Schedule a Ride

This form for EXISTING customers ONLY. New customer, please contact us to verify your eligibility Schedule a Ride: (719) 644-6005 or click on Schedule a Ride 24/7 Also, you can download this form, fill it out and fax it to (719) 888-2929

Schedule a Ride Online: Trip Information

Home/Pick-up Address
Destination Address

Agreement and Signature

I certify that the information provided is accurate to the best of my knowledge. If Transit To Care does not receive required documentation, if applicable, within one business day of the initial request date, the request will be denied. DENIED REQUESTS CAN ALWAYS BE RESUBMITTED WITH THE REQUIRED DOCUMENTATION.