ELECTION INCIDENT DECLARATION

               The purpose of this document is to provide voters in Los Angeles County with the ability to document first-hand accounts of incidents of potential fraud or corruption which they have either witnessed or experienced.  The Bradley for Congress Campaign will share the information provided with the Election Integrity Project – California for review and tabulation.

               The Election Integrity Project – California is working on collaboration with citizen groups and volunteer candidates in a non-partisan effort to provide eye-witness documentation to attorneys at the state and federal level, with the goal of taking appropriate action where necessary.  Please carefully and accurately describe what you saw experienced in the form below.  If your account is electronically signed, send it via the SUBMIT button.  If you have printed and signed a hard copy, please scan and email to: caelectionfraud@bradleycongress.com

 

  

ELECTION INCIDENT DECLARATION

               The purpose of this document is to provide voters in Los Angeles County with the ability to document first-hand accounts of incidents of potential fraud or corruption which they have either witnessed or experienced.  The Bradley for Congress Campaign will share the information provided with the Election Integrity Project – California for review and tabulation.

               The Election Integrity Project – California is working on collaboration with citizen groups and volunteer candidates in a non-partisan effort to provide eye-witness documentation to attorneys at the state and federal level, with the goal of taking appropriate action where necessary.  Please carefully and accurately describe what you saw experienced in the form below.  If your account is electronically signed, send it via the SUBMIT button.  If you have printed and signed a hard copy, please scan and email to: caelectionfraud@bradleycongress.com 

Date of Incident: _________________________________

Name: _________________________________________

Address: ____________________________________________________________________________________

               Street                                                                                City                                                              Zip Code

Email Address: __________________________________

Location of Incident: (include suite or apartment number)

____________________________________________________________________________________________

               Street                                                                                City                                                              Zip Code

Description of Incident:  Please describe in detail using facts rather than opinions, judgment or emotions.

Examples:             1.            My registration was changed without my knowledge or permission;

  1. I was made to vote at a table with other voters, instead of a private booth;
  2. I received ballot information for a person that does not live at my address;

If you are quoting an individual, please use quotation marks to delineate specific words or statements.

_____________________________________________________________________________________________

_____________________________________________________________________________________________ 

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________               

            I, _______________________________ declare under penalty of perjury under the laws of the State of California that the foregoing statements are true and correct.

            Executed on _______________ __, 2020, at _________________, California.                                                                                                                                                           

                                                                        _____________________________________

                                                                        Signature