NJ DOS - Division of Elections - Voter Report Form for Polling Place Accessibility Concerns

I had a difficult time voting at the following polling place:

Street Address:

Building Name:

City/Town:

County:

Exterior access to the polling place was prohibitive due to:

a poorly or unlit parking space

a lack of accessible parking

a lack of access aisles

site access not being clearly marked

a lack of ramps or curb cuts

an unpaved parking space

available parking not closest route to building

no clear path of travel to the building

other:

explain:

The building is not ADA compliant in the following areas:

Poll workers...

were unaware of my special needs

refused to assist me

were not available to assist me

other:

explain:

The voting booth...

signage was unclear or unreadable

was inaccessible

offered little or no privacy

Registration table incorrect height

did not have enough leg room

Lighting inadequate

other:

explain:

The voting equipment...

was unusable

was confusing

had no audio

other:

explain:

The sample ballot was...

confusing

unreadable

in the wrong language

different than the voting machine ballot

not made available in an alternate format

other:

explain:

Contact Information:

Name:

Street Address:

City/Town:

Zip:

Telephone:

e-mail:

Additional Comments:

Official Site of The State of New Jersey

The Hon. Tahesha Way, Lt. Governor and Secretary of State

New Jersey Voter Information Portal

Department of State, Division of Elections

Voter Report Form for Polling Place Accessibility Concerns

I had a difficult time voting at the following polling place:

I had a difficult time voting for the reasons selected below.

Exterior access to the polling place was prohibitive due to:

The building is not ADA compliant in the following areas:

Poll workers...

The voting booth...

The voting equipment...

The sample ballot was...

Contact Information:

Office of the Secretary

Department of State Home

Business & Economic Development

Civic Engagement

Arts & Culture

Information