1. 1 Forms, envelopes & transfer cases o How to complete o Where to return them

2.  Forms that need to be completed are in the pockets of the blue book which is located in the blue box  One of every form is returned in the canvas bag except the HAVA complaint form  Each election judge bag has the forms related to their task which should be used during the day if needed  At ‘close of polls’, ask each election judge if any of their forms were completed that need to be returned in the canvas bag o If they have none for their particular task; then o Remove one form from the blue book; and o Write “NONE” on that form and return it in the canvas bag 2

3. 3 Blue book table of contents o All forms to be completed are returned in the canvas bag and are in “RED”

4. 4 Judy Wertheimer Pat Gillen Dawn Johnson Carol Peterson Bonnie Anderson Cheryl Bennett Nancy Travis Bruce Willis Barbra Streisand Official precinct certification form As election judges begin their day; Administer the oath; and Have all election judges sign before starting any task This form is only in the blue book

5. 5 Official precinct certification form Before the polls open; Verify the seal numbers on the vote tabulator (DS200) & the AutoMark Two election judges must sign 0002884 Pat Gillen Dawn Johnson Carol Peterson 27500005 Pat Gillen Dawn Johnson Carol Peterson Judy Wertheimer Pat Gillen Dawn Johnson Carol Peterson Bonnie Anderson Cheryl Bennett Nancy Travis Bruce Willis Barbra Streisand

6. 6 Official precinct certification form Before the polls open; Verify the total number of ballots received for each ballot style in your precinct Two election judges must sign 0251 Pat Gillen Dawn Johnson Carol Peterson 104087 Pat Gillen Dawn Johnson Carol Peterson Judy Wertheimer Pat Gillen Dawn Johnson Carol Peterson Bonnie Anderson Cheryl Bennett Nancy Travis Bruce Willis Barbra Streisand Pat Gillen 500 1200 2000 Dawn Johnson Carol Peterson

7. 7 Official precinct certification form At close of polls; Verify the seal number on the vote tabulator (DS200) & the AutoMark are the same Two election judges must sign 2884 Pat Gillen Dawn Johnson Carol Peterson 27500005 Pat Gillen Dawn Johnson Carol Peterson Judy Wertheimer Pat Gillen Dawn Johnson Carol Peterson Bonnie Anderson Cheryl Bennett Nancy Travis Bruce Willis Barbra Streisand Dawn Johnson Carol Peterson Pat Gillen 500 1200 2000 Dawn Johnson Carol Peterson Woodbury P7 November 4 2014

8. 8 Official precinct certification form Is only located in the blue book, and; Should be completed and returned in the canvas bag 2884 Pat Gillen Dawn Johnson Carol Peterson 27500005 Pat Gillen Dawn Johnson Carol Peterson Judy Wertheimer Pat Gillen Dawn Johnson Carol Peterson Bonnie Anderson Cheryl Bennett Nancy Travis Bruce Willis Barbra Streisand Dawn Johnson Carol Peterson Pat Gillen 500 1200 2000 Dawn Johnson Carol Peterson Woodbury P7 ISD622 833 834 November 2, 2014

9. 9 Ballot packet tally sheets are returned in the canvas bag o These forms are only in the blue book 50 50 0 0 pg / dj 5151 1 0 pg / dj 5252 2 0 pg / dj 53 53 3 0 pg / dj 54 50 0 0 pg / dj 49 45 4 0 1 pg / dj 48 0 48 0 2 pg / dj 50 0 50 0 0 pg / dj 51 0 51 1 0 pg / dj 458 301 1537 3 pg / dj 20 +4 1153 Woodbury P7 ISD622 ISD833 ISD834 November 2, 2014

10. 10 Ballot packets opened & unopened tally sheets 50 50 0 0 pg / dj 5151 1 0 pg / dj 5252 2 0 pg / dj 53 53 3 0 pg / dj 54 50 0 0 pg / dj 49 45 4 0 1 pg / dj 48 0 48 0 2 pg / dj 50 0 50 0 0 pg / dj 51 0 51 1 0 pg / dj 458 301 1537 3 pg / dj 20 +4 1153 7 – 3 = + 4 plus/minus 153 + 20x50 = 1153 unused ballots 301 + 153 + 4 = 458

11. 11 +4 2 ‘NONE’ Incident logs o Found in the blue book and election judge bags o The incident log in the blue book must be returned in the canvas bag o EDR judges should be asked how many were turned away without the proper proof of residence o From the ballot tally sheet(s), write the discrepancies in the number of ballots in opened ballot packets o If no incidents, write ‘NONE’ on the form in the blue book

12. 12 Woodbury P7 Nov 4, 2014 7:45 am Voter was campaigning and would not remove signs he became upset and started yelling pg / dj 7:50 am Contacted Washington County who spoke with the voter. He then left without further problems pg / dj 8:01 pm Voter came screeching into the parking lot and insisted he be allowed to vote pg / dj 8:05 pm Informed the voter the polls were closed and he would not be able to vote. Voter asked for the HAVA form pg / dj Incident logs are in all judge bags o Completed forms are returned in the canvas bag

