Upload an acceptable form of identification
Upload proof of residency
Please provide a name and telephone number of a contact person in the event of an emergency.
Please answer the following questions - your specific answers to the questions will familiarize us with your individual needs.
Age and Disability verification
Applicants between the ages of 18-54 must provide proof of disability. Select the proof of disability you will provide:
Upload a scan of your Medicare card in jpg format
Upload a scan of your receipt in pdf or jpg format
Upload a scan of your RTC card in jpg format
Upload a scan of your certification with East Bay Paratransit in pdf format
The link above will open in a new window and allow you to print the Authorization for Use or Disclosure of Patient Health Information form. This form authorizes R-Transit to obtain information from your physician regarding your disability. Once completed and signed, you will scan the form below.
Upload your signed form in pdf format
The link above will open in a new window and allow you to print the Disability Verification form. This form must be filled out by your healthcare provider. You may upload the completed and stamped form below.
Upload the completed and stamped form in pdf format
The City of Richmond has contracted with Lyft to provide on demand transportation service for registered R-Transit clients. The R-Transit program’s newest addition, RAPID, will offer R-Transit clients a subsidy to use Lyft. Lyft is a ridesharing application that connects people with a nearby driver and transports them to their destination. Lyft is not a replacement for an ambulance, and should not be used as a means of emergency transport.
Lyft is best suited for those comfortable with boarding vehicles (including SUVs and vans) without driver assistance. Due to the nature of Lyft, drivers are not required to assist passengers in and out of the vehicle, assist with personal belongings, or walk passengers to their destination. Lyft’s policy is that passengers who use wheelchairs that can safely and securely fit in the car’s trunk or backseat without obstruction the driver’s view will be accommodated by the Lyft driver. R-Transit clients who are able to fold and store their wheelchair on board without the assistance of drivers and able to transfer in and out of the vehicle independently or with the assistance of an accompanying assistance can use Lyft.
To use the RAPID, R-Transit clients will need a smart phone, and a credit/debit card. RAPID will allow R-Transit clients to receive a subsidy to use Lyft for a maximum of forty (40) one way trips per month. R-Transit clients will pay $3.00 for each one-way trip within the service area and the City of Richmond will cover the remaining fare up to $17.00 per one-way trip. If the total cost of the trip exceeds $20.00, the client will be responsible for the overage. R-Transit’s service area includes: Richmond, El Cerrito, North Richmond, Kensington, El Sobrante, San Pablo, and Pinole. RAPID will also expand service to and from the Regional Contra Costa Medical Center and Veterans Hospital in Martinez, CA.
The link above will open in a new window and allow you to print the waiver of liability form. This form must be on file with R-Transit to use RAPID. Once you submit this application, please allow up to 10 business days for processing.
Upload the registration form here. The registration form is the first page of the Waiver of Liability form.
Upload the waiver of liability form here (page 2 of the Waiver of Liability form)
By checking the box and typing my name below, I am electronically signing my application. I understand all information will be kept confidential and only the information require to provide the services will be disclosed to those who perform the service.
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