Department *
Please select the department.
ADA 504 Complaint
Accessible Information Request
Lost & Found Report
Title VI Discrimination Complaint
METRO Customer Service
ParaCruz Customer Service
Website and Publications
Volunteer to serve on MAC
Procurement Contact Info.
Public Records Request
Trip Planner (Google Transit)
Preferred method of contacting you *
Email address entered above Phone number entered above Do not contact me
Nature of Comment *
Suggestion Inquiry Compliment Complaint
Route *
Not applicable 17 - Amtrak Highway 17 Express 3 - Mission/Natural Bridges 4 - Harvey West/Emeline 10 - University via High Street 15 - University via Laurel West 16 - University via Laurel East 19 - University via Lower Bay 20 - University via Westside 33 - Lompico SLV/Felton Faire 34 - South Felton 35/35A - Santa Cruz to San Lorenzo Valley 40 - Davenport/North Coast Beaches 41 - Bonny Doon 42 - Davenport/Bonny Doon 55 - Rio Del Mar 66 - Live Oak via 17th 68 - Live Oak via Broadway/Portola 69A - Capitola Road / Watsonville 69W - Capitola Road / Cabrillo / Watsonville 71 - Santa Cruz to Watsonville 72 - Hospital / Pinto Lake 72W - Corralitos Weekend 74S - PVHS / Watsonville Hospital 75 - Green Valley 77 - Civic Plaza / Pajaro 79 - East Lake 91X - Commuter Express Santa Cruz / Watsonville
Choose location *
Street & Cross street (enter below) By Telephone At Transit Center On METRO Bus At Bus Stop (enter Stop ID below) Other Location (enter below)
Direction of Travel *
Inbound Outbound Not sure?
Employee Position *
Bus Operator Transit Supervisor Customer Service Rep. Security Guard Other Not applicable
Preferred method of contacting you *
Email address entered above Phone number entered above
Nature of Comment:
Complaint Compliment Inquiry Suggestion
Did this trip connect with a Fixed-Route Bus?
No Fixed Route Connection 3 - Mission/Natural Bridges 4 - Harvey West/Emeline 7 - Beach/Lighthouse 9 - Prospect Heights 10 - University via High Street 12 - University/East Side Direct 13 - University via Walnut 15 - University via Laurel West 16 - University via Laurel East 19 - University via Lower Bay 20 - University via Westside 27X - University Express 31 - Scotts Valley/ Santa Cruz via Hwy 17 32 - Graham Hill 33 - Lompico SLV/Felton Faire 34 - South Felton 35/35A - Santa Cruz to San Lorenzo Valley 40 - Davenport/North Coast Beaches 41 - Bonny Doon 42 - Davenport/Bonny Doon 53 - Capitola/Dominican 54 - Capitola/Aptos/La Selva Beach 55 - Rio Del Mar 56 - La Selva 66 - Live Oak via 17th 68 - Live Oak via Broadway/Portola 68N - Night Beach 69/69A/69W/69N - Capitola Road / Cabrillo / Watsonville 70 - Santa Cruz/Cabrillo 71 - Santa Cruz to Watsonville 72 - Corralitos 74 - Ohlone Parkway/Rolling Hills 75 - Green Valley 76 - Corralitos/Buena Vista 79 - East Lake 91X - Commuter Express Santa Cruz / Watsonville
Employee Position: *
Paratransit Van Operator Paratransit Reservationist Paratransit Supervisor Security Guard Other N/A
Confidentiality Requested? *
Yes No
Which publication does this concern? *
Headways Bus Rider's Guide Amtrak Hwy 17 Brochure Bus Stop Stickers Wall Posters Website Content Website Maps & Schedules Google Transit Trip Planner
Are you aware of any conflicts of interest that would prevent you from serving on MAC if appointed? *
Please outline your availability in terms of meeting times/dates and total time per month you can devote to MAC activities: *
What interests and experience do you have that would make you an effective MAC member? *
Do you ride Santa Cruz METRO fixed route or Paracruz Service *
Santa Cruz METRO fixed route METRO ParaCruz paratransit Both
How often do you use Santa Cruz METRO Fixed Route or METRO ParaCruz Service? *
Daily Weekly Monthly Infrequently
What are your particular transit interests? *
What do you think are the biggest challenges for Santa Cruz METRO? *
