• Volunteer Application & Agreement

    Thank you for your interest in participating in a Pierce Transit Community Van or Special Use program. Please provide the requested information in the fields below to get started.
  • I am joining a:*
  • I will be a (select all that apply):*
  • Expected Start Date *
     - -
  • Format: (000) 000-0000.
  • Phone Type*
  • Format: (000) 000-0000.
  • Phone Type
  • Format: (000) 000-0000.

  • DRIVING RECORD & INSURANCE

    Information provided on your driver application and motor vehicle record will be used to determine your eligibility to drive a Pierce Transit vehicle.

  • Driver License Information 

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  • Enter the expiration date on your driver license.*
     - -
  • Date of Birth*
     - -
  • Have you had a different license number in the past five years?*
  • Are there any current restrictions on your driver license?*
  • Has your driver license ever been suspended, revoked, refused, or placed on probationary status?*
  • Do you have a condition that may or does result in physical or mental impairments?*
  • Have you ever been required by the state to file evidence of Financial Responsibility (SR22)?*

  • Insurance Information 

  • Please list insurance expiration date.*
     - -
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    Cancelof
  • Has an insurance company ever refused, cancelled, non-renewed, or given notice of intention to non-renew automobile insurance to you?*

  • Driving History

  • Have you been charged with driving while intoxicated or under the influence of drugs in the past 10 years?*
  • Have you received any moving violations or citations (other than parking) in the past 3 years?*

  • Please provide citation details below.

  • Date*
     - -
  • Have you received more than one moving violation or citation (other than parking) in the past 3 years?*

  • Please provide citation details below.

  • Date*
     - -
  • Have you been involved in an accident in the last 5 years?*

  • Please provide accident details below.

  • Date*
     - -
  • Were you at fault?*
  • Citation received?*
  • Bodily injury?*
  • Have you been involved in more than one auto accident in the past 5 years?*

  • Please provide accident details below.

  • Date*
     - -
  • Were you at fault?*
  • Citation received?*
  • Bodily injury?*

  • Acknowledgements 

  • My signature below signifies that:

    • I have received the Pierce Transit Community Van/Special Use Driver Requirements.
    • I have read, understand, and agree to abide by all terms and conditions in the driver section of the Pierce Transit Community Van/Special Use Requirments.
    • I understand my rights and responsibilities as a driver for a Community Van/Special Use program.
    • I agree to allow Pierce Transit to obtain a copy of my motor vehicle record and monitor for accidents, citations or suspensions during my time as a volunteer driver. (This release continues in effect as long as I continue to serve as a volunteer driver on a Pierce Transit vehicle.)
    • I agree to allow Pierce Transit to review my Washington State Criminal History Background Check, as determined necessary by Pierce Transit.
    • I agree to properly wear my seatbelt at all times. (Failure to do so may result in immediate revocation of driving privileges by Pierce Transit.)
    • I agree to never use a cell phone or other telecommunication device while driving a Pierce Transit vehicle. (Failure to do so may result in immediate revocation of driving privileges by Pierce Transit.)

  • My signature below signifies that:

    • I have received the Pierce Transit Community Van/Special Use Bookkeeper Requirements.
    • I have read, understand, and agree to abide by all terms in the bookkeeper section of the Pierce Transit Community Van/Special Use Requirements.
    • I agree to provide accurate and timely information as required by this agreement and outlined by Pierce Transit. 
  • Date
     - -
  • Should be Empty: