Election Judge Registration
Poll Works Help America Vote Learn More and Sign Up


Please fill out the form below to sign up to be an Election Judge.
All fields with an ( * ) are required and must be filled.

In order to verify an individual, not an electronic device has submitted a form; you will be required to solve a simple math problem at the end.


*First Name:

*Last Name:

*Phone:

*Email Address:

*Residential Address:

Mailing Address:


Please Solve the Problem Below Before you Submit

Four + 3 =