Voter's List Information

Municipal Election

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Voter's List Information

Updated information to come.

<form-template>
	<fields>
		<field type="header" subtype="h1" label="Voter's List Information" class="header"></field>
		<field type="text" subtype="text" required="true" label="First Name" class="form-control text-input" name="text-1656935466519"></field>
		<field type="text" subtype="text" required="true" label="Last Name" class="form-control text-input" name="text-1656935479592"></field>
		<field type="date" required="true" label="Date of Birth" description="MM/DD/YEAR" class="form-control calendar" name="date-1656935507965"></field>
		<field type="text" subtype="text" required="true" label="Phone Number" description="204-123-4567" class="form-control text-input" name="text-1656935584654"></field>
		<field type="textarea" required="true" label="Residential Civic Address" class="form-control text-area" name="textarea-1656935633895"></field>
		<field type="text" subtype="text" label="Mailing Address (if different than civic address)" class="form-control text-input" name="text-1656935662105"></field>
		<field type="checkbox-group" required="true" label="Are there any additional people living in your home who are eligible to vote?" description="Eligible voters are those that are at least 18 years of age on Election Day, a resident or land owner for at least 6 months on Election Day." class="checkbox-group" name="checkbox-group-1656938139966">
			<option value="option-1" selected="true">Yes</option>
			<option value="option-2">No</option>
		</field>
		<field type="textarea" label="If you answered YES to the previous question, please indicate the full name(s) and date of birth of all eligible voters below." description="Enter first and last name and birthday, MM/DD/YYYY" class="form-control text-area" name="textarea-1656938301431"></field>
		<field type="paragraph" subtype="output" label="Note: If Hanover Election staff have concerns, voters listed above will be contacted for clarification. Government-issued photo ID may be required." class="paragraph"></field>
		<field type="checkbox" required="true" label="By submitting this document on behalf of my household, I declare all information to be true and accurate, and that each individual named is a qualified voter. " class="checkbox" name="checkbox-1656935886331"></field>
		<field type="text" subtype="text" label="Text Field" class="form-control text-input" name="text-1743084207232"></field>
	</fields>
</form-template>

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Voter's List Information

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