WHEELS ON THE GO Fill out the form below and attach your digital receipt to apply for reimbursement. Name* Email* Where did you go (Name and address of the establishment)?* When did you go (Day of week and time of day)?* Was there adequate parking for the disabled?*yesno Was the parking wheelchair friendly?*yesno Was there a ramp?*yesno If there was a ramp, was it wide enough?yesno Was the entrance wheelchair friendly (was the doorway wide enough, was there an automatic opener for the disabled)?*yesno Were you received well by the staff?*yesno Was the facility accommodating (restrooms, countertops, buffet counters, drink stations, etc.)?*yesno Would you recommend the establishment to other PVACF members?*yesno Upload your receipt. Please select file.SubmitReset