The purpose of this form is to ascertain information about election changes in your jurisdiction. As we work to Restore Section 4, we need this essential information to monitor issues or potential issues in elections. Thank you in advance for the time and care you have taken in filling out this form.

Please attach any documentation, pictures, or other information in your possession to support the information provided below to votemonitor@naacpnet.org OR NAACP, Office of the General Counsel 4805 Mount Hope Drive Baltimore, MD 21215