State Form 47923 - County Election Report
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COUNTY ELECTION REPORT
State Form 47923 (R2 / 10-00)
Indiana Election Commission (IC 3-6-5-17)
INSTRUCTIONS: Each county election board shall submit a report to the Indiana Election Division after each primary, special, and general
election. The report must be mailed or hand delivered to Indiana Election Division, 302 West Washington St. Ste E204, Indianapolis, IN
46204-2767 not later than 14 days after each election.
COUNTY ELECTION REPORT
FOR THE __________ ELECTION
CONDUCTED ON _______ ___, 20__
REGISTRATION AND TURNOUT:
1.
Number of registered voters in county at close of
registration for this election: __________________
2.
Number of voters who voted in this election: __________________
3.
Total number of voters voting in person: ________________
4.
Total number of voters voting absentee: ________________
ELECTION BUDGET AND EQUIPMENT:
5.
BUDGETED cost for this election. Estimate if necessary: __________________
6.
What types of voting systems did the county use in this election? (Paper ballot, lever machine, punch card,
electronic voting unit, or optical scan):
__________________________________________________
ENCLOSURES. Please attach sheets or printouts with the following:
7.
Describe any malfunction or other problem with your voting system during the election. (attach an extra
page if necessary):
8.
Canvasser sheets (official election results by precinct).
9.
Number of registered voters for each precinct.
10.
Names and mailing addresses for your county election board members and
any board of voter registration officers.
11.
Any sheets provided by the Election Division containing requests for additional information.
COUNTY: _________________________________________________________
SIGNATURE AND TITLE: ____________________________________________
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