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.
- Please make sure the form disappears and you receive a success message after you hit submit. Otherwise you did not fill in required information.
- Guests, Personal Care Attendants and Service Animals are permitted as long as they are riding with the paratransit client.
- 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
Name*
First NameLast Name
Today's Date*
MonthDayYear
Today's DateHourMinutesAM/PM Option
Booked by (if other than customer)
First NameLast Name
E-mail *
Confirm Email*
example@example.com
Phone number*
Area CodePhone Number
Trip Details
Date of Reservation(s)*
Enter the Date of your Reservation
Please indicate what type of trip you are reserving.*
One Way TripTwo Way or Round Trip (returning at some point, during the day, to your original pick-up location)Three or More Trips (three or more separate appointments requiring multiple separate pick ups)
Will you be using a mobility device*
Companions, personal care attendants and service animals are permitted as long as they are riding with the paratransit client. 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. Will anybody be riding with you?*
NoYes, a companionYes, my personal care attendantYes, a service animal
Trip Purpose*
Pick Up Details
Pick-up location type*
Business name (if applicable)
Pick-up Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Pick Up/Appointment Time *
:HourMinutesAM/PM Option
Details that will assist us in picking you up at this location:
Drop Off Details
Destination One
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:
Do you require another trip or destination?*
NoYes

Drop Off and/or Return Trip Details
Destination Two
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:
Do you require another trip or destination?
NoYes

Drop Off and/or Return Trip Details
Destination Three
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:
Drop Off and/or Return Trip Details
Destination Four
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:

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

Trip Details

Pick Up Details

Drop Off Details

Drop Off and/or Return Trip Details

Drop Off and/or Return Trip Details

Drop Off and/or Return Trip Details

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