County of Orange
2025 Club Rideshare Membership
Renewal Form

Thank you for participating in the County of Orange Rideshare program! Club Rideshare recognizes County and Superior Court employees who have committed to rideshare (including telecommuting) at least five days per month on an ongoing basis. For doing so, employees are rewarded with:

Annual $15 “Commute Cash” bonus (a one‐time annual incentive processed through payroll)
Guaranteed/Emergency ride home (two rides per fiscal year, 7/1 - 6/30)
Eligibility for monthly drawing (three winners per month)
Monthly newsletter
Commuter alerts and special/exclusive discounts

Please complete the following information, if you would like a printable version of this form please email rideshare@ocgov.com.

First Name

Middle Initial

Last Name

Employee ID

How do you usually travel to work?

Home Address

Unit/Apt Number

Home City

Home Zip Code

Department

Agency

Email Address

Work Phone

Work Address

Work City

Work Zip Code

Would you like to renew your Club Rideshare Membership?

By selecting "Yes I would like to renew my membership" in the County of Orange Club Rideshare Program for this year, you confirm that you participate in a rideshare mode (carpool, vanpool, EV/PHEV, bus, train, walk, bicycle or telecommute) at least five days each month.

I acknowledge that participation in the Club Rideshare Program is voluntary, and the above information is true and correct. The County of Orange has no responsibility or liability for any claims, expenses or damages resulting from any individual’s participation in a rideshare mode or Guaranteed Ride Home. Incentives are reported as income and appear on payroll.

If you have any questions about the Club Rideshare Program, you can add them below, email rideshare@ocgov.com, or call (714) 834‐7600.

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County of Orange2025 Club Rideshare Membership﻿Renewal Form

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County of Orange
2025 Club Rideshare Membership
Renewal Form