Request for Free Lyft Transportation
Free transportation service for DC residents available through Kingdom Care Senior Village (KCSV) for COVID-19 vaccine , medical appointments, Health & Wellness program activities, Food or Prescrition Pick-up or Personal Care activities. Complete the form 24 hours in advance to request service. For questions, email us info@kingomcarevillage.org.
First name *
Lastname *
Cell Phone Number *
Date of Trip (can be scheduled up to 7 days in advance) *
MM
/
DD
/
YYYY
Pick-up Time *
Time
:
Pick-up Address *
Drop Off Address *
Is return transportation required? *
If yes, return pick up time? *
Time
:
Return Drop-off Address *
Purpose of Trip *
Submit
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