West Orange, MT · Essex County

No notary required

Poll Worker Application

This application lets people apply to serve as election board workers and provide their contact, voter, and availability information.

What this form is

Use this application to apply for election board work. It asks for your name, address, phone numbers, voter registration status, prior election board service, party affiliation, language skills, and preferred towns for assignments. The form says to mail or fax the completed application to the Essex County Board of Elections.

Who needs it

People interested in serving as election board workers can complete the application and indicate their availability and assignment preferences.

How to submit it

Mail or fax the completed application to Essex County Board of Elections, Hall of Records, 465 Dr. Martin Luther King Jr. Blvd., Room 411, Newark, NJ 07102. Fax: 973-621-2540.

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Poll Worker Application PDF.

  2. 2

    Complete The Application

    Print clearly in ink and fill in the requested personal, voter, availability, and language information.

  3. 3

    Sign And Date

    Sign and date the application; no attachment is listed on the form.

  4. 4

    Mail Or Fax The Application

    Mail or fax it to the Essex County Board of Elections using the contact details printed on the form.

Frequently asked questions

Who can use the Poll Worker Application?
People interested in serving as election board workers can use the application to provide contact details, voter information, availability, and assignment preferences.
How do I submit the Poll Worker Application?
Mail or fax the completed application to the Essex County Board of Elections at the address or fax number printed on the form.
Do I need a notary for the Poll Worker Application?
No. This application is signed and dated without a notary, and it lists no notarized or sworn attachment.

Need something notarized?

This Poll Worker Application doesn’t need a notary — but if you have another West Orange form that does, a commissioned online notary can help.