Kentucky Protect the Vote - Incident Report Form
First Name
Last Name
Phone Number
Email
Date of Issue
Time of Issue
Type of Ballot(optional)
Please Select
Provisional Ballot
Regular Ballot
Absentee Ballot
Location Type
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Board of Elections
Drop Box
Early Voting
Election Day
Mail in Ballot
State
Kentucky
County
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Precinct/Voting Location
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Location Name
Location Address
Location City
Location Zip Code
Precinct Number
Subject
Description
Attachments
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