508 Howard Street, Waverly, Ohio 45690
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Compliments, Suggestions, complaints, Resonable Modification & ada information
The Community Action Transit System is committed to providing you with safe and reliable transportation services and we want your feedback. Please use this form for suggestions, compliments and complaints. You may also call us at 740-835-8474, visit our transit facility at 508 Howard Street, Waverly, Ohio, or contact us by email at
dpeterson@pikecac.org
or by U.S. postal mail to David Peterson, ADA Coordinator, Community Action Transit System, 508 Howard Street, Waverly, Ohio 45690. Please make sure to provide us with your contact information in order to receive a response.
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Indicates required field
Type of request (Please choose one)
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Compliment
Suggestion
Complaint
Reasonable Modification
Other
ADA Related
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Please choose one*
No
Yes
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Accessible Format Requirements
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Large Print
TDD
Audio Tape
Other
TDD/Relay
Date of Incident
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Time of Incident
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Name of Employee or Others Involved
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Vehicle #/Route Name
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Location of Incident
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Mobility Aid used (if any)
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Description of Incident
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May we contact you if we need more information?
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Please choose one*
No
Yes
What is the best way to reach you?
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Please choose one*
Phone
Email
Mail
If phone call is preferred what is the best time of day to reach you?
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