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Election Day 2008

If you believe your federal voting rights have been violated on Election Day 2008, please provide the following information. You may also submit this information by phone, mail, or by fax. We may contact you if the alleged activity appears to be covered by a federal voting law enforced by the United States Department of Justice and there are grounds for investigation.

First Name:  * Completion of this field is required
Last Name:  * Completion of this field is required
Street Address:
City:
State:
ZIP Code:
Phone Number:  (phone format: xxx-xxx-xxxx) * Completion of this field is required
E-mail Address:
Area of violation of Voting Rights - select at least one that applies
  Comment Vote Denial - Race
  Vote Denial - Language Denial of Provisional Ballot (specify below)
  Voter ID Bilingual
  Voter Assistance (blind, disabled, illit.) Intimidation/Challenge
  Pollworker Conduct Machines - Malfunction
  Machines - No Disability Access Lines at Poll
  Criminal - Race, Color, Religion, National Origin Criminal - Fraud, Other
  Voting by Military Personnel Other
Description of incident:
maximum 3000 characters
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