Election Protection Help Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in helping get the vote out!

This form has two sections. First, we'll need some information about how to contact you. On the second page, you'll find options to volunteer and information about what the roles entail. We'll get in contact with you for more information and your availability before scheduling you for anything.

If you have any issues or questions before filling out this form, please email eriedems@eriedems.com.

The PADems Voter Assistance Hotline Number is available by phone and text at: 1-833-728-6837

Your Contact Information:

Name *

Phone Number *

Can we text the phone number provided? *

Yes

Email Address *

If you are registered in Erie County, where do you vote? *

If you are not registered in Erie County, please indicate that below.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Erie Dems.

Does this form look suspicious? Report

Forms