Accessibility Feedback

The following information is requested for the purpose of responding to your feedback. The information may also be used for purposes set out in the website terms and conditions. For more information please see the terms and conditions.

* Indicates mandatory fields


Tell us about yourself
    
    

Tell us about your polling site accessibility issue
* Incident date
* Incident time
 :
* Which of the following items did you have a problem with? (Check at least one)










* Were you able to vote?

Tell us how to contact you

If you wish Elections Canada to respond to your feedback, please provide your preferred contact method below. Otherwise, please skip this section.

(format: abc@abc.abc)
(format: maximum of 20 characters : numbers, spaces, -, (, ), +,.)
Mailing address