Election-Worker Service Leave Request and Appointing-Authority Certification Packet - Ohio

ELECTION-OFFICIAL SERVICE REQUEST AND APPOINTING-AUTHORITY CERTIFICATION

Ohio — Ohio Rev. Code § 3599.06

This packet documents Ohio's election-day employment protection for service as an election official. It is separate from time off to vote.

1. EMPLOYEE AND EMPLOYER

Employer type:

• ☐ Private employer
• ☐ Public employer
• ☐ Other / counsel review: [________________________________]

2. ELECTION-OFFICIAL APPOINTMENT

County board of elections / appointing authority: [________________________________]

County / polling location / precinct: [________________________________]

Appointed election-official role: [________________________________]

Appointment date: [__/__/____]

Election date: [__/__/____]

Required service hours: [________________________________]

• ☐ The county board of elections has confirmed the employee's appointment or assignment.
• ☐ Appointment or assignment documentation is attached.

Signing up or expressing interest is not the same as appointment. The Ohio Secretary of State states that the county board confirms availability and qualifications and supplies the assignment information.

3. ELECTION-DAY EMPLOYMENT REQUEST

Expected overlap with scheduled work: [________________________________]

Employee request:

I request permission to be absent from my scheduled employment for the election-day period required to serve as the appointed election official identified above.

Notice delivered on: [__/__/____]

Delivery method / recipient: [________________________________]

Employee signature: __________________________ Date: ______________

Provide the appointment and service information as soon as practicable so the employer can plan coverage. Confirm any applicable notice procedure under current law, policy, agreement, and county-board instructions.

4. APPOINTING-AUTHORITY CERTIFICATION

I certify that [EMPLOYEE] is appointed or assigned to serve as an election official for the election identified below.

Authorized signature: _________________________ Date: ______________

Printed name / title: [________________________________]

5. SCOPE AND PAY TREATMENT

Section 3599.06 prohibits an employer from refusing to permit covered election-official service on election day. It does not itself specify employer-paid leave.

• ☐ Unpaid absence
• ☐ Paid civic or administrative leave under employer policy or another authority
• ☐ Accrued leave voluntarily elected under policy or agreement: [________________________________]
• ☐ Other payroll treatment: [________________________________]

Do not automatically extend the statutory route to training, travel, setup on another day, early voting, post-election canvassing, or other election activity without separate authority or employer approval.

6. EMPLOYER RESPONSE

• ☐ Appointment or assignment confirmed
• ☐ Election-day service period recorded
• ☐ Absence permitted under § 3599.06
• ☐ Pay treatment recorded
• ☐ Counsel / labor-relations review required

Employer representative: _____________________ Date: ______________

Decision delivered: [DATE / METHOD]

Issue or limitation requiring review: [________________________________]

7. POST-SERVICE CONFIRMATION

Actual election-day service hours: [________________________________]

Service confirmed by: [________________________________]

Poll-worker compensation received: $[________]

Employer attendance / payroll correction: [________________________________]

OFFICIAL SOURCES VERIFIED

• Ohio Legislative Service Commission — S.B. 335 analysis, March 27, 2026
• Ohio Secretary of State — current poll-worker recruitment and appointment process