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.

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

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.

Question Title

* 7. Counties served (select all that apply)

Question Title

* 8. Area of Coverage Detail

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

Question Title

* 11. Is wheelchair accessible transportation available?

Question Title

* 12. Rides to Early Voting?

Question Title

* 13. Ride to DMV for voter IDs?

Question Title

* 14. Additional Information (include any deadlines to request a ride)

T