13. 13 Sign certification form New for 2014 o All signs listed on this form must be posted in the precinct and certified by election judges & the head judge o This list can be found in the blue book in the same pocket containing the; o Official precinct certification form o Ballot bally sheet o Incident log o Return the completed form in the canvas bag Pat Gillen X X X X X X X X X X X Judy election judge Dawn election Judge Carol Election Judge Bonnie election Judge Pat Head Judge signature

14. 14 Voter John Doe 1345 Woodbury Dr Woodbury MN 55125 John Doe Voter 11/4/2014 Election judge signature 11/04/2014 Election judge signature 11/04/2014 Certificate of registered voters o Registered voters; o Return the form stapled to the back of their roster page o Return the form in the ‘completed roster 8:00 pm’ bag o NON-registered voters o Write ‘curbside’ on a blank roster page; and o Staple the completed form to the back of the roster page o Return the form in the ‘completed EDR’s 8:00 pm’ bag

15. 15 “ n o n e ” Certificate of registered voter for curbside voting o Found in the blue book & greeter & curbside judge bag At 8:00 pm o Ask greeter & curbside judges if there were any curbside voters, if none; o Print ‘NONE’ on one form in the blue book; AND o return it in the canvas bag

16. 16 22235 Johnathon pg / dj JoNathon 457889 & Duplicate records – John H Smith 09/10/1996 & John Smith 09/09/1996 pg/dj 612544 correct date of birth is 09/10/1996 & merge records 5723456 Michael Anderson pg / dj MichEAl Anderson 777234 12345 Woodbury Dr pg / dj 12435 Woodbury Dr Roster correction forms can be found in the blue book & roster judge bag o Should be used for typos & duplicate records ONLY o Return completed forms in the canvas bag

17. Roster correction forms Found in blue book; and Roster judge duty bag The form in the blue book & those used at the Roster table are returned in the canvas bag #1 & #2 Ask Roster Judges if they had any correction forms completed; if NOT Remove this form from the blue book and write “NONE” and initial; and Return it in the canvas bag 17 Woodbury P7 NONE pg / dj At 8:00 pm o Ask Roster judges if there were any roster corrections, if none; o Print ‘NONE’ on one form in the blue book; AND o return it in the canvas bag

18. 18 John A Smith 13455 Woodbury Dr Woodbury Minnesota 55125 01/01/1914 08/12/2014 Election judge signature 11/04/2014 ‘Notification of Death’ forms are located in the blue book & roster judge bag o Any voter or an election judge can complete the form o Return the completed forms in the canvas

19. 19 “ N O N E ” At 8:00 pm, ask the roster judges if there were any completed forms; if there were none o Write the word ‘none’ on one of the forms, AND o Return it in the canvas bag

20. 20 Voter John Doe 1345 Woodbury Dr Woodbury 55125 01/01/1996 John Doe Voter 11/04/2014 John Doe Voter ‘Request to withhold voter information from public information list’ forms o located in the blue book & Roster & EDR judge bags o Any voter can complete the form o Return the completed forms in the canvas

21. 21 “ N O N E ” At 8:00 pm, ask the Roster & EDR judges if there were any completed ‘Request to withhold voter information from public information list’ forms o If there were “NONE”; o Write the word ‘NONE’ on one form; AND o Return it in the canvas

22. 22 Judy Election Judge X 12745 Woodbury Dr Woodbury 651-555-0000 judgejudy@email.com John Doe Voter 1345 Woodbury Dr Woodbury This is a vacant lot 11/04/2014 judy election judge 11/04/2014 Election judge signature D awn Johnson 11:30 am 11/04/2014 X “Oath of challenge to a voter’s eligibility” forms are located in the blue book & Roster & EDR judge bags o Any voter or an election judge can complete the form o Return the completed forms in the canvas

23. 23 “ N O N E ” At 8:00 pm, ask the Roster & EDR judges if there were any completed ‘Oath of Challenge to a voter’s eligibility’ forms completed o If there were “NONE”; o Write the word ‘NONE’ on one form; AND o Return it in the canvas

24. 24 X X EDR Voter John Doe 1345 Woodbury Dr Woodbury 55125 11 01 96 833 Washington 651 555 0000 johnvoter@email.comjohnvoter@email.com X M1234567891011 Smith John Doe 777 Alberta Dr Houston TX John Doe Voter 11 4 14 M1234567891011 x pg “EDR’s or Voter Registration Applications are only found in the “EDR” judge bag o Voters complete this application o EDR judges complete the ‘official use only’ section o Return the completed EDRs in the “Completed EDR’s 8:00 pm bag

25. 25 “ N O N E ” EDR At 8:00 pm, ask the EDR judges if there were any completed ‘EDR’ forms o If there were “NONE”; o Write the word ‘NONE’ on one form; AND o Return it in the canvas

