DEAPRTMENT OF TOURISM EMPLOYEES ASSOCIATION

COMMITTEE ON ELECTIONS

BEI REPORT FORM

DIRECTIONS: Fill-up legibly. Cross out all unused spaces. Avoid erasures. Do not return unless completely certified by the whole
board (bottom portion). Date & Type of Election: ______________________________________________ Precinct Number: _______
1. PRECINCT NO. ______ NO. OF OFFICIAL VOTERS IN THIS PRECINCT: _______________________________________
2. NAMES BOARD OF ELECTION INSPECTORS:
Chairman: ___________________________________ COMELEC: ___________________________________________
COMELEC: ________________________________ Time all are present: _____________________________________
DOTEA Member: _______________________________DOTEA Member: _______________________________________
Time they are present: ___________________________________
3. BALLOT BOX: Serial No.: _______________________ Was it opened / emptied before used: Yes ( ) No ( )
4. OFFICIAL BALLOTS: Serial Nos.: _________________
5. BALLPENS: Quantity: ______ STAMP PAD: Quantity: _______ POSTER OF LIST OF CANDIDATES: Quantity: ________
6. VOTING PERIOD: Time Started: ________ No. of Spoiled ballots: _____ Reasons: ________________________________
No. of Missing Names in the list: ________ No. of Protests: __________ Reasons: _________________________________
If precinct is transferred: where ________________________________ Reasons: _________________________________
If voting is stopped: Reasons: ___________________________________________________________________________

7. No. of Voters waiting to vote: ______________________________ Time voting completed: __________________________

8. Unused Ballots: Quantity: _____________________________ Serial No. of last ballot cast: __________________________
Quantity: Envelopes: ___________ Rubber Bands: ___________ Tally Sheets: __________ Correction Fluid: ___________
Other supplies (description/quantity): _____________________________________________________________________
ELECTION RETURNS: Quantity: _______ Serial No(s).: _________________________ TALLY SHEETS: Quantity: ______
9. Time ballot box was opened: _________________________ No. of VALID ballots found inside the ballot box: ___________
No. of VALID ballots with detachable coupons: ___________ No. of EXCESS ballots inside the ballot box (if any): ________
No. of SPOILED ballots (set aside & not used): ___________No. VALID ballots ready to be read & counted: _____________
10. NAMES OF AUTHORIZED WATCHERS (ALTERNATES):
Watcher: _________________________________ Watcher:_______________________________________
Watcher ______________________________ Time all are present: ______________________________
11. PRELIMINARY PROCEDURES TO THE COUNTING OF VOTES
Ballot Box properly emptied on the table: Yes ( ) No ( ) Ballots piled into 20’s or 50’s still correctly folded: Yes ( ) No ( )
Tally board set up in full view of everyone: Yes ( ) No ( ) Information completed on the Election Returns: Yes ( ) No ( )
TIME OFFICIAL COUNTING STARTED: _______________ Reasons for disturbances (if any): ________________________
12. TIME COUNTING COMPLETED: __________ TIME ELECTION RETURNS ARE SIGNED & THUMBMARKED: __________
13. PROCEDURE AFTER COUNTING FOLLOWED (Indicate if Yes or No):
Counted ballots placed inside the proper envelope: Yes ( ) No ( )
Envelope with counted ballots deposited into the ballot box: Yes ( ) No ( )
All corrections in the Election Returns properly initialed by the BEI: Yes ( ) No ( )
All pages of the Election Returns signed & thumb marked by the BEI: Yes ( ) No ( )
All pages of the Election Returns signed & thumb marked by poll watchers: Yes ( ) No ( )
14. Serial No. of first ballot assigned to this precinct: __________________ Serial No. of last ballot used: _________________
No. of spoiled ballots: ______ No. of registered voters in this precinct: __________ Year level of voters: _________________
No. of voters who actually voted: ____________________ No. of voters who did not vote: ____________________________
Percent turnout of voters who voted: __________________ Percent turnout of voters who did not vote: __________________
15. ELECTION RETURNS SECURED in brown envelope: Yes ( ) No ( )
16. ENVELOPE WITH ELECTION RETURNS SIGNED, & THUMBMARKED BY THE BEI: Yes ( ) No ( )
17. ENVELOPE WITH ELECTION RETURNS PROPERLY SEALED & INITIALED BY THE BEI: Yes ( ) No ( )
18. MINUTES OF THE MEETING SIGNED BY THE BEI: Yes ( ) No ( )
19. MINUTES OF THE MEETING PLACED INSIDE BALLOT BOX: Yes ( ) No ( )
20. TIME BALLOT BOX WAS OFFICIALLY PADLOCKED: __________________
21. TIME BALLOT BOX REACHED THE COMELEC OFFICE: ________________
22. TIME ALL ELECTION FORMS HAVE BEEN DULY ACCOMPLISHED: _________________
23. TIME ALL INFORMATION IN THIS REPORT FORM HAS BEEN COMPLETED: __________________

CHAIRPERSON COMELEC COMELEC