Commissioner Certification Form Commissioner Certification test 2 Commissioner Status*NEW CommissionerEXISTING CommissionerFirst Name* First Last Name* Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneWork PhoneRegistered to Vote in Ward/Precinct: Party Affiliation:* Emergency Contact Name* Emergency Contact Phone*Email* ConfirmationBy clicking Submit, I certify that I am a registered voter in the Ward in which I am seeking to serve; I am NOT a candidate for election to public office; I have NOT been convicted of an election offense; I am able to perform the essential duties of a commissioner described on Pg. 75 in the Informational Pamphlet by the Secretary of State pursuant to R.S. 18:421(C); I watched the training video in its entirety; and that the information herein is True and Correct. 1. If the name of a qualified voter was omitted from the precinct register or supplemental precinct register, the commissioner shall:* A. Not allow him to vote. B. Take his word that he is a registered voter and allow him to vote. C. Contact the Registrar of Voters or Secretary of State to determine whether or not the person should be allowed to vote and if so, fill out the precinct register correction form. 2. In identifying a voter prior to voting, a commissioner shall first request:* A. His Louisiana driver’s license, LA Wallet digital driver’s license, a Louisiana special identification card, Military I.D., or other generally recognized picture identification card that contains the name and signature of the applicant. B. A credit card. C. His voter identification card. 3. If a voter arrives without any form of photo identification, a commissioner shall:* A. Not allow the person to vote. B. Ask the voter to complete a voter identification affidavit and check the identifiers (date of birth & mother’s maiden name) with the information in the precinct register to make sure it matches before allowing the voter to vote. C. Call the Registrar of Voters. 4. One of the three grounds for challenging a person applying to vote is:* A. The applicant is not listed on the precinct register. B. The applicant has not voted in the last four elections. C. The applicant is not qualified to vote in the precinct. 5. Prior to serving at the polling place, a watcher must:* A. Show his driver’s license. B. Present his commission to the commissioner-in-charge. C. Produce a letter from the candidate naming him as a watcher. 6. If there is a problem with a voting machine, the commissioners shall:* A. Try to repair the voting machine. B. Contact the parish custodian (Clerk of Court). C. No longer use the voting machine 7. No political activity related to items on the ballot is allowed between the hours of 6:00 a.m. and 9:00 p.m. on election day in the following location(s):* A. within 300 feet of the entrance to any polling place. B. inside the polling place or within 600 feet of the entrance to any polling place, except on private property. C. On private property. 8. According to law, who shall be allowed to go to the front of the line to cast a ballot at the polls?* A. A voter who is visibly handicapped. B. A voter who is late for work. C. A voter who is accompanied by a child. 9. If a commissioner-in-charge fails to appear at the polling place before the opening of the polls on election day, the commissioners in attendance shall immediately:* A. Notify the Parish Board of Election Supervisors. B. Select a commissioner-in-charge from the watchers present. C. Notify the parish custodian (Clerk of Court) for a replacement commissioner-in-charge to be sent. 10. For what elected offices are voters allowed to cast a provisional ballot?* A. Governor and other statewide offices. B. Louisiana State Senators and State Representatives. C. Federal offices (U.S. President, U.S. Senator, U.S. Representative, or Presidential Preference Primary). 11. If on the signature line next to a voter's name there is "ADDRESS CONFIRMATION REQ." and the voter has not voted absentee, which form must be completed?* A. A precinct register correction. B. A voter identification affidavit. C. An address confirmation card. 12. The Clerk of Court Clear Zipper Bag should contain:* A. Address confirmation card and a poll list. B. Official election results reports and machine certificates. C. Voter identification affidavit and machine certificates. D. Payroll affidavit and zero proof reports. 13. Which answer does NOT apply in determining whether to allow a voter to receive assistance in voting?* A. Allow a voter to receive assistance because he is old. B. Allow a voter to receive assistance if the precinct register so indicates. C. Allow a voter to receive assistance if he completes a voter assistance form or presents proof of disability by presenting a physician’s certificate, a mobility impaired card, or letter of disability from Social Security Adm., Veteran’s or LA Rehabilitation, paratransit services, or Office for Citizens with Dev. Disabilities or they are unable to read. 14. A person marked on the precinct register as "Voted by Mail":* A. Must vote in person if he is within the parish on election day. B. Shall not vote in person at the polls on election day. C. Can vote in person if he desires to do so, and his absentee ballot will not be counted. 15. The name of every person who votes at the polling place shall be entered on the poll lists that are kept separate from the precinct register:* A. By the voter. B. By two commissioners. C. By the watchers.