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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 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
• Provisional Voting Notice  (Word)  (PDF)
• List of Provisional Voters (Word)  (PDF)
• Provisional Voter Envelope (PDF)
• Sample of Notice of Election
• Documentation of Residency

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

Reimbursement Guidelines

• 2022 Primary - Electronic Reporting
• 2022 Primary Runoff - Electronic Reporting

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