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Shirley U. Emehelu, Acting Secretary of State
New Jersey Voter Information Portal
Department of State, Division of Elections
NJ Voter Information Portal
DOS
DOE
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Voter Report Form for Polling Place Accessibility Concerns
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:
I had a difficult time voting for the reasons selected below.
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:
steps
width of walkways
doors hinder or stop access
no elevators
no wheel chair ramps
ramp was too steep or no turn around space
no hand rails
no assistance available
accessible entrance not marked
no accessible entrance
entrance not near accessible parking
other:
explain:
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:
Page Last Updated: 07/18/18
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