USW

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Name * First Last
Please enter your name the exact same way for additional entries.
Email *
Phone Number * ### - ### - ####
Date * MM / DD / YYYY
Number of Hours Worked *

Please, only enter numeric values separated by a decimal point. DO NOT USE CHARACTERS. Round to the nearest quarter hour using .25, .5 or .75. Example: 1.25 would be one hour and fifteen minutes.
State *
Number of Races Worked On: *

If you worked for more than two candidates, please complete a second reporting form.
Name of Candidate 1 * First Last
Candidate 1's Election Race Was For *
Congressional District Number (If Applicable)
Name of Candidate 2 First Last
Leave this field blank if you only worked for 1 candidate.
Candidate 2's Election Race Was For

Leave this field blank if you only worked for 1 candidate.
Congressional District Number (If Applicable)
What Type of Work Did You Do? *
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