GRH Reimbursement Submission Form

Please fill out the form below to receive reimbursement for your GRH trip.

If you are unable to fill this form out online, please contact the Commute Trip Reduction Administrator at 360.824.4948 or by email at: LindsayK@KitsapTransit.com.

Are you a registered Smart Commuter?*

You must be a registered Smart Commuter or have commuted in a Kitsap Transit Vanpool or on a Kitsap Transit Worker/Driver bus, on the day an emergency trip home is used. This is a requirement in order receive reimbursement. Click here to register as a Smart Commuter.

Registered Smart Commuter

Ride a Kitsap Transit Worker/Driver Bus

In a Kitsap Transit Vanpool

I am:*

A Qualified Employee (see above)

A College Student in Kitsap County

First Name*

Last Name*

Date of Ride*

Email*

Daytime Phone*

Phone

Employer*

Select

Other*

College Name*

Supervisor/ETC Contact Name*

For verification purposes

Supervisor/ETC Email*

Supervisor/ETC Phone*

Phone

Student ID Number*

By providing my student ID number, I authorize Kitsap Transit to contact the college that I have indicated, to verify my enrollment status.

Reason for Guaranteed Ride Home (GRH)*

Personal Illness/Crisis

Family Member Illness/Crisis

Carpool/Vanpool Problem

Unscheduled Overtime

Other: (Please Explain)

Other*

Please explain.

Starting/Pick-Up Address: *

Destination/Drop-Off Address:*

Service used to get home*

Taxi

Uber

Lyft

Other: (Please Explain)

Other Service

TOTAL COST (minus any tip/gratuity)*

Upload Receipt*

This can be a screenshot, as long as it has your name and details.

Drag and drop files here or

How you got to work or school the day you used GRH*

Bus

Carpool

Ferry (walk-on)

Kitsap Transit Vanpool (most transit agencies with Vanpool, have their own GRH program)

Bike

Walk

Other (Please Explain)

Other mode*

How would you like your reimbursement?*

Select

Mailing Address*

Pickup Info

Pick up hours are 8am-4pm, M-F.

Location: 60 Washington Ave, Suite 200, Bremerton 98337

(reception desk, 2nd floor of Harborside building)

We will email you once the check is ready for pick up.

Click to view the full Guaranteed Ride Home Program Rules

I Agree*

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