| Is this a correction on an existing listing?
|
| Contact
Information |
Agency Name |
|
Contact Person |
|
Contact's Phone
Number |
|
Contact's E-Mail Address |
|
| Scheduling
Information |
Please list your means
for scheduling service (i.e., phone, website, in-person).
Please include website information, telephone number,
or location. |
|
| Eligibility
Criteria |
Please list eligibility
criteria (i.e., seniors, disabled, low income, veteran).
If your agency has other eligibility criteria, please
specify.
|
|
| Service
Area |
For which city(ies)/county(ies)
does your agency provide service?
|
|
| Wheelchair
Accessible Vehicles |
Do you have wheelchair-accessible
vehicles?
|
|
| Other
Features |
|
|
|
| Liability
Waiver and Release |
| The information you submit will
be displayed on this UDOT website
for public access. To do this we need your approval. Please
sign the
liability waiver and release statement below. This will
permit UDOT to publicly display the information that you
provide about your agency’s transportation program.
Acting as an authorized agent of the agency for which
I submitted information, I hereby release the State
of Utah, UDOT and their employees and authorized agents
from all liability with respect to use on UDOT’s
website and in printed material of the information displayed
in the above table.
|
|
| *Please note that all submissions
are subject to approval before being posted on the website. |
