Complaint Form Valid for HAVA Title III Violations Only.
Complaint Form
In accordance with section 402 (a) of the Help America Vote Act of 2002 (HAVA), this form can be used by any person who believes a violation of HAVA Title III has occurred, is occurring or is about to occur. Requirements defined in Title III include: voting system standards, provisional voting, voting information, computerized statewide voter registration list, and registration by mail.

Name of voter/complainant:

Date of Complaint:
Description of complaint:
Voter/Complainant Signature:
Notary Signature (Required):
Commission Expires:
Return Form to:

S.C. State Election Commission
P. O. Box 5987
Columbia, SC 29205
Phone #: 803.734.9060