No MO Fraud

Note: if you believe you have witnessed a violation of Title III of the Help America Vote Act of 2002 for federal elections, please fill out a Title III of HAVA Elections Complaint Form.

NOTICE: This complaint is not confidential, and once filed, shall be treated as public record.

Complaint Information Contact Information

* First Name:

* Last Name:

Phone Number:

* Email Address

* My complaint pertains to the Election held on:

Place of Residence

* Street Address 1:

Street Address 2:

* City

Zip Code:

* State of Residence:

* County of Residence:

Incident Details

* Jurisdiction where Alleged Violation Occurred:

* State the facts of the alleged violation or attach a separate document. Please include:

The name and mailing address of the person or persons alleged to have committed the violation; and
A description of the act or acts you believe to be a violation

Characters remaining: 8000

By my signature I swear or affirm that, to the best of my knowledge, the information provided on this form is true.

* Signature of person filing complaint

* Date

Reset Form

* My complaint is regarding (check at least one):

State Law Violations

Statutory References

Federal Law Violations

Statutory References

I have or will file a complaint with (check all that apply):

* My complaint is regarding (check at least one):

State Law Violations

Statutory References

Federal Law Violations

Statutory References

Class One Election Offenses (Felonies – Up to 5 Years in Prison & $10,000 Fine)

Class Two Election Offenses (Felonies – Up to 5 Years in Prison & $10,000 Fine)

Class Three Election Offenses (Misdemeanors – Up to 1 Year in Jail & $2,500 Fine)

Class Four Election Offenses (Misdemeanors – Up to 1 Year in Jail & $2,500 Fine)

I have or will file a complaint with (check all that apply):