Request Emergency Ride Home

Request Emergency Ride Home Form

Make sure you've read our eligibility requirements before completing this form.

If you have any questions while your ride home is being processed, call 949-727-4273 or email rideshare@spectrumotion.com.

If you are completing this form outside of regular business hours (8AM - 5PM, Monday - Friday), please see the How it Works > Requesting Reimbursement section on the Emergency Ride Home page for instructions.

Name*

First NameLast Name

Email*

Work Preferred

Cell Phone Number*

Area CodePhone Number

Pick One*

I work in the Irvine Spectrum area and needed a ride homeI live in the Irvine Spectrum area and needed a ride home from work

Do you need the Emergency Ride Home now?*

YesNo, I need to schedule it for later in the dayNo, I am completing the form to be reimbursed

Date of Emergency*

Date

Work Hours: Start*

:HourMinutesAM/PM Option

Work Hours: End*

:HourMinutesAM/PM Option

Time of the Emergency Ride Home*

:HourMinutesAM/PM Option

Reason for the Emergency Ride Home?*

Please explain your emergency.*

Please explain the unscheduled stoppage of public transportation.*

Commute mode on day of Emergency Ride Home?*

Employer*

MUST be in the Irvine Spectrum area: zip code 92618

Pick Up Address*

Employer Site

Drop Off Address*

e.g. Transit station, street address

Drop Off City*

Drop Off Zip Code*

Work Address*

Pick Up Adress

Work City*

Pick Up City

Work Zip Code*

Pick Up Zip Code

Apartment Community*

Must live in The Park, The Village, Centerpointe, or Westview Apartment Communities

Apartment Street Address*

Upload your receipt*

Browse Files

Or email your receipt to rideshare@spectrumotion.com.

Check Reimbursement Information

Home Address*

Home City*

Home Zip*

Reimbursement Amount*

By submitting, I certify that the information provided is true and correct and I accept the terms and conditions of Spectrumotion's incentive programs as presented below.

I am employed, reside in, or attend school within the service area of Spectrumotion.
I agree to participate in a brief follow-up survey regarding my experience within 72 hours of my Emergency Ride Home.
I agree to the terms and conditions as stated on the Spectrumotion website.
Spectrumotion is not responsible for lost or stolen items.

Falsification of information may result in disqualification from our incentive programs and/or promotions.

By accepting an incentive to rideshare from Spectrumotion, I agree to hold Spectrumotion harmless from any and all claims as a result of my rideshare choices, including but not limited to, COVID-19 infection.

Once you finish signing and submitting your form, you will receive a confirmation email.

Signature*

Emergency Ride Home was issued:

YesNo

Notes

Once signed your submission will be submitted to:

example@example.com