Agency-Based Voter Registration Program NYS Board of Elections WELCOME! SITE COORDINATOR TRAINING

Agency-Based Voter Registration Program

NYS Board of Elections

WELCOME!

SITE COORDINATOR TRAINING

Overview• Legal Authority

• Registering: Initial intake & Recertification

• Transmittal Form

• Supply Ordering

• Reminders



National Voter Registration Act of 1993• All Department of Motor Vehicles Offices

• All Disability Agencies

• All Public Assistance Agencies

NYS Election Law 5-211• Governs Agency-Based Voter Registration Procedures

• Includes additional State Designated Agencies

Legal Authority


Administrative Hierarchy

Site Site


Albany, NY

Albany, NY

SiteCoordinator Coordinator Coordinator

Agency Program Coordinator


• Agency must offer voter registration during initial intake and recertification.

• Voter registration has no impact on applicant’s benefits.

• Client’s information will be used for voter registration purposes only and will otherwise remain confidential (including office of origin.)

• Voter Registration Forms are available in English, Spanish, Chinese, and Korean.

Response #1 - Client says “YES”

“If you are not registered to vote where you live now, would you like to apply to register here today?”

4 possible responses:

YES (If you check yes, please complete

VOTER REGISTRATION APPLICATION at bottom of page)

If you do not check any box, you will be considered to have decided not to register to vote at this time.

(Signature) Date/ / /

(Please Print Name)

☐ Yes, I need an application for an Absentee Ballot ☐ Yes, I would like to be an election day worker

☐ Yes, I need an application for an Absentee Ballot

2Are you a U.S. citizen?

If you answered NO, do not complete this form. 1

I will be 18 years old on or before election day:

Yes ☐ No ☐

If you answered NO, do not complete this form, unless you will be 18 by the end of the year.

Yes ☐ No ☐

☐ Yes, I need an application for an absentee ballot ☐ Yes, I would like to be an Election Day worker

2

☐ Yes, I would like to be an Election Day worker

1Are you a U.S. citizen?

If you answered NO, do not complete this form. Yes ☐ No ☐


Yes ☐ No ☐


Are you a U.S. citizen? Yes ☐ No ☐


Yes ☐ No ☐


You must be a U.S citizen to vote

☐ I will be 18 years old on or before election day

1 2If you answered NO, do not complete this form.

Last Name First Name Middle Initial Suffix

Smith John C. Sr3

Address Where You Live (do not give P.O. address) Apt. No. City/tTown/Village Zip Code County

54 Redstone Avenue Anytown 11111 Any 4

Address Where You Get Your Mail (if different from above) P.O. Box, star rte., etc. Post Office Zip Code

PO Box 62 Anytown 11111 5

Date of Birth Sex (circle) Home Tel. Number (optional) M F 12/12/54 222-333-55556 7 8

ID Number - Check the applicable box and provide your number

☐ New York DMV number __ __ __ __ __ __ __ __ __

If you do not have a New York DMV number, please provide

☐ Last four (4) digits of your Social Security number ___ ___ ___ ___

☐ I do not have a New York DMV number or a Social Security number

9

2003 10

The last year you voted Your address was (give house number, street, and city)

In county/state Under the name (if different from your name now)

Albany/NY Mary Jones

32 Martin Street, Plainsville

11

Choose a Party - Check one box only

} ☐ DEMOCRATIC PARTY ☐ REPUBLICAN PARTY ☐ INDEPENDENCE PARTY ☐ CONSERVATIVE PARTY ☐ WORKING FAMILIES PARTY ☐ OTHER (write in)

___________________ ☐ I DO NOT WISH TO ENROLL IN A PARTY

Please note:In order to vote in a primary election, you must be enrolled in one of these parties.

The Independence Party allows un-enrolled voters to vote in their primaries.

AFFIDAVIT: I swear or affirm that● I am a citizen of the United States● I will have lived in the county, city, or village for at least 30 days before the election.● I meet all requirements to register in vote in New York State

● This is my signature or mark on the line below.● The above information is true. I understand that if it is not true I can be convicted and fined up to $5,000 and/or jailed for up to four years.

Signature or mark X Date

When applicants decide to complete the voter registration application........

....give them a Voter Information Card

Response # 1 - Client says “YES”Response # 2 - Client says “NO”/Blanks

“If you are not registered to vote where you live now, would you like to apply to register here today?”

