TRA Rider Registration

  • TRA Rider Registration

  • Welcome to TRA Group, Inc.! We look forward to serving you.

    To sign up, please complete the application on the following pages, and hit the green "Submit" button at the end. Once we receive your application, our friendly call center staff will contact you.

    In the meantime, if you have questions you can

    • Give us a call at (914) 764-3533
    • Send an email to Hello@my-tra.org

    Please consider making a donation to TRA by going to our website at my-tra.org. Donations help us to continue to do the work that we do.

    With Kind Regards,
    The TRA Team

  • Who are you submitting this form for?*
  • Do you have Power of Attorney for the individual you are submitting on behalf of? (You do not need Power of Attorney to complete this form on someone's behalf.)*

  • Submitting on Behalf of Someone Else

    You are welcome to complete this form on behalf of another person, but please be aware that our sign-up process requires a waiver signature from the individual being registered. Once this online form is submitted, we will contact them directly and send a paper waiver for their signature. Registration will not be considered complete until the signed waiver has been returned to us.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Have you already spoken with someone at TRA to begin your application? You are welcome to proceed with this form regardless.*

  • Rider Registration Form

    Please provide us with your contact information.
  • Your Date of Birth*
     - -
  • Format: (000) 000-0000.
  • What type of phone is your primary number?*
  • Format: (000) 000-0000.
  • What type of phone is your secondary number?
  • Do you identify as a person with a disability, health condition, or impairment that affects your daily life? We ask this question so we can provide appropriate accommodations and ensure our services are accessible to everyone. This information is optional and confidential. It will only be used to ensure you receive appropriate support and accommodations.*
  • Do you have an aide or companion that will travel with you?*

  • Aides and Companions

    TRA welcomes aides and companions over the age of 18. If you will be accompanied by an aide or companion, you must notify TRA when scheduling your ride. We also require a signed waiver for all escorts. Please contact our call center at (914) 764-3533 for more information.

  • Are you currently enrolled in Medicaid? We ask because, depending on your coverage, you may qualify for additional benefits or support programs, and we want to make sure you're connected to everything you're entitled to.

  • Emergency Contact Information

  • Please provide us with an emergency contact. This can be a family member, friend, neighbor, clergy, or physician.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Will you help us to continue our program?

  • TRA Group, Inc. uses federal, state, and local funding to provide services to seniors in our community. In turn, we are asked to collect some information about the seniors who benefit from these services.

    By providing the information below, you will help us to obtain future funding so that we can continue to help you and others like you. This is optional, and not required in order to become a client of TRA. You do not need to answer all questions, only the ones you feel comfortable answering.

  • Are you a veteran?
  • Thank you for your service. Would you like us to connect you with veteran-specific services and resources in your area?
  • Would you be interested in talking with someone about any of the following services? This could be for yourself, for a family member, or for a friend. Select as many as apply.
  • What is your primary language?
  • What is your race? Select as many as apply.
  • What is your ethnicity?
  • What is your living situation?
  • How many people do you live with?
  • For your household of one person, is the total income
  • For your household of two people, is the total income
  • For your household of three people, is the total income
  • For your household of four or more people, is the total income

  • Thank you for taking the time to answer these questions. Your responses help us secure the funding needed to continue serving you and others in our community. We truly appreciate it!

  • TRA Rider Rights and Responsibilities

  • Your Rights as a TRA Rider

    • You are entitled to a safe, clean, round-trip ride, with a competent driver, arriving at your destination in a timely manner.
    • Any private information given to TRA regarding your transportation needs will be regarded as confidential.

    Your Responsibilities

    • If you have any concerns about your rides or any questions about the service, please call TRA as soon as possible so that we can take appropriate corrective action.
    • In order to ensure the safety of riders and their volunteer drivers, TRA reserves the right to deny service to individuals whose behavior in the opinion of TRA constitutes a threat to the safety of others.
    • Please call at least 72 hours in advance to schedule a ride. Please provide as much notice as possible, preferably 24 hours, if you need to change or cancel a ride so that it will not be considered a no show.
    • Be ready and watch for your driver at the prearranged pick-up time and place. If you live in an apartment complex, please wait in the main lobby or by the front door. Drivers are not permitted to enter your home, unless pre-arranged with the TRA Coordinator.
    • Buckle Up. Keep your seat belt fastened at all times after entering a volunteer driver’s vehicle.
    • Please do not smoke, eat or drink beverages in a volunteer driver’s vehicle.
    • In case of threatening weather conditions, for the safety of riders and volunteer drivers, TRA reserves the right to cancel scheduled rides. TRA will call registered riders to notify them of the cancellation and the reason. Riders are responsible for canceling the appointment they will miss due to the canceled ride.
    • If a caregiver or other passenger will accompany you in the volunteer’s vehicle, please be sure to notify TRA at the time you schedule your ride. For safety reasons, volunteer drivers will not transport additional passengers if they are not pre-registered with TRA or if they have not signed a waiver of liability.

    NO SHOW Policy: What is a NO-SHOW?

    • Your trip is considered a NO-SHOW if a driver arrives at the scheduled pick-up time and place and you are not there. TRA volunteer drivers will wait up to 15 minutes for a rider.
    • Your trip is considered a NO-SHOW if you cancel when the driver arrives to pick you up for your scheduled ride, or if the volunteer is already en-route to the pick-up when you cancel.
    • Please call to cancel or change your trip at least 24 hours prior—or sooner—to the scheduled pick-up time to avoid being listed as a NO-SHOW.

    NOTE: If you scheduled a round trip and you NO-SHOW for first leg of the trip, TRA will automatically cancel the rest of the trip. If you still need that return trip, you must call to confirm that you need that trip.

    What happens if you NO-SHOW?

    • TRA will attempt to contact you by cell/home phone immediately. If you are not available, the next time you request a trip, the TRA Coordinator will review with you the NO-SHOW policy and ask for an explanation for your previous NO-SHOW and will make note of your answer.
    • The second time you have a confirmed NO-SHOW, TRA again will attempt to contact you to ask for an explanation of the second NO-SHOW.
    • If you have repeated problems with NO-SHOWS, your trips may be put on hold. You will be asked to call TRA 24 hours prior to your scheduled pick-up times to confirm that you will be going.

    The TRA Volunteer Drivers work hard to provide rides to you and others. Please plan your trips carefully and communicate any changes to TRA as far in advance as possible to avoid loss of ride privileges.

  • Rider Waiver

  • I hereby voluntarily and of my own free will relinquish and waive the right to make any claims or bring any legal action against TRA or their officers, officials, consultants, contractors, employees and/or volunteers, for any injuries, damages, charges or expenses, including attorney’s fees which might be sustained as a result of my voluntary participation in the TRA Program. I also acknowledge that TRA reserves the right to refuse transportation service to anyone in non-compliance with the policies and procedures governing this program. TRA also reserves the right to modify the terms and conditions of this program without prior notice.

    I have carefully read and understand the TRA Rider Rights and Responsibilities and fully understand its contents. I am aware that it contains a release of liability and sign it of my own free will.

  • Today's Date*
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  • Thank you for your application. A member of our team will contact you shortly. We look forward to serving you!

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