Download - Agency-Based Voter Registration Program
Agency-Based Voter Registration Program
NYS Board of Elections
WELCOME!
SITE COORDINATOR TRAINING
Overview• Legal Authority• Registering: Initial intake & Recertification• Transmittal Form• Supply Ordering• Reminders
Agency-Based Voter Registration Program
Agency-Based Voter Registration Program
National Voter Registration Act of 1993• All Department of Motor Vehicles Offices
• All Disability Agencies
• All Public Assistance Agencies
NYS Election Law 5-211• Governs Agency-Based Voter Registration Procedures
• Includes additional State Designated Agencies
Legal Authority
Agency-Based Voter Registration ProgramAdministrative Hierarchy
Site Site
NYS Board of Elections
Albany, NY
Albany, NY
SiteCoordinator Coordinator Coordinator
Agency Program Coordinator
Agency-Based Voter Registration Program
• Agency must offer voter registration during initial intake and recertification.
• Voter registration has no impact on applicant’s benefits.
• Client’s information will be used for voter registration purposes only and will otherwise remain confidential (including office of origin.)
• Voter Registration Forms are available in English, Spanish, Chinese, and Korean.
Response #1 - Client says “YES”
“If you are not registered to vote where you live now, would you like to apply to register here today?”
4 possible responses:
YES (If you check yes, please completeVOTER REGISTRATION APPLICATION at bottom of page)
If you do not check any box, you will be considered to have decided not to register to vote at this time.
(Signature) Date/ / /
(Please Print Name)
☐ Yes, I need an application for an Absentee Ballot ☐ Yes, I would like to be an election day worker
☐ Yes, I need an application for an Absentee Ballot
2Are you a U.S. citizen?
If you answered NO, do not complete this form. 1
I will be 18 years old on or before election day: Yes ☐ No ☐ If you answered NO, do not complete this form, unless you will be 18 by the end of the year.
Yes ☐ No ☐
☐ Yes, I need an application for an absentee ballot ☐ Yes, I would like to be an Election Day worker
2
☐ Yes, I would like to be an Election Day worker
1Are you a U.S. citizen?
If you answered NO, do not complete this form. Yes ☐ No ☐
I will be 18 years old on or before election day: Yes ☐ No ☐ If you answered NO, do not complete this form, unless you will be 18 by the end of the year.
Are you a U.S. citizen? Yes ☐ No ☐
I will be 18 years old on or before election day: Yes ☐ No ☐ If you answered NO, do not complete this form, unless you will be 18 by the end of the year.
You must be a U.S citizen to vote
☐ I will be 18 years old on or before election day
1 2If you answered NO, do not complete this form.
Last Name First Name Middle Initial Suffix
Smith John C. Sr3
Address Where You Live (do not give P.O. address) Apt. No. City/tTown/Village Zip Code County
54 Redstone Avenue Anytown 11111 Any 4
Address Where You Get Your Mail (if different from above) P.O. Box, star rte., etc. Post Office Zip Code
PO Box 62 Anytown 11111 5
Date of Birth Sex (circle) Home Tel. Number (optional) M F 12/12/54 222-333-55556 7 8
ID Number - Check the applicable box and provide your number
☐ New York DMV number __ __ __ __ __ __ __ __ __
If you do not have a New York DMV number, please provide
☐ Last four (4) digits of your Social Security number ___ ___ ___ ___
☐ I do not have a New York DMV number or a Social Security number
9
2003 10
The last year you voted Your address was (give house number, street, and city)
In county/state Under the name (if different from your name now)
Albany/NY Mary Jones
32 Martin Street, Plainsville
11
Choose a Party - Check one box only
} ☐ DEMOCRATIC PARTY ☐ REPUBLICAN PARTY ☐ INDEPENDENCE PARTY ☐ CONSERVATIVE PARTY ☐ WORKING FAMILIES PARTY ☐ OTHER (write in) ___________________ ☐ I DO NOT WISH TO ENROLL IN A PARTY
Please note:In order to vote in a primary election, you must be enrolled in one of these parties.The Independence Party allows un-enrolled voters to vote in their primaries.
AFFIDAVIT: I swear or affirm that● I am a citizen of the United States● I will have lived in the county, city, or village for at least 30 days before the election.● I meet all requirements to register in vote in New York State● This is my signature or mark on the line below.● The above information is true. I understand that if it is not true I can be convicted and fined up to $5,000 and/or jailed for up to four years.
Signature or mark X Date
When applicants decide to complete the voter registration application........
....give them a Voter Information Card
Response # 1 - Client says “YES”Response # 2 - Client says “NO”/Blanks
“If you are not registered to vote where you live now, would you like to apply to register here today?”
4 possible responses:
NO because I choose not to register to vote OR
If you do not check any box, you will be considered to have decided not to register to vote at this time.
(Signature) Date
(Please Print Name)
/ / /8 01 10
John Doe
Response # 1 - Client says “YES”Response # 2 - Client says “NO”/BlanksResponse # 3 - Client says “Already Registered”
“If you are not registered to vote where you live now, would you like to apply to register here today?”4 possible responses:
NO because I choose not to register to vote OR
If you do not check any box, you will be considered to have decided not to register to vote at this time.
(Signature) Date/ / /
(Please Print Name)
I am already registered at my current address OR
8 1 10
John Doe
Response # 1 - Client says “YES”Response # 2 - Client says “NO”/ BLANKSResponse # 3 - Client says “Already Registered” Response # 4 - Asked for and received a mail registration form.