26. 26 X Voter John Doe 1345 Woodbury Dr Woodbury 55125 11 01 96 833 Washington 651 555 0000 johnvoter@email.comjohnvoter@email.com X M1234567891011 Smith John Doe 777 Alberta Dr Houston TX John Doe Voter 11 4 14 X m1234567891011 12345 Woodbury Dr John Doe Voter Election Judge Signature 11 4 2014 Back of EDR applications MUST be completed if the voter uses a voucher as proof of residence o Print the voter’s name & address, AND o Print the voucher’s name and voucher’s voter ID o The voucher & and an EDR judge signs the ‘voucher’ section Voter’s ID # from greeter list, AND/OR PRINT voucher’s name: 123456789 Nancy Doe Voter

27. 27 Nancy Voter 1234 Woodbury Dr / If a voucher was used as ‘proof of residence’; then o Complete the Voucher Tally sheet o Print the voucher’s name & address; AND o How many voter’s they vouched for o Up to 8 voters

28. 28 Nancy Voter 1234 Woodbury Dr /////////////////////////////////////////// If a voter uses a Residential voucher as ‘proof of residence’; then o Complete the grey Voucher Tally sheet o Print the residential voucher’s name & residential address; AND o How many voter’s they vouched for o Unlimited # of voters

29. 29 At 8:00 pm, ask the EDR judges if there were any completed voucher tally sheets o Return the completed tally sheets in the canvas

30. 30 NONE o If there were no completed voucher tally forms; o Print the word ‘NONE’ on the space provided; AND o Return it in the canvas

31. VOTER The VOTER returns this form to: Office of the Minnesota Secretary of State Attn: Election Division 180 State Office Bldg 100 Rev. Dr. Martin Luther King Jr. Blvd St. Paul, MN 55155 31 HAVA complaint forms o Only located in the blue book o Given to the voter at their request to complete o Returned to the Secretary of State by the voter

32. 32 Sample Sample Declared write-ins o List is located in the blue book o Unless your supplies have already been picked up prior to the County receiving the list o For those candidates who want their write-ins counted and have filed with the Secretary of State stating this o This list is completed even if a candidate receives ‘NO’ votes

33. 33 Tally write-in worksheets o Only located in the blue book Write-ins for local offices o To be used for Municipality or school district races

34. 34 000000325000000325 City Mayor Mickey Mouse 1 Declared write-ins, local write-ins and write-in tally sheets o Returned in the canvas bag

35. 35 Statistics worksheet o Must balance o Reverse side can be used if you have multiple ballot styles o Returned in the canvas bag

36. 36 Election judge signature Election judge signature Election judge signature Election judge signature Summary tapes o Write the DS200 seal number on every summary tape o Sign all summary tapes o Minimum of 4 election judges

37. 37 Dawn Johnson Pat Gillen Judy Wertheimer C arol Peterson Summary tape envelopes o Only located in the blue book o Run one tape for every envelope; and o One additional tape to be posted in the precinct

38. 38 Transfer case instructions o Located in the blue

39. 39 500 1 4 Transfer case identifiers o Use only the identifiers located in the blue book o Follow the instructions written on the identifier (label)

40. 40 Election judge signature Election judge signature Election judge signature Election judge signature Transfer case seals o Use only the seals located in the blue book o Follow the instructions written on the seal (label)

41. 41 Canvas bag check off list o Only located in the blue book o Locate each item on the list o Check off each item as it is being placed inside the canvas bag o Print the name of the person who completed the list and their contact information o Return this completed form in the canvas bag

42. 42 Election judge signature Election judge signature Election judge signature Election judge signature Spoiled & Defective ballot envelope o Only located in the blue book o Follow the instructions printed on the envelope o If used, use the attached seal o Signed by 4 election judges o Return in the canvas bag

43. 43 Election judge signature Election judge signature Election judge signature Election judge signature Duplicate ballot envelope o Only located in the blue book o Follow the instructions printed on the envelope o If used, use the attached seal o Signed by 4 election judges o Return in the canvas bag

44. 44 Spoiled & Defective Ballot EnvelopeSpoiled & Defective Ballot Envelope 1.Place the spoiled or defective ballot in this envelope when the ballot judge issues a replacement ballot to the voter due to; 2.Voter error in marking the ballot and they request a replacement, or; 3.The ballot is damaged while the voter is marking the ballot, or; 4.The ballot will not tabulate thru the AccuVote 5.Sign the attached label (seal) 6.Affix the signed label over the flap of the envelope to seal 7.Place this envelope in the canvas bag Canvas bag o At least one of every form in the blue book is returned in the canvas bag, EXCEPT the HAVA complaint form

45. 45 Washington County o electionjudges@co.washington.mn.us o 651-430-6790 Carol Peterson, election’s supervisor o Judy Wertheimer o Pat Gillen o Dawn Johnson