Wychavon Polling Places and Districts Review feedback form

Wychavon Polling Places and Districts Review feedback form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

Town/village/hamletCounty

Post code
Email
example@example.com
Please choose from the list below the role you are responding in.*

VoterCounty councillorDistrict councillorTown/parish councillorDisability organisationOther
Please state the name of the polling station you are commenting on.*
Is the polling station easy to find?*

YesNo
Do you consider the building suitable for voting purposes? Please consider car parking provision, lighting, disabled access, security and location when giving your feedback.*

YesNo
Please explain why you do not believe the building is suitable for voting purposes.
Do you have a disability?*

YesNo
Please provide us with information about your disability and any difficulties you have had or believe you may face using this polling station?
Please give us any other views you have on this polling station or about the use of polling stations and polling districts in general.
Do you have a suggestion for an alternative building we could use as a polling station?*

YesNo
Please provide details of the alternative polling station you would like to suggest.
Important information

Please be aware before you submit your response that your feedback, and any other correspondence you have with us, must be published publicy by law as part of the review. Your name, address and other personal information will be removed before we do this.

Your personal information will only be used by the elections team in connection with your feedback to the review and not for any other purpose. Your personal information will not be shared with other departments within the council or partner organisations outside of the council.

Please read our Electoral Services Privacy Notice for more information.
Declaration*

I understand by making a submission my feedback will be publicly published without my personal data. I consent to my personal data being processed in the ways described above.
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Wychavon Polling Places and Districts Review feedback form

Important information