Dial-A-Ride-Reservations - Dial-A-Ride

Dial-A-Ride Reservation Form

This form is only reviewed between the hours of 8:00 a.m. and 4:45 p.m., Monday through Friday, when BFT representatives are available. Reservations submitted outside of those hours will not be booked until the next regular work day.

To view this page in Spanish or another language, please choose your language at the top of the page, where it says "Select Language."

The form is for certified, eligible Dial-A-Ride customers ONLY.

No group rides are allowed. Please call 509-735-0160 for group reservations.

Fields marked with * are required.

First Name *

Last Name *

Phone Number *

Email *

Pick-Up Address

Pick-Up Street Address *

Suite/Apt #

Pick-Up City *

Pick-Up Facility Name

Drop-Off Address

Drop-Off Street Address *

Suite/Apt #

Drop-Off City *

Drop-Off Facility Name

Date/Time

Appointment Date *

Pick-Up Time Options *

Time *

AM/PM *

Return Needed *

Yes
No

If yes, return time

AM/PM

Equipment/Mobility Aid Used

Yes
No

If yes, what type of mobility aid?

Will a caregiver be accompanying the rider on the trip?

Yes
No

Comments/Questions