Image banner showing the Kentucky State Seal and the Secretary of State.
Image banner showing the Kentucky State Seal.
Application to Serve as a Poll Worker in your county for Kentucky.
By filling out the following form you agree to be contacted by your County Clerk by email or phone.
First *
Middle
Last *
Address Line 1 *
City *
State *
Zip *
Birth Date *
Phone Num *
Email Addr
Click HERE for more information about becoming a Precinct Worker.
Privacy Information:
This information is for official use only. Any unauthorized release may be punishable by law.
Your electronic mail address and social security number are exempt from disclosure.
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