Chapter 2 – Basic Poll Watcher Rights & Responsibilities
2.A. Poll Watcher Requirements
2.A.3. Credentialed.
2.A.3.a. Reproduction of Poll Watcher Credential Form
POLL WATCHER CREDENTIALS TO THE JUDGES OF ELECTION:
In accordance with the provisions of the Election Code, the undersigned hereby appoints poll watcher name
who resides at poll watcher address, municipality
in the county of county
State of Illinois and who is duly registered to vote from this address,
to act as a poll watcher in the precinct*
of the ward (if applicable)
of the township or municipality
of county
at the primary, general, municipal, or special election to be held on date of election.
Title of Appointing Authority:appointing authority title
Signature of Appointing Authority:signature of appointing authority
signature of organization official
Title: title of party official, candidate, civic organization president, proponent or opponent group chair
Under penalties provided by law pursuant to Section 29-10 of the Election Code, the undersigned poll watcher certifies that he or she resides at
poll watcher address
in the county of county,
township or municipality, State of Illinois,
and is duly registered to vote in Illinois.
precinct or ward which poll watcher resides
signature of poll watcher
* Write-in the name of the voting center or early voting place where it asks for the precinct.
If the poll watcher is assigned to more than one polling place or to a polling place with more than one precinct, fill out the form leaving the "precinct" field blank.