Rides to the Polls Survey for April 2023 Election
The Disability Vote Coalition is reaching out to ask for your help to update our “Rides to the Polls” list for the April 2023 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 as soon as possible and
no later than March 13th
to allow time to update the website and share 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.
*
1.
Contact name
(Required.)
*
2.
Contact email
(Required.)
3.
Contact phone number
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.
*
5.
Ride Service/Program or Organization Name
(Required.)
*
6.
Who is eligible for a ride? Check all that apply; explain in comments if needed.
(Required.)
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
*
7.
Counties served (select all that apply)
(Required.)
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
*
8.
Area of Coverage Detail
(Required.)
County-wide (for counties selected above)
Other coverage area (e.g. "City of Racine only")
*
9.
How to Schedule a Ride (e.g. "Call 800-555-1212 or go to ride.com")
(Required.)
*
10.
Cost of ride
(Required.)
Free
Enter the cost of a ride (or explain how cost is determined):
11.
Is wheelchair accessible transportation available?
Yes
No
Comments
12.
Rides to Early Voting?
Yes
No
13.
Ride to DMV for voter IDs?
Yes
No
14.
Additional Information (include any deadlines to request a ride)
