Guaranteed Ride Home Form: UChicago Facilities Services

The University of Chicago: Facilities Services

Transportation & Parking Services: Alternatives to Driving

GUARANTEED RIDE HOME: REGISTRATION FORM

Fill out and submit this form online, or print these pages, fill them out, and submit in person to the Transportation & Parking Office or fax to 773-834-5913.

Contact Information

Name:

Work Address:

Home Address:

City:

State:

Zip Code:

Work Phone:

Home Phone:

Cell Phone:

Email Address:

How You Currently Get to Campus

As a participant in the Guaranteed Ride Home Program, I agree to use alternative modes of transportation to get to and from campus. These include carpool, vanpool, walk, bike, or take transit. I understand that I cannot be a registered parking permit holder and hereby register with the Guaranteed Ride Home Program. CTA, Metra & South Shore users must be enrolled in the QTP Program to be eligible. Carpool users must be a registered carpooler to be eligible.

Please check your mode of transportation to campus:

	Carpool/Vanpool
	Bike
	Walk
	South Shore
	CTA	Route:
	Metra	Route:
	Campus Transit	Route:
	Other (please detail):

Where You Would Need to be Taken

Please provide names and addresses of locations that you would need transportation to in case of an emergency (home, child's school/caretaker, physician, etc.):

Location 1 Type:

Address:

City:

State: Zip Code:

Location 2 Type:

Address:

City:

State: Zip Code:

Location 3 Type:

Address:

City:

State: Zip Code:

Notification of enrollment into the Guaranteed Ride Home Program
will be provided within 5 business days.