Request edit access
Accompaniment Request New Bedford
This form is to request a ride for a client to location listed below
Where are they going?
Ascentria Care Alliance 11 Shattuck St Worcester, MA 01605
USCIS in Rhode Island (105 Sockanosset Cross Rd., Ste. 210, Cranston, RI 02920)
BI Office 11 Ray Avenue Burlington, MA 01803
Immigration office 1000 District Ave. Burlington MA 01803
Boston Immigration Court (JFK Building)
TF Green Airport
If BI, is this their first time going?
Name/phone number of rider
Caseworker/Attorney name and number
Date of appt
Time of appt
How many people are traveling for this appointment?
Are any kids riding and will they need carseats/boosters?
What languages do they speak?
Basic English or limited English
Pick up location
South End Bank of America on 145 Cove St. New Bedford, MA Just off Route 18 New Bedford
North End Rite Aide on 1207 Acushnet Ave at the intersection of Sawyer St. New Bedford
Bus Terminal Pick up on Elm St next to US Post office New Bedford
Catholic Social Services 1600 Bay Street Fall River
other (type in home address on next question)
Miscellaneous information or notes for the rider incl specific location if you chose "other" for first question or pickup location (if applicable, please add: A#, judge, any information about bonds being paid, etc)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service