Applicant information
Date of Birthrequired
Day phonerequired
Alternate phone
Do you use mobility aid(s)? required
Choose up to three
Home address
Mailing address same as home address?
Emergency contact Information
Emergency phonerequired

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Are You Eligible for Access-a-Ride?

To travel on Access-a-Ride, you must meet one of the following criteria:

  • Be unable to get to and from a bus stop or on and off a lift-equipped bus by yourself
  • Have a cognitive disability that prohibits your understanding of how to complete bus trips