“If you are not registered to vote where you live now, would you like to apply to register here today?”4 possible responses:
No because I choose not to register OR
If you do not check any box, you will be considered to have decided not to register to vote at this time.
(Signature) Date/ / /
(Please Print Name)
I am already registered at my current address OR
I asked for and received a mail registration form.
8 1 10
John Doe
Agency-Based Registration Transmittal Form
Section I. [To be completed by agency site coordinator]
NVRA 6-digit Site Code Number
Date of Transmittal106459
8/01/10
Applications [Number who registered to vote, changed address, name or party enrollment]
Number of voter registration applications contained in transmittal 20
Agency-Based Registration Transmittal Form
Declinations [Number received since last transmittal.......]
Enter the number who checked the NO Box on the agency-based form ORleft the form blank
58
Declinations [Number received since last transmittal.......]
Enter the number who checked the ALREADY REGISTERED box on the agency- based form
75
Agency-Based Registration Transmittal Form
Enter the number who checked the NO Box on the agency-based form ORleft the form blank
58
Declinations [Number received since last transmittal.......]
Enter the number who checked the ALREADY REGISTERED box on the agency- based form
75
Agency-Based Registration Transmittal Form
Enter the number who checked the NO Box on the agency-based form ORleft the form blank 58
AND RECEIVED A MAIL REGISTRATION FORM box on the agency- based form
Enter the number who checked the REQUESTED
30
Other Applications [Individuals who did NOT appear at your agency office]
Agency-Based Registration Transmittal Form
Enter the number (if any) of voter registration forms SENT to individuals. 250
BLANKS !❐ Applicant refuses to make any marks on the agency-based form❐ Applicant is unable to respond to voter registration question❐ Applicant is not a US citizen
❐ Applicant is a convicted felon
❐ Multiple checkmarks in declination area
Declinations [Number received since last transmittal.......]
Enter the number who checked the ALREADY REGISTERED box on the agency- based form 75
Agency-Based Voter Registration Transmittal Form
Enter the number who checked the NO Box on the agency-based form OR left the form blank
MAIL REGISTRATION FORM box on the agency- based form Enter the number who checked the REQUESTED AND RECEIVED A30
Section I. [To be completed by agency site coordinator]
NVRA 6-digit Site Code NumberDate of Transmittal
106459
8/01/10
Applications [Number who registered to vote, changed address, name or party enrollment]
Number of voter registration applications contained in transmittal
Other Applications [Individuals who did NOT appear at your agency office]
Enter the number (if any) of voter registration forms SENT to individuals.
58
250
20
Number of new registrations contained in this batch
Section II. [To be completed by county board of elections]
Number of address changes contained in this batch
Number of enrollment changes contained in this batch
Number of name changes contained in this batch
Number of duplicate registrations contained in this batch
Number of incomplete forms contained in this batch
Number of forms forwarded to other county...
Agency-Based Registration Transmittal Form
Section I. [To be completed by agency site coordinator]
NVRA 6-digit Site Code Number
Date of Transmittal106459
8/01/10
Mail WHITE and YELLOW copies of the transmittal form (with applications) to your LOCAL board of elections and keep the PINK copy for your records.
New York CityBronx - Brooklyn - Manhattan - Queens - Staten Island
★ Mail transmittal form and completed voter registration forms to:
New York City Board of Elections32 Broadway, 7th Floor
New York, New York 10004
NYS Agency-Based Voter registrationAdditional Supply Order Form
Item QuantityAgency Employee Guide # Needed
Counter Tents # Needed
Transmittal Forms # Needed
Transmittal Envelopes Large (10"X13") # NeededSmall (4¾”X11") # Needed
Agency-Based Voter Registration Form(100 per pack)
NYS Agency-Based Voter registrationAdditional Supply Order Form
Language Quantity (order by pack)
English # Packs of 100
Spanish # Packs of 100
Chinese # Packs of 100
Korean # Packs of 100
Voter Registration Forms Mail Registration -dot coded(100 per pack)
NYS Agency-Based Voter registrationAdditional Supply Order Form
Language Quantity (order by pack)
English # Packs of 100
Spanish # Packs of 100
Chinese # Packs of 100
Korean # Packs of 100
NYS Agency-Based Voter registrationAdditional Supply Order Form
Voter CardInformational Handout(100 per pack)
Language Quantity (order by pack)
English # Packs of 100
Spanish # Packs of 100
Chinese # Packs of 100
Korean # Packs of 100
Poster
NYS Agency-Based Voter registrationAdditional Supply Order Form
Language QuantityEnglish # Needed
Spanish # Needed
Chinese # Needed
Korean # Needed
To order supplies call 518-474-1953 or FAX completed request to 518-473-8315.
Ship materials to:
Site # 106459
(Only if DIFFERENT than site coordinator)
y
V O T E R
1. Understand local agency procedures
2. NO volunteers offering voter registration
3. Maintain adequate supplies
4. Train new or reassigned employees in the voter registration program
5. Resolve site questions and problems relating to voter registration
Site Coordinator Responsibilities
Reminders▪ Keep signed declinations for 22 months▪ Keep pink copy of transmittal for 22 months▪ Citzenship - Age - Felons▪ ID Requirements▪ Submit registration forms within 10 days (Even if INCOMPLETE!)▪ Use only provided envelopes▪ Mail to your County Board of Elections
Agency-based voter registration questions?PLEASE CONTACT:
NYS Board of Elections
518-474-1953
Greg Fiozzo