CAT Mobility Reservation Request Form

CAT Mobility Reservation Request Form
CAT is pleased to offer you another new and convenient option to make reservations for our paratransit service outside our standard 8 a.m.-4 p.m. phone reservation hours. (Your online request must be received by 4 p.m. for a next-day reservation.)
Please note the following:
- You must already be certified in our Paratransit Program (CAT Mobility) in order to book your trip using email.
- You can submit your reservations online 1-7 days in advance of your trip. If you submit a request more than seven days out, we will be unable to schedule it.
- You will receive a response immediately indicating receipt of your reservation request. A separate trip confirmation will be sent via email and made by phone once the schedule is completed.
- CAT is not responsible for submissions that are delayed due to outages within the internet or other system failures.
- All fields marked with an “*” must be completed for your trip request to be successfully submitted. (Please make sure the form disappears and you receive a success message after you hit submit. Otherwise you did not fill in required information.)
- We are currently not allowing CAT Mobility customers to have companions during their trip due to the Covid-19 pandemic, but Personal Care Attendants and service animals are still permitted.
- If you have any questions about our email trip reservation option and/or would like more information or apply for our paratransit service, please call (912) 236-5767
Fields marked with an * are required
Please define the number of trips you wish to take during the day you are reserving for. A one-way trip would be 1 and a round-trip would be 2. If you are going to two different appointments requiring three different pick ups, you would enter 3. enter number of trips here
Please indicate whether this is a round-trip. In other words, will you be returning at some point during the day to your original pick-up location? (If so, the minimum number of legs indicated above must be 2). Returning to original pick-up location? (Round-trip) *
Name*
First NameLast Name
Booked by (if other than customer)
First NameLast Name
Date of this trip*
MonthDayYear
Date
E-mail *
Confirm Email*
example@example.com
Phone number*
Area CodePhone Number
Will you be using a mobility device*
Will anybody be riding with you? (Companions are currently not allowed due to the pandemic, but personal care attendants and service animals are permitted.)*
You must be pre-certified to have a personal certified assistant ride with you. If you are not pre-certified, anyone riding with you will be charged a fare and listed as a companion.
Trip Purpose*
Pick-up location type*
Business name (if applicable)
Pick-up Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Drop-off/appointment time *
:HourMinutesAM/PM Option
Details that will assist us in picking you up at this location:
Destination #1 location type*
Business name (if applicable)
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Pick-up Time
:HourMinutesAM/PM Option
Details that will assist us in picking you up at this location:
Destination #2 location type
Business name (if applicable)
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Pick-up Time
:HourMinutesAM/PM Option
Details that will assist us in picking you up at this location:
Destination #3 location type
Business name (if applicable)
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Pick-up Time
:HourMinutesAM/PM Option
Details that will assist us in picking you up at this location:
Destination #4 location type
Business name (if applicable)
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Pick-up Time
:HourMinutesAM/PM Option
Details that will assist us in picking you up at this location:
Comments: Please provide any additional comments regarding your trip that will assist us in successfully booking and scheduling your trip request:
Should be Empty:

CAT Mobility Reservation Request Form

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