Your employer must have an agreement with Pierce Transit to use Emergency Ride Home. Reimbursement for UBER or LYFT can only be made if a new Emergency Ride Home (ERH) agreement from 2017 has been signed.

Reimbursements will be mailed to the employee directly within 30 days of receiving the Reimbursement Form.

Click the link to fill out the online agreement.

Emergency Ride Home Reimbursement Request

Today's Date*

Reimburse: Full Name *

Reimburse: (Home/Work) Address*

Reimburse: City, State, and Zip Code*

Trip Date*

Commuter: Full Name*

Commuter: Email Address or phone number

Commuter: Employer Name*

Reason Trip Requested*

Check the commute option used the day of ERH*

Carpool Vanpool Sounder Train Walk

Bike Bus Walk-On Ferry Bike-On Ferry

Pickup Address (Street, City, State, Zip Code)? *

Intermediate Stop and Address if Needed: (If none write in N/A, otherwise indicate if it's a school, pharmacy, daycare, ATM, etc)

As Program Coordinator, I certify that I approved this Emergency Ride Home and all information submitted is true.*

I agree

Employee Transportation Coordinator (ETC) Name*

Mileage *

FARE AMOUNT ONLY (Not gratuity) *

Upload Receipt (pdf. png, jpg, doc)*

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

For Ride Together Pierce Official Use Only

Approved to Pay: Pierce Transit Authorized Signature

Account: 1132467421-64160