POLL MONITOR REPORT, Siskiyou County

POLL MONITOR REPORT, Siskiyou County

June 7, 2016 Presidential Primary Election

YOUR NAME(s): ______

Time: In ______Out ______

1. GENERAL POLLING SITE INFORMATION

POLLING SITE ADDRESS: ______

PRECINCT NUMBER/S: ______

1a. Polling Site Type: (Circle One)

Individual Residence Private Business Church School City Hall or County Office

Apartment Complex Community Center Church/Temple Library Other Public Building

1b. Are there official signs posted that indicate that this is a polling place? □ Yes □ No

1c. Was there a line of voters at the poll worker table when you arrived?

□ Yes (How many voters in line? _____ ) □ No

1d. Were there sheriffs vehicles parked outside of the polling site? □ Yes □ No

1e. Were there sheriffs inside the polling place? □ Yes □ No

1f. Any other armed security? □ Yes □ No

1g. Is the polling site accessible to people with disabilities (parking, ramps)? □ Yes □ No

Please list any problems: ______

2. POLL INSPECTOR – Interview Questions

Please find the Poll Inspector assigned to the polling site. Introduce yourself to the Poll Inspector: “I am a volunteer poll monitor with the American Civil Liberties Union of California. I would like to ask you a few questions. I would also like to observe the poll site.”

2a. What time did the poll site officially open to voters today? Time: ______

2b. How many poll workers were scheduled to work today? Number: ______

2c. How many poll workers are missing? Number: ______

2d. Are there any bilingual poll workers? □ Yes □ No

Please list which language(s) ______

2e. As to no show/missing poll workers, did Poll Inspector call the elections office to request

replacement poll workers? □ Yes □ No

2f. Are all voting machines working properly? □ Yes □ No

If “No,” how many are out of service? Total: _____

3. POLL WORKERS - Observations

3a. If there were bilingual poll workers, were they wearing badges identifying a language other than

English? □ Yes □ No

3b. Describe what kind of assistance poll workers provided to voters who needed language assistance?

□ Actively approached voters □ Treated voters cordially □ Waited for voters to approach or request

□ Too busy to help □ Treated voters rudely

3c. Did poll workers let people bring their own interpreter into the voting booth when one was needed?

□ Yes □ No

Observations: ______

3d. Was anyone asked for photo ID? □ Yes □ No

3e. Were people being required to cast provisional ballots? □ Yes □ No

If so, do you know why? ______

3f. Were people allowed to drop off their vote-by-mail ballots? □ Yes □ No

Observations: ______

3g. Did the polling site run out of any ballots or envelopes? □ Yes □ No

Observations: ______

3h. If voters were at the wrong polling site, did poll worker tell them correct site? □ Yes □ No

Observations: ______

3i. Did any poll worker question someone’s eligibility or right to vote? □ Yes □ No

Explain: ______

Notes and other observations about the polling site:

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If you see a problem requiring immediate attention, please call 619-232-2121

Please return this report to:

ACLU Voting Rights Project

2760 5th Avenue, Suite 300, San Diego, CA 92103

Thank you for protecting the right to vote!