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Accessible Transit Registration Form


Please complete all fields in the registration form. Note that you must also ask your healthcare provider to complete the medical assessment form and return it to Community Reach.

Applicant Information

Emergency Contact Information

Contact #1
Contact #2

Additional Questions

If using a wheelchair, please enter the following:

Will you need or use any of the following while travelling?

If you will only need to service temporarily (maximum of one year), please choose an expected end date:

Please read and accept the following:

TLC Rider Agreement

This service is provided by trained, insured staff and volunteer drivers donating their time & vehicle.

To Schedule a Ride – I understand that:

  • All rides and stops must be requested at least 4(four) business days in advance. No unscheduled stops are allowed. All stops must be requested prior to the date of the ride. Riders may request a maximum of 2 nonmedical rides per week. Consideration will be given for emergency requests and driver availability.
  • Riders will provide location, reason and expected duration of appointment with all ride requests. For medical appointments, the health professional’s contact information must be provided.
  • If a rider needs to bring someone with them, they must request this when scheduling the ride. A passenger must be approved, and TLC reserves the right to deny the request.
  • There may be other riders sharing the ride for program efficiency.
  • Riders must be ready 15 minutes prior to scheduled pick-up time. Note: Be prepared to wait up to 15 minutes in the event of weather or traffic delays.
  • Riders are responsible for fees of rides that are not covered by ODSP or OW, as well as for nonmedical rides. Riders are also responsible for PARKING FEES incurred during the ride. Please be prepared to cover this cost at the time of the ride.
  • The driver’s cell phone is to be used only to cancel or change ride information before early morning rides or to communicate when at ride location. All other calls are to be directed to the transportation office staff.
  • Attempts to confirm your ride will be made by both transportation staff and in certain circumstances the driver may be in contact with you the evening before your ride to confirm the agreed upon times and locations for pick-ups. If confirmation cannot be made the ride will be considered cancelled.

For more information about the Accessible Transportation Service, please click here.

Registration Terms and Conditions

Please read and agree to the following:

  • I hereby certify that to the best of my knowledgeꓹ the information entered above is correct.
  • I authorize my health care professional to provide information to Community Reach.
  • I authorize Community Reach to release information to Accessible Transit staff for the purpose of improving service and safety.
  • I understand that if new information is received regarding a change in my functional abilityꓹ my eligibility may be reviewed.