LEARN KITSAP TRANSIT

SCOOT Application

SCOOT Application

Before applying to use SCOOT, you must be a Smart Commuter and include your Rideshare registration number in the application.  PSNS TIP applicants may use their ORCA Card Serial Number. Please fill out the application completely. If you have any questions, please call 360-876-7433.


 
Rideshare Registration Number or ORCA Card Serial Number (for PSNS TIP applicants only): *
APPLICANT INFORMATION
Name: *
Home Address: *
City, State, Zip: *
Mailing Address: *
City, State, Zip: *
Phone: *
E-mail: *
Date of Birth: *
EMPLOYMENT INFORMATION
Employer: *
Job Title: *
Employer Address: *
City, State, Zip: *
EMERGENCY CONTACT INFORMATION
Name: *
Relation: *
Address: *
City, State, Zip: *
Phone: *
DRIVING HISTORY
License Number: *
State: *
Expiration Date: *
Total Years Driving: *
Previous State of License: *
Previous License Number: *
Has your license ever been suspended or revoked? *
INSURANCE
A copy of your proof of insurance will be required at SCOOT orientation.
Insurance Provider: *
Policy Number: *
DRIVING RECORD
All drivers must sign a release which will give Kitsap Transit permission to retrieve their driving record. Kitsap Transit will periodically review your driving record. Please click here to complete the release. It must be signed and returned to Kitsap Transit by email, scoot@kitsaptransit.com or fax, 360-377-7086.
Number of moving violations in the past 3 years? *
Number of accidents in the past 3 years? *
By submitting this application, I certify that everything on this application is true. I agree to all the rules and regulations of the SCOOT car programs.
 

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60 Washington Avenue, Suite 200, Bremerton, WA 98337 Visit our office Phone: (360) 373-2877 or 1-800-501-RIDE