4 possible responses:

NO because I choose not to register to vote OR


(Signature) Date

(Please Print Name)

/ / /8 01 10

John Doe

Response # 1 - Client says “YES”Response # 2 - Client says “NO”/Blanks

Response # 3 - Client says “Already Registered”

“If you are not registered to vote where you live now, would you like to apply to register here today?”4 possible responses:

NO because I choose not to register to vote OR



(Please Print Name)

I am already registered at my current address OR

8 1 10

John Doe

Response # 1 - Client says “YES”Response # 2 - Client says “NO”/ BLANKS

Response # 3 - Client says “Already Registered” Response # 4 - Asked for and received a mail registration form.

“If you are not registered to vote where you live now, would you like to apply to register here today?”4 possible responses:

No because I choose not to register OR



(Please Print Name)

I am already registered at my current address OR

I asked for and received a mail registration form.

8 1 10

John Doe

Agency-Based Registration Transmittal Form

Section I. [To be completed by agency site coordinator]

NVRA 6-digit Site Code Number

Date of Transmittal106459

8/01/10

Applications [Number who registered to vote, changed address, name or party

enrollment]

Number of voter registration applications contained in transmittal 20


Declinations [Number received since last transmittal.......]

Enter the number who checked the NO Box on the agency-based form ORleft the form blank

58


Enter the number who checked the ALREADY REGISTERED box on the agency- based form

75



58


Enter the number who checked the ALREADY REGISTERED box on the agency- based form

75



58

AND RECEIVED A MAIL REGISTRATION FORM box on the agency- based form

Enter the number who checked the REQUESTED

30

Other Applications [Individuals who did NOT appear at your agency office]


Enter the number (if any) of voter registration forms SENT to individuals. 250

BLANKS !❐ Applicant refuses to make any marks on the agency-based form❐ Applicant is unable to respond to voter registration question❐ Applicant is not a US citizen

❐ Applicant is a convicted felon

❐ Multiple checkmarks in declination area


Enter the number who checked the ALREADY REGISTERED box on the agency- based form 75

Agency-Based Voter Registration Transmittal Form

Enter the number who checked the NO Box on the agency-based form OR left the form blank

MAIL REGISTRATION FORM box on the agency- based form Enter the number who checked the REQUESTED AND RECEIVED A

30



Date of Transmittal

106459

8/01/10

Applications [Number who registered to vote, changed address, name or party enrollment]

Number of voter registration applications contained in transmittal

Other Applications [Individuals who did NOT appear at your agency office]

Enter the number (if any) of voter registration forms SENT to individuals.

58

250

20

Number of new registrations contained in this batch

Section II. [To be completed by county board of elections]

Number of address changes contained in this batch

Number of enrollment changes contained in this batch

Number of name changes contained in this batch

Number of duplicate registrations contained in this batch

Number of incomplete forms contained in this batch

Number of forms forwarded to other county...




Date of Transmittal106459

8/01/10

Mail WHITE and YELLOW copies of the transmittal form (with applications) to your LOCAL board of elections and keep the PINK copy for your records.

New York CityBronx - Brooklyn - Manhattan - Queens - Staten Island

★ Mail transmittal form and completed voter registration forms to:

New York City Board of Elections32 Broadway, 7th Floor

New York, New York 10004

NYS Agency-Based Voter registrationAdditional Supply Order Form

Item QuantityAgency Employee Guide # Needed

Counter Tents # Needed

Transmittal Forms # Needed

Transmittal Envelopes Large (10"X13") # Needed

Small (4¾”X11") # Needed

Agency-Based Voter Registration Form(100 per pack)


Language Quantity (order by pack)

English # Packs of 100

Spanish # Packs of 100

Chinese # Packs of 100

Korean # Packs of 100

Voter Registration Forms Mail Registration -dot coded(100 per pack)








Voter CardInformational Handout(100 per pack)






Poster


Language Quantity

English # Needed

Spanish # Needed

Chinese # Needed

Korean # Needed

To order supplies call 518-474-1953 or FAX completed request to 518-473-8315.

Ship materials to:

Site # 106459

(Only if DIFFERENT than site coordinator)

y

V O T E R

1. Understand local agency procedures

2. NO volunteers offering voter registration

3. Maintain adequate supplies

4. Train new or reassigned employees in the voter registration program

5. Resolve site questions and problems relating to voter registration

Site Coordinator Responsibilities

Reminders▪ Keep signed declinations for 22 months

▪ Keep pink copy of transmittal for 22 months

▪ Citzenship - Age - Felons

▪ ID Requirements

▪ Submit registration forms within 10 days

(Even if INCOMPLETE!)

▪ Use only provided envelopes

▪ Mail to your County Board of Elections

Agency-based voter registration questions?PLEASE CONTACT:


518-474-1953

Greg Fiozzo

Documents

Agency-Based Voter Registration Program NYS Board of Elections WELCOME! SITE COORDINATOR TRAINING