| Precinct List of Persons Vouching | ||
| City/Town _ | Ward _ | Precinct _ |
For election judges' use in recording the number of individuals for whom a voter signs proof-of-residence oaths (vouches for) on Election Day. Cross out a number for every individual for whom a voter registered in that precinct vouches. Unless vouching for residential facility residents pursuant to part 8200.5100, subpart 1, item E, a voter who is registered to vote in the precinct may sign no more than 15 proof-of-residence oaths (Minnesota Statutes, section 201.061).
| Voucher's Name | Voucher's Voter ID No. |
Number Vouched for on Election Day |
| Example: John Doe | 1234567 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 |
| 1 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 2 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 3 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 4 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 5 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 6 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 7 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 8 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 9 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 10 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 11 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 12 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 13 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 14 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 15 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 16 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 17 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 18 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 19 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 20 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 21 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 22 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 23 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 24 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 25 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 26 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 27 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 28 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 29 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 | |
| 30 | 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 |
| Certified by the Head Election Judge of the Precinct: | ||
| _ | _ | _ |
| Printed Name | Signature | Date |
32 SR 2055
May 22, 2008
Official Publication of the State of Minnesota
Revisor of Statutes