Subscription Request - Darts Transit

Clients who have had any change in contact information, emergency contact information, mobility device or support needs on board or at destinations since the time of last travel will need to contact Accessible Transportation Services at 905-529-1212 to ensure this information is updated in their profile.

Fields marked with a ( * ) are Required.

CLIENT INFORMATION

Request Date

Requestor Email

Passenger Number *

Passenger Name *

Requestor Name *

Requestor Phone *

I would like to:

Create New Subscription or Modify An Existing One

Delete An Existing Subscription

Put An Existing Subscription On Hold

NEW SUBSCRIPTION

This is a modification.

From Address *

To Address or Location Name *

Phone Number

Start Date *

Seat Code

Trip Type

Companion/PCA

Select weekdays and times to include in your subscription

Week Day

Pickup Time *

Appmt Time

Return Time *

Comments (255 chars left):

Fare Type:

Send me a notification email with my request

If you have more than one subscription on the same day and you would like to modify all or some of them, send a different request for each.