Union County, Ohio - UCATS Transportation Request Form

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UCATS Transportation Request Form

All transportation requests must be received in the UCATS office by 1 PM on a business day prior to the requested transportation.

A 24-hour notice is required for in-county trips and a 72-hour notice is required for out-of-county trip.

Check Box If New Client

If New Client You Must Submit New Rider Form

*Today's Date

*First Name

*Last Name

*Phone

*Address

*City

*State/Province

*Postal Code

*Date Of Appointment

*Address Of Destination

*Time Of Appointment

*Trip Type

One Way

Round Trip

*Birthday

Select All Applicable

Wheelchair

Cane

Walker

Oxygen

Email Address (optional)

*I have read the New Rider Information and Application Form

Confirm

Cancel