Looking for a Texas Secretary Of State Forms And Templates? Download it for free!

Aw4-16 - Appointment Of Poll Watcher By Candidate On The Ballot Or Declared Write-In Candidate - Texas Secretary Of State

AW4-16

Prescribed by Secretary of State

Sections 33.002, 33.006, Texas Election Code

5/12

APPOINTMENT OF POLL WATCHER BY CANDIDATE ON THE BALLOT

OR DECLARED WRITE-IN CANDIDATE

To the Presiding Judge:

The following person has been appointed to serve as a poll watcher on my behalf.

Name of Poll Watcher

Name of Candidate

Residence Address of Poll Watcher

Name and Date of Election

Voter Registration VUID Number of Poll Watcher

Precinct or other location Poll Watcher is to serve

___________________________________________

_____________________________________________

Signature of Candidate or Other Approving Authority

Title of Approving Authority

____________________________________

Signature of the Watcher

AFFIDAVIT OF POLL WATCHER

I, ___________________________________, a poll watcher for the above appointing authority, do hereby swear or

affirm that I do not have in my possession any type of mechanical or electronic means of recording images or sound while

serving as a watcher at this precinct or I will disable or deactivate the device while serving as a watcher.

____________________________________________

Signature of Poll Watcher

Sworn to and subscribed before me this the ______________ day of __________, _____.

________________________________________________

Signature of Election Judge

_____________________________________________________________________

Printed Name of Election Judge

INSTRUCTIONS

The following persons have the authority to appoint a poll watcher on behalf of a candidate whose name appears

on the ballot.

In an election for an office of the state government that is filled by voters of more than one

county, by the candidate’s campaign treasurer.

In an election for an office of the federal government that is filled by voters of more than one

county, by the chair or treasurer of the candidate’s principal campaign committee or by a designated

agent of the chair or treasurer.

Aw4-16 - Appointment Of Poll Watcher By Candidate On The Ballot Or Declared Write-In Candidate - Texas Secretary Of State