurred:

Location incident occurred: *

City, village or town.

Name of polling place:

County:

Complaint Details: *

Please explain the circumstances surrounding your complaint. Please be VERY specific and include all relevant information. Please distinguish between events you personally witnessed and events you heard about from others.

Anonymity: *

I wish to remain anonymous.

I wish to remain anonymous, but will provide further information.

I wish to cooperate with law enforcement and will testify at all stages.

Possible Witnesses:

Please list the names and contact information of of any other individuals who may have witnessed this incident.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math question: * 1 + 12 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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