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Guaranteed Ride Home Reimbursement

Guaranteed Ride Home Reimbursement

Please fill out the form below and we will get back to you as soon as we can.
 

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.

Name *
Date of Ride *
E-mail *
Daytime Phone *
Employer or College Name *
Employer or College Address *
Supervisor/ETC Contact Name *
Supervisor/ETC Email Address *
Supervisor/ETC Phone Number *
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) *
*
Starting/Pick-Up Address: *
Destination/Drop-Off Address: *
Service used to get home *
*
TOTAL COST (minus any tips) *
Upload Receipts (max size 5MB) *
How you got to work or school the day you used GRH
Check All That Apply *
*
If you are a Kitsap Transit / Washington State Ferries Commuter with a pass on your ORCA card, please provide your ORCA card number for verification: *
How would you like your reimbursement? *
*
*
Type your name as an electronic signature: *
 

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Offices

60 Washington Avenue, Suite 200, Bremerton, WA 98337 Visit our office Phone: (360) 373-2877 or 1-800-501-RIDE