Board Of Election Special District Forms

Thank you for completing the Special District form. Below are files that you will need to fill out and return back to the Board of Elections.

Village:

School:

Special District: 

If you are renting machines from us only an approved trucking company must be used to transport the machines. You must choose from one of the following truckers:

 All American
 Attention: Ron Aziram
 Phone: (631) 752-3000
 Fax: (631) 752-3003
Triple Crown
Attention: Antonella Spiteri
Phone: (631) 348-4994
Email: Antonella@TripleCrownWarehouse.com


Informational Documents

INSTRUCTIONS FOR MEMORANDUM OF AGREEMENT

Important: Your completed and signed Memorandum of Agreement (MOA) MUST be received by the Nassau County Board of Elections no later than 2 weeks before the date of your election. Please be sure to mail your MOA containing your Certificate of Liability Insurance to:

Nassau County Board of Elections
240 Old Country Road - 5th Floor
Mineola, N.Y. 11501
Attn: Special Districts

Page 1:

Paragraph 1:

1 - Fill in the name of your district.

2 - Fill in the date of your election.

Paragraph 2:

1- Fill in the name of your district.

2- Fill in the address of your district.

Paragraph 3:

1 - Fill in the date of your election.

Paragraph 6:

1 - Fill in the date of your election.

Page 7:

An original signature of the district governing body or representative with the current date underneath.

Page 8:

Please fill in the number of DS200’s and Automarks that you are ordering.