Open menu
Menu
HOME
ABOUT
VEHICLES
Safety
Mini Vans - Ramp Equipped
Full-Size Vans
Coach Buses
Buses
Non-Emergency Transfer Vehicles
SERVICES
CUSTOMERS
Register Online
Customer Login
Customer Reviews
Terms and Conditions
Privacy Policy
OUR TEAM
CONTACT
CORPORATE ACCOUNT APPLICATION
CORPORATE ACCOUNT APPLICATION
Business Information
2026-11-03
Find
Account Contact
Alternative Contact
Billing contact
Same As Account Contact
Find
Is this account being set up for one specific passenger
YES
NO
Passenger Information
Find
Is passenger a minor
YES
NO
Select Age
Under the age of 10
10 and above
Car seat required
Booster seat required
Harness
Supplied by
Dignity Transportation
Customer
Supplied by
Dignity Transportation
Customer
Can the child be dropped at the home alone
YES
NO
Can the child be dropped at the destination alone
YES
NO
Guardian Contact Information
Confirmation/Reminder Information
A confirmation email will be sent when placing your order
YES
NO
An email and / or text reminder will be sent out prior to the scheduled transportation date
YES
NO
TEXT
Email
BOTH
Transportation Information
Type of Transportation
Ambulatory
Wheelchair
Stretcher
