Alabama Voter Complaint
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2ALABAMA VOTER COMPLAINT
Please Print All Information
Person Bringing Complaint
Date _____________________________________________________
Name ______________________________________________________________________________________________________
Address ____________________________________________________________________________________________________
County ___________________________________________________
City_________________________________________________________________________________ Zip Code _____________
Telephone H
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Telephone W (____) _______________________________________
E-Mail ___________________________________________________
Fax Number _______________________________________________
Precinct Location_____________________________________________________________________________________________
City _______________________________________________________________________________________________________
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Address
Description of the Alleged Violation
If known, please state the section of the Help America Vote Act that you maintain was violated.
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Explain the basis for your complaint. Please provide a detailed listing of facts, circumstances, witnesses, procedures, occurrences,
and other information including the names of persons whom you believe have information about the alleged violation. If necessary,
please attach additional sheets or other documents.
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Parent category: Life