Emergency Ride Home Reimbursement Form
Use this form to apply for reimbursement for your Emergency Ride Home (ERH) trip. This reimbursement form (and ERH ride receipt) must be submitted within 30 days of the ERH trip. Please allow 60 days from receipt for review and reimbursement.
Reimbursement will not be processed without a valid receipt for taxi rides or on-demand ride services. ERH trips will be reimbursed up to $200 per trip, with up to 4 trips maximum per year and not to exceed $800 total.
For additional information about CTrides Emergency Ride Home program, please review our program guidelines.
*Please note all fields are mandatory, and incomplete or incorrect information will delay the process.