Your employer must have an agreement with Pierce Transit to use Emergency Ride Home. Reimbursement for UBER or LYFT can only be made if a new Emergency Ride Home (ERH) agreement from 2017 has been signed.

Reimbursements will be mailed to the employee directly within a couple weeks of receiving the Reimbursement Form.

Click the link to fill out the online agreement.

Emergency Ride Home Reimbursement Request

Today's Date*

Reimburse: Full Name *

Reimburse: (Home/Work) Address*

Reimburse: City, State, and Zip Code*

Trip Date*

Commuter: Full Name*

Commuter: Employer Name*

Reason Trip Requested*

Check the commute option used the day of ERH*

Carpool Vanpool Sounder Train Walk

Bike Bus Walk-On Ferry Bike-On Ferry

Pickup Address (Street, City, State, Zip Code)? *

Intermediate Stop and Address if Needed: (If none write in N/A, otherwise indicate if it's a school, pharmacy, daycare, ATM, etc)

As Program Coordinator, I certify that I approved this Emergency Ride Home and all information submitted is true.*

I agree

Employee Transportation Coordinator (ETC) Name*

Mileage *

FARE AMOUNT ONLY (Not gratuity) *

Upload Receipt (pdf. png, jpg, doc)*

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

For Pierce Trips Official Use Only

Approved to Pay: Pierce Transit Authorized Signature

Account: 1132467421-64160