Section 216.EXHIBIT C  Voter Registration Application Transmittal

Suggested

July, 1995

SBE No. R-25

VOTER  REGISTRATION  APPLICATION

TRANSMITTAL

To:        _________________________________                      _____________________

                                  Election Office                                                                                Date

From:    _________________________________

                     Agency Office Number or Designation

Number of Voter Registration Applications Enclosed:  _________________________

Comments:  _____________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

(To be completed by Election Authority)

Date Received:  _________________

Number of Applications Received:__________________________________________

Number of Duplicate Registrations in Group:_________________________________

Number of Incomplete Applications:   _______________________________________

Problems or Other Comments:   ____________________________________________

 ________________________________________________________________________

________________________________________________________________________

White Copy – Election Authority                                        Yellow Copy – Agency