Text Size:a a a a a a

Item I
Item II
Item III
Other

Home
Find Rides
Provide
Rides
INFO
Providers
About

Join our growing network of partners.

Provide Rides

Join our growing network of partners.

Provide Rides

Individuals
Agencies

Individuals

Thank you for your interest in serving your community by providing rides to older adults (60+) and adults with disabilities. You will be contacted by an agency representative on next steps including the application process.

Contact Name :
Contact Phone :
Contact Email : *
Coverage Area for your service (Please provide Zip Codes) :*

Agencies

Does your organization provide transportation to older adults and adults with disabilities? Would you like your services listed on our transportation website? Please start by filling out the form below.

Organization Name : *
Description :
Organization Type :
Customer Service/ Reservations Phone :
When are reservations accepted? Please list days of the week and times of day:
When do you provide transportation services (service hours) :
Days :
TDD/TYY Phone :
Customer Assistance Email :
Website URL :
Street Address :
City :
State :
Zip Code :
Contact Name and Title :
Contact Phone :
Contact Email : *
Who are your passengers? (check all that apply) : Elderly peoplePeople with disabilitiesSchool age childrenChildren under age 5TANF/Low-income peopleGeneral PublicMedicare ClientsEmployees Traveling to work or job-related activities
Other :
How do you determine passenger eligibility? (check all that apply) : We do not have an eligibility screening processWe require prospective customers to complete an applicationWe require prospective customers to receive a referral from a medical professional or other sourceWe require an interview or evaluation with the prospective customer/passengerWe only provide rides to participants in the our program(s)We only provide rides to residents at our living facilityWe only provide rides based on religious affiliation
Other :
Specify which of the following potential trip request/special needs you can accommodate? (check that all apply) : I need to travel with a personal care attendantI need to travel with a service animalI need to travel with a walkerI need to travel with a wheelchairI need to travel with a scooterI need assistance with my bags/packagesI need to make stops in routeI need to travel with portable oxygenI need assistance getting on/off vehicle
What type of destinations do your passengers travel to? (check all that apply) :Employment (work site or training)Medical (doctor, hospital/clinic, pharmacy, excluding dialysis)RecreationShopping/Personal services(mall groceries, bank, beauty salon, etc.)ReligiousEducation (School or college)Dialysis CenterAdult Day CareChild Day CareNutrition Center
Other :
What type of service do you provide? (check all that apply) : Demand Responsive (reservation only)Subscription Trips (reservation not needed if passenger makes the same trip on a specific schedule)Fixed route (no reservation, passenger waits at the stop until schedule service)Charter TripsModified or deviated fixed route (primary fixed route but passenger can make reservation for pick-up/drop-off in close proximity to route)
Other :
If passenger needs to make a reservation, how far in advance do they need to book such a trip? :
How do passengers make trip reservations? (check all that apply) : Via TelephoneVia WebsiteVia EmailNo reservations are required
Other :
Do you have a trip cancellation policy? If Yes, please specify :
Are your vehicles equipped with two way radios or communication services? :
Do customers have to share their rides with other passengers? :
Do your vehicles connect with other transit services? (check all that apply) :Santa Rosa CityBusSonoma Country TransitPetaluma TransitHealdsburg TransitMendocino Transit AuthorityVolunteer WheelsSanta Rosa ParatransitPetaluma Paratransit
Which of the following services are your drivers able to provide? (check all that apply) : Curb to curb (pick-up and drop-off at curb)Door to door (driver walks passenger to/from outside of building)Door through door(driver walk with passenger in/out of building)The driver waits to be sure the passenger is inside his/her destination before departingThe driver waits to be sure the caregiver is outside the building with passenger before departing
Other :
Coverage Area for your service* (Please select atleast one) : * Area 1 - Northwest County - Annapolis, Sea Ranch, Stewarts PointArea 2 - Cloverdale, Geyserville, Healdsburg, Windsor, FultonArea 3 - West County - Cazadero, Rio Nido, Guerneville, Forestville, Monte Rio, Jenner, Duncan Mills, Graton, Occidental, Freestone, Sebastopol, Valley Ford, Bodega, Bloomfield, Bodega BayArea 4 - Rohnert Park, Cotati, PenngroveArea 5 - Kenwood, Glen Ellen, Boyes Hot Springs, El Verano, Sonoma, Schellville, Sears PointArea 6 - Santa RosaArea 7 - Petaluma
Do your customers/passengers pay a fare? : No - all of our trips are free for the passengerYes
Price per one-way trip :
Price per round trip :
Price per mile :
Price per zone :
Other (if the fares vary, please specify) :
Is exact fare required? :
Do you have suggested donations? Or fare policy? if YES, Please explain below :
How are you paid for each trip? (check all that apply) : Passenger pays driver with cash or credit cardPassenger gives driver a voucher or other non-cash form of paymentWe submit an invoice to a third party for payment
Other :

Home About Us Find Rides Providers How You Can Help Senior Resource Guide

Copyright @ Sonoma County Access. All rights reserved. Site designed by Planeteria Web Design.