RTA Emergency Ride Home Application
Home RTA Emergency Ride Home Application
If you qualify and would like to apply for the Emergency Ride Home service, complete and submit the following
application form online. You may also print out and complete the application and fax it to (615) 880-3297 or mail it to the
RTA office. If you are unsure whether you qualify, please refer to the Policies & Procedures.
What is your normal work schedule?
If you work another shift, tell us the hours
Choosing the Express Bus Route option will disable fellow riders fields below. Proceed to the "Additional comments/questions" area.
Name(s) of people with whom you regularly rideshare:
I hearby attest that I share a ride to my worksite at least three (3) days a week or fifteen (15) days each month with the person or persons named above. I further attest that I have read the policies and procedures of the Emergency Ride Home service and agree to comply with those policies and procedures. I hearby release the Regional Transportation Authority, its officers, board of directors, agents and employees from all liability, claims, suits, demands or damages for personal injury, loss, theft or damage to my personal property; loss of income; or consequential damages resulting from delays or absence of cab or rental car; or termination of the program.
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