Request a Ride to the Polling Station
Using this form you can request a ride to the polling station to allow you to vote. There is no charge for this.
Where and When?
Date and Time for Ride
Tell us what day you'd like a ride. The Advance Polls are on April 13, 15, 18 and Election Day is April 23. The polls are open from 9:00 a.m. to 7:00 p.m. We'll call you to confirm the best time to pick you up.
Tell us your civic address and apartment number (if you have one), and any special instructions about how to get to you.
Contact Information and Special Requests
Your Telephone Number or Email Address
We will call you to confirm pickup time, so we need your telephone number if you have one. If you don't have a telephone number, but you have an email address, you can enter that instead.
Anything we should know?
Do you have trouble getting into high vehicles? Do you need transportation for your mobility device? Tell us anything that can help us help you.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service