---
title: Curbside Voter Registration Assistance Request Form Template | Paperform
description: Professional form template for election offices to manage curbside voter registration requests, mobility documentation, and appointment scheduling for voters with accessibility needs.
url: "https://paperform.co/templates/curbside-voter-registration-assistance-request"
type: static
generatedAt: "2026-03-28T00:43:34.892Z"
---

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    [Preview](https://_preview.paperform.co/ai-template/curbside-voter-registration-assistance-request) [Use this template for free](/create?ai-template=curbside-voter-registration-assistance-request)    [Government & Civic Forms](/templates/category/government-civic/) [Public Administration](/templates/industry/public-admin/) [Office Manager](/templates/role/office-manager/)[Administrative Assistant](/templates/role/admin-assistant/)     About this free form template
### Make Voter Registration Accessible with Curbside Assistance Requests

Ensuring every eligible citizen can register to vote is a cornerstone of democratic participation. For voters with mobility limitations, physical disabilities, or health conditions that make entering a registration office challenging, curbside assistance provides a vital service that upholds accessibility and inclusion in the electoral process.

This **Curbside Voter Registration Assistance Request** template is designed for election offices, county clerks, boards of elections, and civic organizations committed to accessible voter services. The form streamlines the process of requesting curbside registration assistance, capturing essential mobility documentation, scheduling convenient appointment times, and ensuring election staff are prepared to deliver dignified, efficient service.

#### Why Digital Forms Matter for Civic Engagement

Traditional paper-based curbside assistance requests often create unnecessary barriers—requiring trips to the office just to request help, unclear documentation requirements, and missed appointments due to poor communication. By moving to a digital-first approach with Paperform, election offices can:

 - **Increase accessibility** by allowing voters to request assistance from home, on any device
 - **Reduce administrative burden** through automated appointment scheduling and documentation collection
 - **Improve service delivery** with clear mobility needs communicated to staff in advance
 - **Maintain compliance** with ADA requirements and election regulations
 - **Track and report** on accessibility services provided to voters

#### What This Template Includes

This comprehensive form collects all the information election staff need to provide excellent curbside voter registration assistance:

**Voter Information Collection**: Capture complete contact details, current address information, and preferred communication methods to ensure smooth coordination.

**Mobility Limitation Documentation**: Respectfully document the nature of mobility challenges, assistive devices used, and any special accommodations needed—giving staff the context to provide appropriate, dignified assistance.

**Appointment Scheduling**: Integrated scheduling functionality allows voters to select convenient appointment times based on your office's availability, reducing back-and-forth phone calls and no-shows.

**Vehicle and Arrival Details**: Collect vehicle information and arrival instructions so staff can quickly locate and assist voters upon arrival.

**ID and Documentation Reminders**: Automatically inform voters of required identification and documentation they'll need to bring, reducing delays and ensuring successful registration.

**Emergency Contact Information**: Capture emergency contact details for safety and coordination purposes.

**Language and Communication Preferences**: Document language needs and communication preferences to ensure accessible service delivery for all voters.

The form is designed with a clean, professional appearance that builds trust with voters—essential when handling sensitive civic processes. Clear instructions, helpful descriptions, and a welcoming tone make the request process straightforward and reassuring.

#### Who This Template Is For

This template is ideal for:

 - **County election offices and boards of elections** providing accessible voter registration services
 - **Municipal clerks and town offices** coordinating voter registration assistance programs
 - **Civic organizations and advocacy groups** supporting voter access for people with disabilities
 - **Community outreach coordinators** managing mobile voter registration initiatives
 - **Public administrators** ensuring ADA compliance in election services

#### Streamline Curbside Assistance with Paperform

Paperform transforms this essential civic service from a manual, paper-heavy process into a smooth, automated workflow. The form's conditional logic can show or hide questions based on specific mobility needs, ensuring voters only answer relevant questions. You can embed the form directly on your election office website, share it via social media, or include it in email outreach to voters with known accessibility needs.

Every submission automatically creates a clear record with all necessary details, so staff arrive prepared with the right materials, accessibility accommodations, and timeline expectations. You can even set up automated email confirmations that remind voters of their appointment, what to bring, and how to contact the office if they need to reschedule.

#### Automate Workflows with Stepper

Take your curbside assistance program even further by connecting this form to [Stepper](https://stepper.io), Paperform's AI-native workflow automation platform. With Stepper, you can:

 - Automatically add appointments to staff calendars when requests are submitted
 - Send appointment reminders via SMS or email at configurable intervals
 - Route requests to different staff members based on location or availability
 - Update your voter registration database or CRM with appointment details
 - Generate daily schedules for mobile registration teams
 - Track completion rates and service delivery metrics

This level of automation ensures no request falls through the cracks while freeing election staff to focus on providing excellent in-person service rather than managing spreadsheets and manual follow-ups.

#### Professional, Accessible, and WCAG Compliant

Paperform's forms are built with accessibility in mind, meeting WCAG standards to ensure voters using screen readers, keyboard navigation, or other assistive technologies can complete your form independently. This commitment to digital accessibility mirrors the curbside service itself—ensuring everyone can participate fully in the democratic process.

The template is also fully customizable to match your election office's branding, add your seal or logo, and adjust language to reflect your local procedures and regulations. You maintain complete control over appointment availability, required documentation, and service delivery areas.

#### Secure, Compliant, and Trustworthy

When handling voter information, security and compliance are paramount. Paperform is **SOC 2 Type II compliant** and provides enterprise-grade security features including SSL encryption, data residency controls, and secure data handling practices. You can confidently collect sensitive voter information knowing it's protected to the highest standards.

All submissions are stored securely, with role-based access controls ensuring only authorized election staff can view voter assistance requests. This builds trust with your community while maintaining the integrity and confidentiality voters expect from their election office.

#### Start Serving Your Community Better Today

Whether you're a small town clerk's office or a large county board of elections, this **Curbside Voter Registration Assistance Request** template gives you a professional, accessible, and efficient way to ensure every eligible voter can register—regardless of mobility limitations.

With over 30,000 templates trusted by public agencies and civic organizations worldwide, Paperform makes it easy to modernize voter services while maintaining the personal touch and dignity that every voter deserves. Get started today and make voter registration truly accessible for your entire community.
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