This one-time verbal release must be completed by calling the Travelers Aid Ride-Hailing Release Opt-In Number. After dialing, please state your name and the names of any minor children traveling with you and leave it on the agency voicemail.
With intent to be legally bound, I, an adult over the age of 18, for myself, my heirs, and my minor children (if any), do hereby accept the Transportation Assistance being supplied to me at no cost by Travelers Aid of Pittsburgh. I understand that this Transportation Assistance may be in the form of ride sharing services such as Uber or Lift, or taxi services such as z Trip. By accepting this Transportation Assistance, I understand and agree as follows: 1. I understand and acknowledge that the decision to accept the Transportation Assistance being supplied to me at no cost by Travelers Aid of Pittsburgh is completely voluntary on my part. I am under no obligation to accept a ride with any ride sharing service or taxi driver; and 2. I understand and acknowledge that if I have any children under 80 pounds and or 13 years of age, they will need an appropriate car seat that follows Pennsylvania child seat laws. I assume sole responsibility to appropriately secure my minor children in the vehicle whether they ride in a car seat, booster seat, or simply being secured by a seat belt. 3. I assume sole responsibility for any property damage caused by me or my children in connection with the Transportation Assistance being supplied to me at no cost by Travelers Aid of Pittsburgh; and 4. In consideration of the Transportation Assistance being supplied to me at no cost by Travelers Aid of Pittsburgh, I hereby waive, release, and discharge, for myself, my minor children, and our heirs and personal representatives, Travelers Aid of Pittsburgh, and their staff or employees, and all members of The Board of Directors, of and from, any and all claims that I may have arising out of injuries or death arising as a result of with my acceptance of the Transportation Assistance being supplied to me; and 5. I understand and acknowledge that this Transportation Assistance Release shall apply and be valid for any rides that I may accept in the future. It is with the intent to be legally bound that I execute this waiver of liability on my behalf, and on behalf of any minor children and any others for whom I have legal responsibility (minors must be named at the end of the recording). Travelers Aid assumes no liability or responsibility for any minor not listed or any non-minor that you may have accompany you who have not completed a “TRANSPORTATION ASSISTANCE RELEASE”. By verbally agreeing to THIS STATEMENT, I AM OPTING IN TO AND ACCEPTING THE TERMS OF SERVICE OF THE RIDE-HAILING PROVIDER THAT TRAVELERS AID DEEMS MOST APPROPRIATE FOR MY CIRCUMSTANCES (LiFT, UBER OR Z TRIP). I UNDERSTAND THAT I CAN REQUEST TO VIEW THE TERMS OF SERVICE BEFORE ACCEPTING THIS RIDE, AND IF THIS IS THE CASE, I WILL not verbally agree to THIS DOCUMENT UNTIL I HAVE READ AND AGREED TO SAID TERMS.
By verbal agreement, I am also acknowledging and allowing Travelers Aid of Pittsburgh and all participating social service and medical providers to share information regarding appointment dates, times and locations and any details as they relate to transportation ordering and processing. I agree to participate in all surveys and paperwork related to the project. I acknowledge that program misuse or abusive behavior may result in program assistance termination. I also acknowledge that I will hold harmless Travelers Aid and any affiliates and partners for legal responsibility for passengers that I may bring without prior Travelers Aid authorization, consent or for clientele for whom Travelers Aid does not have a signed release. I have listened to and fully understand this Transportation Assistance Release and I agree to these terms and conditions. Please state your name and the name of any minors accompanying you.