Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Please include your 5-digit zip code, so that your issue can be routed to the appropriate Election Mail Specialist.

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Please include county/parish/city/town/township/municipality/village/borough along with the name.

What type of delivery does this issue impact?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What category of mail does this issue impact?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What type of problem are you reporting? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Select all that apply. For unresponsiveness or transparency concerns please select “Communications with USPS”

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(e.g. 2021 senate district 12 special/primary/general)

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If you don't know the date that the issue occurred, you may substitute the date that you noticed the issue.

What type of election mail was involved? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Voter education materials may include items like voter guides, publicity pamphlets, etc. Voter registration materials may include items like forms, inactive notices, voter ID cards, etc.

What class of mail was involved? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you use a mail vendor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you are not sure if you use a mail vendor or mail-house, please select no

{ binding firstError.message }
{ binding firstError.message }

This can be an approximate date if the exact date is not known.

Do you include Intelligent Mail barcodes on your mailings? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

If you are reporting a delivery delay or lost/undelivered mail, please include the voter's mailing address and the Intelligent Mail barcode on the envelope (if available).

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Approximately how many voters were affected by this problem? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

(e.g. only mail traveling to a certain precinct, or sent within a specific window, etc.)

{ binding firstError.message }

(If you have not already contacted your local postmaster and/or your regional election mail coordinator, please do so!)

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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Election Jurisdiction {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What type of delivery does this issue impact?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What category of mail does this issue impact?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What type of problem are you reporting? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
In what election cycle(s) did the problem occur? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
On what date did the problem first occur? (Optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What type of election mail was involved? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What class of mail was involved? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Do you use a mail vendor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is the name of your vendor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
When was your envelope design last reviewed by a USPS Mailpiece Design Analyst? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you include Intelligent Mail barcodes on your mailings? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please provide a description of the issue: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you have an example of the mailpiece? Please include images of the front and back of the envelope, as well as any other relevant documentation or data files {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Approximately how many voters were affected by this problem? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Did you notice any pattern/similarity in the mail that was affected? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Have you contacted anyone at the USPS about this issue? If so, who did you contact? What was the response? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is there anything else you think we should know? Do you have a recommeded "best practice" or an idea that might have prevented this issue? (Optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Election Jurisdiction {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What type of delivery does this issue impact?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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What category of mail does this issue impact?: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What type of problem are you reporting? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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In what election cycle(s) did the problem occur? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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On what date did the problem first occur? (Optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What type of election mail was involved? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What class of mail was involved? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Do you use a mail vendor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What is the name of your vendor? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
When was your envelope design last reviewed by a USPS Mailpiece Design Analyst? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Do you include Intelligent Mail barcodes on your mailings? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please provide a description of the issue: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you have an example of the mailpiece? Please include images of the front and back of the envelope, as well as any other relevant documentation or data files {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
Approximately how many voters were affected by this problem? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Did you notice any pattern/similarity in the mail that was affected? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you contacted anyone at the USPS about this issue? If so, who did you contact? What was the response? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Is there anything else you think we should know? Do you have a recommeded "best practice" or an idea that might have prevented this issue? (Optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }