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Forms & Checklists

Please use the information below to assist you with your duties as an election administrator.  Please contact us with any questions or for any additional information regarding the forms, checklists, and guidelines found on this page.

Arkansas Ethics

Checklist

• Combined March Preferential Primary and Nonpartisan Judicial General Elections
• November General Elections
• Statewide Special Elections
• Poll Workers

Forms & Notices

• Certification of Logic and Accuracy Testing Results
• Consanguinity Chart
• Cross Over Voting
• Warning Sign
• Abandoned Ballot
• Change in Polling Site Authorization
• List of Persons Assisting Voters
• List of Voters
• Notice on Electioneering
• Poll Watcher Rights and Responsibility
• Poll Watcher Authorization Form
• Poll Workers Certificate
• Spoiled Ballot Affidavit
• Voter Complaint Form (about the function of a voting machine)
• Sample Provisional Certification
• Affidavit Wavier of Poll Worker Pay
• Ballot Disposition Form
  (On the Ballot Disposition Form: Boxes that are shaded cannot be typed into, these answers will be automatically calculated based on the answers provided)
• Provisional Voting Notice  (Word)  (PDF)
• List of Provisional Voters (Word)  (PDF)
• Provisional Voter Envelope (PDF)
• Provisional Ballot Count and Transfer Form
• Documentation of Residency
• Notice of Election (Word)  (PDF)
• Early Vote Ballot Box Pick Up Form
• Absentee Ballot Delivery Form
• LA Testing Certification Form
   

Disclosure by Member of a County Board of Election Commissioners Form (PDF)

Reimbursement Guidelines

• 2024 Primary - Electronic Reporting
• Primary Runoff - Electronic Reporting

• School Election Expense Worksheet (PDF)
• School Election Expense Worksheet EXAMPLE