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Regional Emergency Ride Home (ERH) Program

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Company Name

Number of employees at this work site

Street Address

Street Address Line 2

City

State

ZIP Code

Mailing Address

Mailing Address

Mailing Address Line 2

City

State

ZIP Code

ERH Administrator Contact

Contact Name

Phone

Fax

E-mail

Employee Commuter Info

Most of our employees arrive at work at

:

am

pm

Most of our employees leave work at

:

am

pm

Do you offer any of the following? (Check all that apply)

Bicycle Parking

Carpool Parking

Bus Passes

Free Parking

Shower & Locker

Flexible Work Schedules

Teleworking

Percent of our employees that rideshare *

Comments

point2point Solutions • 541-682-6213 • P.O. Box 7070 • Springfield, OR 97475 • point2point@ltd.org