2. 

3. Do you commute to Camp Murray or JBLM? Complete this form for assistance joining a vanpool or carpool. Are you a DoD employee? We can also help you apply for your monthly vanpool subsidy. GO Lewis-McChord staff will contact you in a few days. Click here to learn more about the Go Lewis-McChord program.

5. First Name*
7. Last Name*
9. Work Email Address*
11. Contact Phone Number *
13. What is your employment type?*
    -- Select One --MilitaryCivilian NAFOther
15. Which days of the week do you work?

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
17. I work at*

    1. Camp Murray
    2. Lewis Main
    3. Lewis North
    4. Logistics Readiness Center
    5. Madigan
    6. McChord Field
    7. Other
19. If other, please specify.
21. JBLM Building Number*
23. Home City
25. Home ZIP Code*
27. PT or Work Start Time
    -- Select One --12:00 am12:30 am 1:00 am 1:30 am 2:00 am 2:30 am 3:00 am 3:30 am 4:00 am 4:30 am 5:00 am 5:30 am6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 9:30 am 10:00 am 10:30 am 11:00 am11:30 am 12:00 pm12:30 pm1:30 pm 2:00 pm 2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm 5:00 pm5:30 pm 6:00 pm 6:30 pm7:00 pm7:30 pm 8:00 pm 8:30 pm 9:00 pm 9:30 pm10:00 pm10:30 pm11:00 pm11:30 pm
29. Work End Time
    -- Select One --12:00 am 12:30 am1:00 am 1:30 am 2:00 am 2:30 am 3:00 am 3:30 am 4:00 am4:30 am 5:00 am 5:30 am 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 9:30 am 10:00 am 10:30 am11:00 am 11:30 am 12:00 pm 12:30 pm1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm 3:30 pm 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm 9:00 pm 9:30 pm 10:00 pm 10:30 pm 11:00 pm 11:30 pm
31. My hours are flexible

    1. Not Flexible
    2. 30 minutes flexible
    3. 60 minutes flexible
    4. Open to hearing the options
33. Please share anything we need to know about your commute preferences such as a non-standard work schedule, preferred carpool/vanpool meet-up locations (park & ride) or drive/ride only.
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field