Application to Serve as an Election Judge

Election Judge

CITY OF NEW CARROLLTON

APPLICATION TO SERVE AS AN ELECTION CLERK FOR 

2019 CITY ELECTION

DEADLINE TO SUBMIT: Friday, April 5, 2019

Name:

Address:

Email: 

Primary Contact Number:

Alternate Number:

Are you a registered voter in the City of New Carrollton?     Yes         No

(Note: you must be a registered voter with the City of New Carrollton to serve as an election judge.)

I have served as an election judge for the City of New Carrollton, or in other jurisdictions as follows:

Years            Jurisdiction (City, County, National)

Please read the following information: By signing this document, you are agreeing to utilize electronic signatures in lieu of using paper documents. You are not required to sign documents electronically. If you prefer not to do so, you may request to receive paper copies and withdraw your consent at any time.  However, the City of New Carrollton reserves the right to utilize an electronic signature at all times to execute documents on their behalf. 

Signature: 

Date: 

Election Judges receive a payment of $150.00 per day for Election Day.

Election Judges receive a payment of $100.00 per day for Early Voting Day.

For more information or to submit an application contact City Clerk Douglass Barber, 6016 Princess Garden Parkway, New Carrollton, MD 20784



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