Elections Menu The Elections Division About The Elections Division Receive a Great Seal Certification Election Calendars and Events Information Proposed Rules and Rule Amendments Voter Information Register to Vote Key Election Dates & Info Absentee Voting Voter ID Requirements Early Voting Sites Voters with Disabilities Military & Overseas Voting Voting FAQs VoteSafe Voter Registration Drive Stop Voter Fraud Candidate Qualification Election Results and Stats Election Data Hub Current and Past Results Voter History Files Absentee Voter Files Voter Registration Stats Order Voter Lists Intent to Tabulate Early Breadcrumb Home > The Elections Division of the Georgia Secretary of State’s Office > State Election Board Request For Investigation State Election Board Request For Investigation State Elections Board - Request An Investigation Your Information First Name Last Name Cell Phone Number Mailing Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email Have you made this request to any other board or agency? Yes No To which boards or agencies have you submitted this request? Subject of Request (check all that apply) Registration Online Registration Poll Pad Concern Notification of Registration Rejected Voter Registration Other Registration Issue In-Person Voting Polling Place Issue Poll Pad Concern Poll Worker Issue Poll Watcher Issue Voting Equipment Use Voter Assistance Issue Poll Line Issue Provisional Ballot Issue Other In-Person Isue Absentee Voting Issue with Requesting an Absentee Ballot Poll Pad Concern Issue with Completing an Absentee Ballot Incorrect Ballot Issued Absentee Ballot not Counted/Accepted Other Absentee Voting Issue Campaigning Candidate Campaigning at Polling Place Other Campaigning Issue Other Election Issue Date of Election: County - Select -ApplingAtkinsonBaconBakerBaldwinBanksBarrowBartowBen HillBerrienBibbBleckleyBrantleyBrooksBryanBullochBurkeButtsCalhounCamdenCandlerCarrollCatoosaCharltonChathamChattahoocheeChattoogaCherokeeClarkeClayClaytonClinchCobbCoffeeColquittColumbiaCookCowetaCrawfordCrispDadeDawsonDecaturDeKalbDodgeDoolyDoughertyDouglasEarlyEcholsEffinghamElbertEmanuelEvansFanninFayetteFloydForsythFranklinFultonGilmerGlascockGlynnGordonGradyGreeneGwinnettHabershamHallHancockHaralsonHarrisHartHeardHenryHoustonIrwinJacksonJasperJeff DavisJeffersonJenkinsJohnsonJonesLamarLanierLaurensLeeLibertyLincolnLongLowndesLumpkinMaconMadisonMarionMcDuffieMcIntoshMeriwetherMillerMitchellMonroeMontgomeryMorganMurrayMuscogeeNewtonOconeeOglethorpePauldingPeachPickensPiercePikePolkPulaskiPutnamQuitmanRabunRandolphRichmondRockdaleSchleyScrevenSeminoleSpaldingStephensStewartSumterTalbotTaliaferroTattnallTaylorTelfairTerrellThomasTiftToombsTownsTreutlenTroupTurnerTwiggsUnionUpsonWalkerWaltonWareWarrenWashingtonWayneWebsterWheelerWhiteWhitfieldWilcoxWilkesWilkinsonWorth City (if applicable) Precinct/Polling Place Detailed Description for Request: Please indicate the following in your description:Identify individuals involved in complaint (by name or other identifying information).Indicate the date on which the complaint occurred.Indicate the location of the complaint.Describe facts of the complaint in detail. Attachment(s) Unlimited number of files can be uploaded to this field.24 MB limit.Allowed types: jpg, jpeg, png, tif, tiff, pdf.24 MB limit per form. Acknowledgement I acknowledge and understand The State Election Board has no authority to order a new election, change an election result, or conduct a criminal investigation. A complaint filed with this form will not alter the results of an election. Affirmation By submitting this complaint, I affirm that the information is true and accurate. I understand that the attached information and documents may be examined and utilized at the discretion of the Georgia State Election Board and the Investigations Division of the Georgia Secretary of State’s Office. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank
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