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Agency-Based Voter Registration Program - NYS Board of Elections

Welcome to the Agency-Based Voter Registration Program's Site Coordinator Training! This training provides an overview of the program's legal authority, administrative hierarchy, and procedures. Learn how to register voters during initial intake and recertification, order supplies, and ensure confidentiality. Available in multiple languages.

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Agency-Based Voter Registration Program - NYS Board of Elections

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  1. Agency-Based Voter Registration Program NYS Board of Elections SITE COORDINATOR TRAINING WELCOME!

  2. Legal Authority Registering: Initial intake & Recertification Transmittal Form Supply Ordering Reminders Agency-Based Voter Registration Program Overview

  3. Agency-Based Voter Registration Program Legal Authority • National Voter Registration Act of 1993 • All Department of Motor Vehicles Offices • All Disability Agencies • All Public Assistance Agencies • NYS Election Law 5-211 • Governs Agency-Based Voter Registration Procedures • Includes additional State Designated Agencies

  4. Agency-Based Voter Registration Program Administrative Hierarchy NYS Board of Elections Albany, NY Agency Program Coordinator Albany, NY Site Site Site Coordinator Coordinator Coordinator

  5. Agency must offer voter registration during initial intake and recertification. Voter registration has no impact on applicant’s benefits. Client’s information will be used for voter registration purposes only and will otherwise remain confidential (including office of origin.) Voter Registration Forms are available in English, Spanish, Chinese, and Korean. Agency-Based Voter Registration Program

  6. “If you are not registered to vote where you live now, would you like to apply to register here today?” 4 possible responses: Response #1 - Client says “YES”

  7. YES (If you check yes, please complete VOTER REGISTRATION APPLICATION at bottom of page) If you do not check any box, you will be considered to have decided not to register to vote at this time. / / / (Signature) Date (Please Print Name)

  8. I will be 18 years old on or before election day: Yes☐ No ☐ If you answered NO, do not complete this form, unless you will be 18 by the end of the year. ☐ Yes, I need an application for an Absentee Ballot ☐ Yes, I would like to be an election day worker Are you a U.S. citizen? 2 1 Yes ☐ No ☐ If you answered NO, do not complete this form. ☐ Yes, I need an application for an Absentee Ballot

  9. I will be 18 years old on or before election day: Yes☐ No ☐ If you answered NO, do not complete this form, unless you will be 18 by the end of the year. ☐ Yes, I need an application for an absentee ballot ☐ Yes, I would like to be an Election Day worker Are you a U.S. citizen? 1 2 Yes ☐ No ☐ If you answered NO, do not complete this form. ☐ Yes, I would like to be an Election Day worker

  10. I will be 18 years old on or before election day: Yes☐ No ☐ If you answered NO, do not complete this form, unless you will be 18 by the end of the year. Are you a U.S. citizen? 1 2 Yes ☐ No ☐ If you answered NO, do not complete this form. You must be a U.S citizen to vote ☐ I will be 18 years old on orbefore election day

  11. Last Name First Name Middle Initial Suffix 3 Smith John C.Sr

  12. Address Where You Live (do not give P.O. address) Apt. No. City/tTown/Village Zip Code County 4 54 Redstone Avenue Anytown 11111 Any

  13. Address Where You Get Your Mail (if different from above) P.O. Box, star rte., etc. Post Office Zip Code 5 PO Box 62 Anytown 11111

  14. Date of Birth Sex (circle) Home Tel. Number (optional) M F 7 12/12/54 8 6 222-333-5555

  15. ID Number - Check the applicable box and provide your number ☐ New York DMV number __ __ __ __ __ __ __ __ __ If you do not have a New York DMV number, please provide ☐ Last four (4) digits of your Social Security number ___ ___ ___ ___ ☐ I do not have a New York DMV number or a Social Security number 9

  16. Your address was (give house number, street, and city) The last year you voted 2003 32 Martin Street, Plainsville 10 In county/state Under the name (if different from your name now) Albany/NY Mary Jones

  17. Choose a Party - Check one box only } ☐ DEMOCRATIC PARTY ☐ REPUBLICAN PARTY ☐ INDEPENDENCE PARTY ☐ CONSERVATIVE PARTY ☐ WORKING FAMILIES PARTY ☐ OTHER (write in) ___________________ ☐ I DO NOT WISH TO ENROLL IN A PARTY 11

  18. Please note: In order to vote in a primary election, you must be enrolled in one of these parties. The Independence Party allows un-enrolled voters to vote in their primaries.

  19. AFFIDAVIT: I swear or affirm that ● I am a citizen of the United States ● I will have lived in the county, city, or village for at least 30 days before the election. ● I meet all requirements to register in vote in New York State ● This is my signature or mark on the line below. ● The above information is true. I understand that if it is not true I can be convicted and fined up to $5,000 and/or jailed for up to four years. Signature or mark X Date

  20. When applicants decide to complete the voter registration application........ ....give them a Voter Information Card

  21. “If you are not registered to vote where you live now, would you like to apply to register here today?” 4 possible responses: Response # 1 - Client says “YES” Response # 2 - Client says “NO”/Blanks

  22. NObecause I choose not to register to vote OR If you do not check any box, you will be considered to have decided not to register to vote at this time. 01 10 8 / / / (Signature) Date John Doe (Please Print Name)

  23. “If you are not registered to vote where you live now, would you like to apply to register here today?” 4 possible responses: Response # 1 - Client says “YES” Response # 2 - Client says “NO”/Blanks Response # 3 - Client says “Already Registered”

  24. NObecause I choose not to register to vote OR I am already registered at my current address OR If you do not check any box, you will be considered to have decided not to register to vote at this time. 1 10 8 / / / (Signature) Date John Doe (Please Print Name)

  25. “If you are not registered to vote where you live now, would you like to apply to register here today?” 4 possible responses: Response # 1 - Client says “YES” Response # 2 - Client says “NO”/ BLANKS Response # 3 - Client says “Already Registered” Response # 4 - Asked for and received a mail registration form.

