Ridership Independence for the Disabled in Buncombe County

Contact Us

CUSTOMER COMMENT FORM

RIDE Providers

Program History

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMER COMMENT FORM


If you have experienced a problem, we would like to know about it so that immediate action can be taken. Conversely, if you are pleased with our service and have a compliment we would like to know that as well. Please complete this form and send it to us. Thank you for using!

Your Name:
Street Address:
City:
State:
Zip Code:
Daytime Phone Number:
Evening Phone Number:
Email Address:
Do you want to be contacted by email?
Transportation Provider Name:
Date of Incident:
Time of Incident:
Driver's Name:
Nature of Comment:
Comments: