5.
If anyone else observed the alleged violation, name that person or those people and
provide information so we can contact them, if you can. Statements from other witnesses
may be attached to this form.
6.
Attach, to this form, materials which demonstrate that a violation may have occurred, if
there are any.
7.
When the complained of violation first came to your attention, did you attempt to correct
it with local or state authorities? If you did, describe what you did, how, when, where,
and with whom you did it, and what the result was. (There is no requirement that you do
this.)
8.
What would you like to see changed in the conduct of elections in order to correct the
alleged violation(s), if you know?
9.
Your assistance in providing the requested information will speed resolution of this
Complaint. If you are dissatisfied with the resolution made by the Secretary of State
based upon the written Complaint and its attachments, you may then request a hearing.
____________________________________________
Signature of Person Filing Complaint
State of Wyoming
)
) ss:
County of ___________________ )
Subscribed and sworn to before me this _______ day of ________________, 20_____.
________________________________________________
Notary Public
My commission expires:
A - 2