Forms

Transportation: Need a Ride?

Need a ride? When you see the red bus, you'll know it's us.

We provide transportation services within West Michigan, including Kent, Barry, and Ottawa counties.

This form is just an inquiry; it does not establish a ride appointment.

To provide you with your transportation options, please provide the following:
Passenger's Name*
First Last
Passenger's Home Address*
Must be within Kent, Barry, or Ottawa county.

Street Address City State ZIP Code
Contact Phone Number*
Contact Email Address
Age of Passenger
Please enter a number from 0 to 120.
Does the passenger have a disability?*
- Yes
- No
Township or City of Passenger's Residence
Where does the passenger hope to travel?
What time of day?*
HH:MM AM/PM
Is there an appointment?*
- Yes
- No
What is the purpose of the trip(s)?*
Who will be paying for the trip(s)?*
How soon are transportation services needed?*
MM/DD/YY
Anything else that you would like us to know?

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Before submitting the “Need Help?” online form below, know that the Talk With Us form is not monitored around the clock, and will not produce an immediate response. If you or a loved one have an urgent need, require immediate assistance, or need emergency care, call 911.

West Michigan One Hope Network Center 616.301.8000

East Michigan Hope Network-East Administration Office 248.338.7458

NEED HELP?

Complete our online form and we will get back to you within two business days.

If you need immediate care, call 911.

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