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Ballot Clerk & Election Judge Sign-Up Form

  1. Eligibility (Minnesota Statute 240B.19)

    Election judges must be:
    1) able to read, write and speak in English
    2) appointed by the appointed authority (county, city, township or school board)
    3) eligible voter (U.S. Citizen, 18 years of age or older; Minnesota resident for at least 20 days; maintain residence at an address listed)
    4) trained and currently certified as an election judge

  2. Example: 55104

  3. Example: 612-555-1234

  4. Example: 612-555-1234

  5. Example: 612-555-1234

  6. Election Dates

  7. Hours Available: Primary Election

  8. Hours Available: General Election

  9. Additional Information

    Check any that apply.

    Note: To be a Head Judge, you must have previous election judge experience.

  10. Leave This Blank:

  11. This field is not part of the form submission.