Ill. Admin. Code tit. 26, pt. 216, exh. C
Suggested
July, 1995
SBE No. R-25
VOTER REGISTRATION APPLICATION TRANSMITTAL
To: ___________________________________
Election OfficeDate
From: ___________________________
Agency Office Number or Designation
Number of Voter Registration Applications Enclosed: _____________
Comments: ________________________________________________
____________________________________________________________________
____________________________________________________________________
______________________________________________________________________
(To be completed by Election Authority)
Date Received: _________________
Number of Applications Received: _______________________________
Number of Duplicate Registrations in Group: ______________________
Number of Incomplete Applications: ______________________________
Problems or Other Comments: __________________________________
______________________________________________________________________
______________________________________________________________________
White Copy - Election AuthorityYellow Copy - Agency
TRANSMITTAL FORM SPECIFICATIONS
PRINT AS TWO PART SELF DUPLICATING FORM
Bottom of original - "Election Authority Copy"
Bottom of second sheet - "Agency Copy"
SIZE 8-1/2" x 11"
Ill. Admin. Code tit. 26, pt. 216, exh. C