OFA Mini Bus Ride Request Form

ONLY REGISTERED OFA RIDERS MAY REQUEST A RIDE.

Please complete this form to request your ride. Inaccurate or missing information may delay the processing time. Please review your information before you submit it.

You may reserve your ride up to 7 calendar days before your ride or up to 3 PM the day before your ride.

If you are making multiple trips in one day, please submit this form for each trip.

Online ride requests must be received between 8 AM to 3 PM Monday - Friday. Requests received outside these hours or on major holidays will not be accepted.

* denotes required information.

What is your name?

Phone No.

At what address do you want to be picked up? (i.e. 1234 E Main St, Endwell, NY 13760)

What adddress are you traveling to?

What date do you want to travel? We only accept reservations up to 7 days in advance. If you are traveling for more than one day and are going to the same place, at the same time, leave all dates here. (i.e. May 6 - May 8, or May 6, 7, 8)

What time do you want to be picked up?

Do you have an appointment?

What time is your appointment? (if you have one)

Will you have an escort or guest riding with you to your destination?

Do you want a return ride?

What address or location do you want to be picked up for your return ride? (i.e. Town Square Mall, 123 Clarke St, Binghamton)

What time do you want to be picked up for your return ride?

Will you have a escort or guest riding with you during your return ride?

Is there any other information you would like to tell us about this ride?

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OFA Mini Bus Ride Request Form

ONLY REGISTERED OFA RIDERS MAY REQUEST A RIDE.

Online ride requests must be received between 8 AM to 3 PM Monday - Friday. Requests received outside these hours or on major holidays will not be accepted.

GREGORY KILMER COMMISSIONER

GREGORY KILMER
COMMISSIONER