Rides to the Polls Survey for November 2022 Election The Disability Vote Coalition is reaching out to ask for your help to update our “Rides to the Polls” list for the November 2022 election. We will include the information we receive on the Disability Vote Coalition website to help people with disabilities and older adults find transportation for voting.Please complete the survey below ASAP. We urge you to respond by October 4th to provide time to update the website and share the information with the community.The information will be posted on our website and shared widely with the disability and aging network and our partners including the League of Women Voters. You can see the current list at disabilityvote.org/rides-to-polls Question Title * 1. Contact name Question Title * 2. Contact email Question Title * 3. Contact phone number Question Title * 4. Check this box if you are updating an entry you previously submitted Yes, this is an update The information entered below will be included in the Rides to the Polls directory online. Question Title * 5. Ride Service/Program or Organization Name Question Title * 6. Who is eligible for a ride? Check all that apply; explain in comments if needed. All voters Voters with a disability Voters with a disability age 18-59 Voters 60 and older Elderly voters Disabled veterans Voters who are paratransit eligible Comments Question Title * 7. Counties served (select all that apply) Statewide Other or Unknown - See Comments Below Adams Ashland Barron Bayfield Brown Buffalo Burnett Calumet Chippewa Clark Columbia Crawford Dane Dodge Door Douglas Dunn Eau Claire Florence Fond du Lac Forest Grant Green Green Lake Iowa Iron Jackson Jefferson Juneau Kenosha Kewaunee La Crosse Lafayette Langlade Lincoln Manitowoc Marathon Marinette Marquette Menominee Milwaukee Monroe Oconto Oneida Outagamie Ozaukee Pepin Pierce Polk Portage Price Racine Richland Rock Rusk Saint Croix Sauk Sawyer Shawano Sheboygan Taylor Trempealeau Vernon Vilas Walworth Washburn Washington Waukesha Waupaca Waushara Winnebago Wood Comments Question Title * 8. Area of Coverage Detail County-wide (for counties selected above) Other coverage area (e.g. "City of Racine only") Question Title * 9. How to Schedule a Ride (e.g. "Call 800-555-1212 or go to ride.com") Question Title * 10. Cost of ride Free Enter the cost of a ride (or explain how cost is determined): Question Title * 11. Is wheelchair accessible transportation available? Yes No Comments Question Title * 12. Rides to Early Voting? Yes No Question Title * 13. Ride to DMV for voter IDs? Yes No Question Title * 14. Additional Information (include any deadlines to request a ride) Done