Mercer and Ocean
(609) 452-1491
  
Emergency Ride Home Registration

Eligibility

The Emergency Ride Home program is a benefit offered to carpoolers, vanpoolers, bicyclists and mass transit users registered in GMTMA's Ridesharing program. Commuters must participate in an alternative commute method at least once a week to be eligible.
Agreement
Agreement:*
Checking this box means I have read and agree to everything above. Checking this box is equivalent to your signature.
My Contact Information
First name:*
Last name:*
Address:*
City:*
State:*
Zip code:*
Home Phone:*
Email:*
Employer Information
Employer:*
Work Phone:*
Address:*
City:*
State:*
Zip code:*
Work Schedule:*
(Note: Those who drive alone every day will not qualify for this program.)
How do you get to work? Check all that apply:
Drive alone
Carpool
Vanpool
Take bus or train
Get dropped off
Walk or bike
Carpool or Vanpool Partners
If you belong to a carpool or vanpool, please enter the names of the other members of your carpool or vanpool in the box below.
Members:
Commuter Participation Agreement
The Undersigned Agrees to the following:
  1. I have carefully reviewed and understand the Program Rules of the Emergency Ride Home (ERH) program.
  2. I hereby certify that I am currently using the above method(s) of getting to work.
  3. I hereby release Greater Mercer TMA from any liability.
Participation Signature:*
Checking this box is equivalent to your signature.