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Madison County Election Board

Election Complaint Form

Your Information

Date of Complaint
Month
Day
Year

Complaint Information

Date of Incident
Month
Day
Year

Please describe the incident in detail, including which election laws you believe may have been violated:

Please identify all known witnesses and provide names and telephone numbers:

Is this the first time you have raised this concern?

Are you a resident of Madison County, Indiana?

Do you have any suggestions for resolving this complaint? If so, please explain:

I affirm under the penalties of perjury that the foregoing representations are true to the best of my knowledge and belief.

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Date
Month
Day
Year

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By submitting this form, it will be forwarded to the Madison County Election Board and County Attorney.

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