Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

City of Charlottesville - Officer of Election Application

  1. Serve as an Officer of Election in the City of Charlottesville

    Officers of Election must be registered voters in Virginia. Each appointee must be willing to represent the interests of either the Democratic or Republican Party, but party membership is not required. Officers of Election are compensated for trainings and working on Election Day. Three shift options are available on Election Day: 5:00 AM until closing; 5:00 AM until 1:00 PM; or, 12 Noon until closing. If you would like to apply for appointment, complete and submit this form. The Electoral Board appoints officers in accordance with section 24.2-115 of the Code of Virginia.

  2. What shift do you prefer?

    Please select.

  3. FOR OFFICE USE ONLY

    Reg to Vote__________ Precinct NO:__________ Electoral Board Action___________ Date Letter Sent_____________

  4. Leave This Blank:

  5. This field is not part of the form submission.