Registration Form

To help us provide you with the most appropriate service please provide the following information:

If you use a powered wheelchair please provide details of the make and model. We need to ensure that your wheelchair can be transported safely.

Please note that it will be necessary to disengage the drive clutches on the wheels of your powered wheelchair when boarding and alighting.

Class 2 scooters, no more than 600mm wide and 1000mm long, weighing up to 65kg can be used on Community Transport vehicles. Unfortunately we are not able to accommodate Class 3 scooters which are designed for use on the road.

If you use a scooter please provide details of the make and model. We need to ensure that your scooter can be transported safely.

Please note that for safety reasons it is not possible for you to remain on your scooter on the passenger lift or inside of the vehicle. For this reason you will need to be able to use the passenger lift or the side entrance.

Please give details of someone we can contact on your behalf should the need arise

Monitoring Information

Declaration

How we use your information.

Your personal information will be used by us (including our employees & subcontractors) to assess your eligibility to use our services. If you are not eligible all information will be deleted and the paper registration form will be disposed of. If you are eligible we will enter your data you provide into our scheduling and accounting software to assist us to provide you with the services you ordered and from time to time to communicate with you on any matters relating to the provision of the services we provide. We will not share, sell or distribute any of the information you provide to us unless required to do so by law. There may be times when we need to write to you about the service we provide for you, in this instance, we may share your information with a third party supplier to manage fulfilment on our behalf. Any appointed supplier will be thoroughly screened on their data protection credentials and we will ensure your data is removed as soon as any fulfilment is complete. I consent to RCT holding personal information about me on their computer systems. I understand that this data is used by RCT solely for the purposes related to the provision of transport. I understand that this date will never be shared with any third party except as stated above.
© 2022 Rotherham Community Transport