Election Commission Certification Public Accuracy Test Form printable pdf download

ELECTION COMMISSION CERTIFICATION

PUBLIC ACCURACY TEST

(to be completed if same vendor has completed both tabulator programming and testing)

NOTE: This certification form must be completed as an addendum to the TABULATOR PROGRAM

TESTING AND SECURITY CERTIFICATION FORM (both forms are required when a vendor is used

to complete both tabulator programming and testing)

_______________________________________ ___________________________

Name of City or Township

County

Primary General Special Regular

Date of Election:___________________

In jurisdictions that have used the same vendor to conduct testing as the county used to program memory

devices, election officials must take extraordinary care and exercise the necessary level of oversight

during the entire testing process. The Election Commission bears the ultimate responsibility for

certifying that the testing process complies with applicable laws, is rigorous, and yields reliable

results; clerks remain solely and completely responsible for the proper conduct of the election.

We, the Election Commission certify:

 that we examined the test deck chart created by the vendor

and verified

that it was prepared in

compliance with the “Test Procedure Manual for Tabulators and Voter Assist Terminals” manual

issued by the Bureau of Elections; and

 that we personally compared the predetermined totals from the test deck chart prepared by the

vendor with the tabulator totals for each candidate, write-in position, and proposal, and verified

that all totals agree; and

 that an errorless test was successfully completed; and

 that the Public Accuracy test was performed using tabulator(s) owned by our jurisdiction that will

be used on Election Day.

Our vendor’s name and contact information is: _____________________________________________

__________________________________________________________________________________

Signed:

____________________________________________________

Clerk or authorized assistant*

_____________________________________________________

Member of Election Commission or authorized assistant*

_____________________________________________________

Member of Election Commission or authorized assistant*

_______________________________

Date

*Note: A vendor is not an authorized assistant within the meaning of the Election Law or corresponding

administrative rules.

Election Commission Certification Public Accuracy Test Form