Election Judge Sign-Up Form

Would you like to become an Election Judge or have you already served as one?

You must be registered in Champaign County at your current address to serve as a judge.

Click here to learn more or complete the form below if you are interested.

Questions? Contact our election department at 384-3724, email us at mail@champaigncountyclerk.com

Full Name:
Street Address:
City:
Zip Code:
Daytime Phone Number: - -
Email Address: (optional)
(Judges are required to declare their party in accordance with state law)

 

Yes, I will work as an Election Judge for the November 4, 2008 election.

Yes, I am willing to work in a different precinct, if needed.
Yes, I am willing to pick up the election supplies before the election.
Yes, I am willing to drive/be a passenger to the Brookens Center on election night to return supplies.

Yes, I am willing to bring my cell phone for use in the precinct.

  My cell number is: - -
Yes, I am willing to serve as a Nursing Home Judge prior to the election.
No, I cannot work the November 4, 2008 election, but keep me in mind for future elections.
No, I am resigning as an Election Judge for all future elections.
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