Ballot recap form
A form which shows the number of voted, spoiled, damaged, provisional, emergency, unused, and any other ballots from a polling place.
Source: Counting Votes 2012: A State by State Look at Voting Technology Preparedness, Verified Voting Foundation, the Rutgers Law School Newark Constitutional Litigation Clinic, and Common Cause, https://countingvotes.org/sites/default/files/CountingVotes2012_Final_August2012.pdf