Elections System of the Virgin Islands
Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021 
9200 Lockhart Gardens, St. Thomas, V.I. (340) 774-3107 
 P.O. Box 1499  Kingshill  St. Croix  U.S. Virgin Islands 00851 / P.O. Box 6038  St. Thomas  U. S. Virgin Islands 00801 
TRANSLATORS CERTIFICATION
I hereby certify and attest, under penalty of perjury, that I translated information for 
____________________________________________ when he/she appeared to 
register as a voter on ________________________________,20_____ , at the office of 
the Election System in the district of St. ________________, and that to the best of my 
knowledge 
and 
belief 
the 
information 
by 
the 
said 
________________________________ given is true and correct. 
__________________________ 
Translators Signature 
__________________________ 
Date 
Subscribed and sworn to before note by the said______________________________ 
on this ___________day of________________ 20____ by the making in the presence 
of the witness hereto so swearing. 
_______________________ 
Notary Public 
ELECTION SYSTEMS OF THE VIRGIN ISLANDS FORM 0012/98