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Poll Workers - Black Bag Checklist


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ELECTION SUPPLY LIST - BLACK BAG (Was Blue)

BEFORE STARTING YOUR DUTIES FOR THE DAY YOU MUST FILL OUT THIS CHECKLIST
IF YOU FIND ANY SUPPLIES MISSING, PLEASE CONTACT OUR OFFICE IMMEDIATELY AT:
Received / Repacked
Board of Elections 337-1764 or 337-1765
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BMD Device (in transparent blue case )
(This arrives in the Voting Machine, but MUST be returned in the Blue Supply Bag)
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Chen. Co. BOE Poll Book For Your District Only

Brown Folder

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Election Supply List (This list) (returned in the brown folder)
These items must be returned in the Official Inspector’s Return Envelope (Blue Label):
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Canvass Seal Report
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Summary Voter Master List (Print-Out for your District Only)
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Voter List Sheets
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Inspector’s Phone Log
____          ____
Paper Jam Report
FORMS: Return in the Official Inspector’s Return Envelope (Blue Label) – only if written on:
Received / Repacked
If NOT written on - returned in the brown folder in the blue bag:
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Affidavit Ballot Sheet
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Assistance Provided Form (2 Pink pages)
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Challenge Reports (2 pages per set)
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Removal of Voters Name Form
____          ____
Appointment of Inspector in case of Vacancy or Absence forms (2)
____          ____
Request for Change of Address and /or Name forms (sets of 10-15)
____          ____
Change of Enrollment Forms/ Instructions/ Copy of the Law
____          ____
Registration & Absentee Ballot Request (FPCA) (Federal/Military Post Card App. Forms)
____          ____
Absentee Applications
____          ____
NYS Voter Registration forms
____          ____
Emergency Procedures Envelope
These items are returned in the brown folder in the blue bag:
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Street Finder (1 per District or City of Norwich)
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New York State Voter’s Bill of Rights
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(H.A.V.A.) Identification Requirements
____          ____
Notice to Voters

Large Gray Envelopes

Received / Repacked

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Affidavit Envelope, Ballots and Instructions (Yellow Label)
Any Affidavits that are used MUST be returned in the Official Inspector’s Return Envelope (Blue Label)
____          ____
Official Inspector’s Return Envelope (Blue Label)
Anything that you write on or that has writing on it at the end of the day MUST be returned in this envelope. This includes, but is not limited to, the Summary Voter Master List through Absentee Applications, used Affidavit Ballots or Ballots that may have been returned to the polls.

Posters Folder - The following must be posted conspicuously:

Received / Repacked
(Please repack all posters back in Poster Folder)
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Electioneering Law
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Chen. Co. Election Inspector
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Cell Phone Sign (Only 1 per site, need be posted)
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Blind / Disabled / Unable to Read Assistance Sign
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Ice Cream Demonstration Ballot
____          ____
Distance Markers (2)
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Polling Place Signs (2)
____          ____
Voting Machine Instruction Sign (Only 1 per site, need be posted)
____          ____
Sample Ballots

Misc. Supplies:

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Pen Case (1) – Containing:
Pens (5), Tape (1), Inspectors Badges (6), Tacks/Paperclips (1 container),
Memo Pad (any notes taken need to be returned in the Official Inspector’s Return Envelope)
____          ____
Flag (only if your district needs one)
REMEMBER to put out some SAMPLE ballots for the voters to look at. NOTHING should remain in the Voting Machine when it is returned!!!
****BE SURE TO CALL WITH ANY QUESTIONS OR PROBLEMS****