Circulator Monitoring and Reporting Form

One simple way you can help the campaign is to let us know where our opposition is. These simple online reports help us to create a comprehensive database so we can appropriately dispatch volunteers to these sites. These reports can also help us build a legal case. In other states our opposition's circulators have not followed state petition laws and have committed outright fraud. We need you to send any and all reports to the campaign so we can take action when they engage in fraud or other illegal tactics in Nebraska.

Click here to learn more about the dirty tricks our out of state opposition uses to confuse voters: http://www.stopballotfraud.org/

Date of Report:
Contact Information For Person Making Report:
Name:
Email:
Phone:
Address:
City:
State:
Zip:
Site Information:
Site Name
Site Address
Site City & State
Circulator Information:
Number of Circulators
Names
Physical Description of Circulators
Incident Information:
Detailed narrative of circulator activities: (examples include; verbal messages circulator making to signers, our volunteers, store management or law enforcement; physical location of circulator on site (are they blocking entrances/exits); are circulators following people into buildings or through parking lots; is circulator reading the object statement; are petitions clearly marked for paid and volunteer circulators; are circulators offering anything of value to potential signers inducing them to sign; any other suspicious activities:
Additional Documentation/Evidence:
Are Pictures Available	Yes    No
Number of Pictures
How can the campaign get those pictures?
Was law enforcement involved?	Yes    No
If YES provide officers name and badge number
Was store manager or property owner involved?	Yes    No
If YES provide property managers name and contact information:
Names and contact information for other witnesses