  26. No because I choose not to register OR I am already registered at my current address OR I asked for and received a mail registration form. If you do not check any box, you will be considered to have decided not to register to vote at this time. 1 10 8 / / / (Signature) Date John Doe (Please Print Name)

  27. Agency-Based Registration Transmittal Form Section I. [To be completed by agency site coordinator] 106459 NVRA 6-digit Site Code Number Date of Transmittal 8/01/10

  28. Applications [Number who registered to vote, changed address, name or party enrollment] 20 Number of voter registration applications contained in transmittal

  29. Agency-Based Registration Transmittal Form Declinations [Number received since last transmittal.......] Enter the number who checked the NO 58 Box on the agency-based form OR left the form blank

  30. Agency-Based Registration Transmittal Form Declinations [Number received since last transmittal.......] Enter the number who checked the NO 58 Box on the agency-based form OR left the form blank Enter the number who checked the 75 ALREADY REGISTERED box on the agency- based form

  31. Agency-Based Registration Transmittal Form Declinations [Number received since last transmittal.......] Enter the number who checked the NO 58 Box on the agency-based form OR left the form blank Enter the number who checked the 75 ALREADY REGISTERED box on the agency- based form Enter the number who checked the REQUESTED 30 AND RECEIVED A MAIL REGISTRATION FORM box on the agency- based form

  32. Agency-Based Registration Transmittal Form Other Applications [Individuals who did NOT appear at your agency office] 250 Enter the number (if any) of voter registration forms SENT to individuals.

  33. ! BLANKS ❐ Applicant refuses to make any marks on the agency-based form ❐ Applicant is unable to respond to voter registration question ❐ Applicant is not a US citizen ❐ Applicant is a convicted felon ❐ Multiple checkmarks in declination area

  34. Agency-Based Voter Registration Transmittal Form Section I. [To be completed by agency site coordinator] NVRA 6-digit Site Code Number 106459 8/01/10 Date of Transmittal Applications [Number who registered to vote,changed address, name or party enrollment] Number of voter registration applications contained in transmittal 20 Declinations [Number received since last transmittal.......] Box on the agency-based form OR left the form blank Enter the number who checked the NO 58 ALREADY REGISTERED box on the agency- based form Enter the number who checked the 75 Enter the number who checked the REQUESTED AND RECEIVED A 30 MAIL REGISTRATION FORM box on the agency- based form Other Applications [Individuals who did NOT appear at your agency office] 250 Enter the number (if any) of voter registration forms SENT to individuals.

  35. Section II. [To be completed by county board of elections] Number ofnewregistrations contained in this batch Number ofaddress changes contained in this batch Number ofenrollment changescontained in this batch Number ofname changes contained in this batch Number ofduplicate registrations contained in this batch Number of incomplete forms contained in this batch Number offorms forwarded to other county...

  36. Agency-Based Registration Transmittal Form Section I. [To be completed by agency site coordinator] 106459 NVRA 6-digit Site Code Number Date of Transmittal 8/01/10 MailWHITE andYELLOW copies of the transmittal form (with applications) to your LOCAL board of elections and keep the PINK copy for your records.

  37. Mail transmittal form and completed voter registration forms to: New York City Bronx - Brooklyn - Manhattan - Queens - Staten Island New York City Board of Elections 32 Broadway, 7th Floor New York, New York 10004

  38. NYS Agency-Based Voter registrationAdditional Supply Order Form

  39. NYS Agency-Based Voter registration Additional Supply Order Form Agency-Based Voter Registration Form (100 per pack)

  40. NYS Agency-Based Voter registration Additional Supply Order Form Voter Registration Forms Mail Registration -dot coded (100 per pack)

  41. NYS Agency-Based Voter registration Additional Supply Order Form Voter Card Informational Handout (100 per pack)

  42. NYS Agency-Based Voter registration Additional Supply Order Form Poster

  43. To order supplies call 518-474-1953 or FAX completed request to 518-473-8315. Ship materials to: Site # (Only if DIFFERENT than site coordinator) 106459

  44. Site Coordinator Responsibilities • Understand local agency procedures • 2. NO volunteers offering voter registration • 3. Maintain adequate supplies • 4. Train new or reassigned employees in • the voter registration program • 5. Resolve site questions and problems • relating to voter registration

  45. Keep signed declinations for 22 months Keep pink copy of transmittal for 22 months Citzenship - Age - Felons ID Requirements Submit registration forms within 10 days (Even if INCOMPLETE!) Use only provided envelopes Mail to your County Board of Elections Reminders

  46. Agency-based voter registration questions? PLEASE CONTACT: Greg Fiozzo NYS Board of Elections 518-474-1953

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