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Home
LACT Vanpool Services
Why We Exist
Our Rates
Contact Us

Vanpool Group Registration

Name

Email*

Primary Contact Phone Number*

Type of Van (12 Passenger, 15 Passenger)*

Name of Primary Driver*

Do you want to volunteer as a driver?*

How many riders in my group?

Departure Address*

Destination Address*

If you have space, are you open to another rider joining your group?*

Contact the office should you have any questions (985) 649-7887

Download Your Vanpool Group Forms

Vanpool Driver Application (pdf)Download

Alternate Volunteer Driver Agreement (pdf)Download

Authorization to Obtain a Motor Vehicle Report (pdf)Download

Letter of Authorization for Transportation Service Debit (pdf)Download

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Member of the LMVC | Fully Licensed & Insured