Access Shuttle Recurring Ride Request Form

Access Shuttle Recurring Ride Request Form

The Access Shuttle provides free on campus transportation for faculty, staff, and students with conditions that impact mobility. The Access Shuttle operates Monday-Friday 7:30am-5:30pm.

The Access Shuttle is a shared ride service, and as such, your first choice for pick up time may not be available. Please monitor your university email for confirmation of your requested pick up time.

For questions or assistance with this form,

call the shuttle team at 541-525-8677, or email at shuttle@uoregon.edu.

UO ID (95#)*

Rider Name*

Email*

Phone Number*

Phone

Adaptive Equipment Used

Type in your equipment if not included in the dropdown.

Select or enter value

Notes specific to your access needs:

Weekly recurring ride start date*

This is the first date in the first week in which you will want this ride scheduled.

Weekly recurring ride end date*

This is the last date in the last week in which you will want this ride scheduled.

Recurring days each week*

Select all days that apply to the exact pickup and drop off locations and times listed below.

1st Ride

Pickup Time*

Pickup Location*

Select or enter value

Drop Off Location*

Select or enter value

Time you need to arrive at location*

2nd Ride

Pickup Time

Pickup Location*

Select or enter value

Drop Off Location*

Select or enter value

Time you need to arrive at location*

3rd Ride

Pickup Time

Pickup Location*

Select or enter value

Drop Off Location*

Select or enter value

Time you need to arrive at location*

4th Ride

Pickup Time

Pickup Location*

Select or enter value

Drop Off Location*

Select or enter value

Time you need to arrive at location*

If additional rides are not needed for this recurring weekly request, skip to Submit.

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