Christina Hess designed, and Phebe Hemphill sculpted the designs of the commemorative silver dollar. The obverse image consists of three women wearing hats, including an African American woman. The women represent the decades that the movement spanned. The year of ratification of the 19th Amendment, "1920," is inscribed on the side of the African-American woman's hat. The reverse design features the coin's date, "2020," dropping into a voting box. On the side of the box is the inscription "VOTES FOR WOMEN."
Beth Zaiken designed, and Renata Gordon sculpted the obverse design. Women's and children's hands hold up a foundation stone. The stone bears the inscription "WOMEN'S SUFFRAGE CENTENNIAL." Gordon sculpted the reverse design as well. Created by Patricia Lucas-Morris, the image depicts the 19th Amendment's text on the American flag stripes. The date of ratification, "1920," is inscribed at the bottom of this face.