Regional Transportation Authority 501 UNION STREET SIXTH FLOOR NASHVILLE TN 37219-1705 You’ll never be stranded at work when you rideshare. TO MAIL: DETACH FORM, FOLD IN HALF, SEAL WITH TAPE OR GLUE (DO NOT STAPLE) The Emergency Ride Home Program provides commuters who rideshare with a way home, when they cannot ride with their normal RTA vanpool, carpool, on the Relax & Ride buses or the Music City Star Commuter Rail. Emergency Ride Home Program Emergency Ride Home Program PLACE FIRST CLASS US POSTAGE STAMP HERE EMERGENCIES HAPPEN! What happens if ... ... I have to work late? ... My child gets sick? ... I get sick at work? What is Emergency Ride Home? This service provides commuters, who rideshare, with a way home when they cannot ride with their normal RTA vanpool, carpool, on the Relax & Ride buses or the Music City Star Commuter Rail. How Do I Participate in the Emergency Ride Home Program? • Register with the RTA as a member of a vanpool, carpool or a rider on the RTA Relax & Ride buses or the Music City Star Commuter Rail • Register with the ERH program • Share a ride to work with at least one other person on average of no less than three times each week, or 15 times each month • Be at least 18 years of age How Do I Join the Emergency Ride Home Program? If you meet the requirements above, complete the Emergency Ride Home application on this form and mail it to the RTA. When Can I Use My Emergency Ride Home Voucher? The Emergency Ride Home voucher is available for non-stop trips from your workplace to your residence or the location of your car in the following situations: • You or an immediate family member is sick or injured • A family, personal crisis or disaster occurs, such as a home fire or other major property damage • You are required by your employer to work unscheduled overtime after arriving at work • Your regular driver is unable to drive home Note: Emergency Ride Home vouchers may only be used in emergency situations and may not be used for appointments or overtime that are planned in advance or personal trips. How Do I Use My Emergency Ride Home Vouchers? Upon receiving your application for registration in the ERH program, RTA will mail you your vouchers. • You must have the voucher in order to use the ERH, so keep it in an easily accessible and safe place. Treat your vouchers like money. • Inform RTA (615-862-8833) if your vouchers have been lost or stolen. • The vouchers are registered in your name. You are the only person who can use them. • Giving your voucher to someone else may result in your termination from the program. If you live within 20 miles of your workplace, you will be issued a taxi voucher. • • • • Complete the voucher. Get your supervisor’s signature. Include the reason for using the service. Call the taxi company. Tell them you are part of RTA’s ERH program. Make arrangements for your pick up. • Give the taxi driver your voucher. • RTA’s agreement with the taxi company requires that the driver take you home or to your car at a Park & Ride lot. You must pay for any additional stops. If you live farther than 20 miles from your workplace, you will be provided a rental car. • • • • • • • • Complete the voucher. Get your supervisor’s signature. Include the reason for using the service. Contact the rental car company and follow the instructions you receive with your vouchers. The next day, drive the car back to the company where you rented it. You are responsible for the car until it is returned to the rental car company. An agent from the company will take you to work. If you need the ERH on a Friday you must return the car to the rental car company on Saturday or YOU will be responsible for the additional days. Use of the Emergency Ride Home is monitored, so if you use your voucher for anything but an APPROVED use, or if you give your voucher to someone else, your ERH privileges may be terminated. How Many Times Can I Use the Emergency Ride Home? As a registered Emergency Ride Home commuter, you are eligible to receive up to 8 vouchers per calendar year. You will receive vouchers after you have satisfactorily registered for the ERH program. Emergency Ride Home Application Many commuters opt not to rideshare because they are afraid they will be stranded at work in the case of an emergency. This dilemma can be solved with the Regional Transportation Authority’s (RTA) Emergency Ride Home (ERH) Program. YOUR INFORMATION NAME _________________________________________________________________________ HOME ADDRESS ________________________________________________________________ MAILING ADDRESS (IF DIFFERENT) _______________________________________________ CITY _____________________________________ STATE ________ ZIP ___________________ E-MAIL ADDRESS _______________________________________________________________ PHONE _______________________ COUNTY OF RESIDENCE_________________________ NORMAL WORK TIMES ____________________ NUMBER OF MILES TO WORK _________ DO YOU HAVE FLEXIBLE HOURS? ____________ DO YOU NEED RIDERS? ____________ YOUR EMPLOYER INFORMATION EMPLOYER NAME ______________________________________________________________ EMPLOYER ADDRESS ___________________________________________________________ WORK PHONE ___________________________ COUNTY _____________________________ SUPERVISOR NAME ___________________________ PHONE _________________________ RIDESHARE INFORMATION CHECK ONE: VANPOOL CARPOOL MUSIC CITY STAR COMMUTER RAIL R&R BUS #/NAME _____________________________________________ DRIVER’S NAME (VANPOOL/CARPOOL ONLY) ____________________________________ DRIVER’S WORK PHONE _____________________________________________________ BACK-UP DRIVER’S NAME____________________________________________________ BACK-UP DRIVER’S WORK PHONE ____________________________________________ Application cannot be processed unless ALL information is completed. I hereby attest that I share a ride to my work site at least three (3) days each week or fifteen (15) days each month with the person or persons named above. I further attest that I have read the policies and procedures of the Emergency Ride Home Program and agree with those policies and procedures. I hereby release the Regional Transportation Authority, its officers, board of directors, agents and employees from all liability, claims, suits, demands, or damages for personal injury, loss, theft, or damage to my personal property; loss of income, or consequential damages resulting from delays or absence of cab or rental car; or termination of the program. SIGNATURE__________________________________________ DATE _____________________ Application cannot be processed without signature.
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