What do you believe that you can contribute to Santa Cruz METRO & MAC if appointed? *
Products/Services Type *
Architect and Engineering Services Bus Parts Procurements Construction Projects Equipment Procurements Maintenance Services Professional Services System Software Procurements Vehicles Procurements Other (specify below)
Enter searchable keywords describing your products/services:
Is your firm a Disadvantaged Business Enterprise? (If yes, please answer the following question) *
Is your firm a Small Business? (If yes, please answer the following question) *
Please select the average annual revenue/receipts over the last 3 years:
Less than $500,000 $500,000 to $1,000,000 $1,000,000 to $2,000,000 $2,000,000 to $5,000,000 Greater than $5,000,000
Specific Description of the Records Requested *
Preferred method of contacting you *
Email address entered above Phone number entered above
Date and Time of Violation: *
Bus Route:
Not applicable 17 - Amtrak Highway 17 Express 3 - Mission/Natural Bridges 4 - Harvey West/Emeline 4W - Harvey West 8 - Emeline 10 - University via High Street 12 - University/East Side Direct 15 - University via Laurel West 16 - University via Laurel East 19 - University via Lower Bay 20 - University via Westside 30 - Graham Hill / Scotts Valley 33 - Lompico SLV/Felton Faire 34 - South Felton 35/35A - Santa Cruz to San Lorenzo Valley 40 - Davenport/North Coast Beaches 41 - Bonny Doon 42 - Davenport/Bonny Doon 54 - Capitola/Aptos/La Selva Beach 55 - Rio Del Mar 56 - La Selva 66 - Live Oak via 17th 66N - Live Oak via 17th - Night 68 - Live Oak via Broadway/Portola 69 - Capitola Mall 69A - Capitola Road / Watsonville 69W - Capitola Road / Cabrillo / Watsonville 69N - Capitola Road / Cabrillo 70 - Santa Cruz/Cabrillo 71 - Santa Cruz to Watsonville 72 - Corralitos 74 - Ohlone Parkway/Rolling Hills 75 - Green Valley 77 - Civic Plaza / Pajaro 79 - East Lake 91X - Commuter Express Santa Cruz / Watsonville
Please indicate discrimination in this complaint beacuse of any of the following, which are prohibitited by Title VI of the Civil Rights Act of 1964 (check all that apply): *
Please indicate discrimination in this complaint because of any of the following, which are strictly prohibited by Santa Cruz METRO (check all that apply): *
If known, please provide the name(s) of the METRO Directors, employees and/or agents who allegedly discriminated against you, including their job titles (drag lower-right corner of text area to make larger): *
Identify what METRO service, program or activity resulted in discrimination against you: *
METRO Fixed Route Bus Service METRO ParaCruz ADA Paratransit Other
Identify individuals by name, address and phone nuber that have information relating to the violation: *
Explain as clearly as possible what happened, how you feel you were discriminated against and who was involved. Describe how you were treated differently? (For Subject and Message fields below, enter either "N/A" or provide any additional information) *
Preferred method of contacting you *
Email address entered above Phone number entered above
This is for Lost & Found only. For all other issues or incidents with METRO Bus Service, please submit a Customer Service Report .
Describe the lost or found item (drag lower-right corner of text area to make larger):
Location where item was lost or found:
On METRO Bus On METRO ParaCruz Vehicle At Santa Cruz METRO Center At Watsonville Transit Center At Scotts Valley Transit Center At Capitola Mall Transit Center Other
Date and Time item was Lost or Found:
This is for Accessible Information requests only. All reports not fitting this purpose will be ignored. Report options are explained on the Customer Service page. .
Preferred method of contacting you *
Email address entered above Phone number entered above
What is the title of the PDF document or web page you are interested in. Include location on our website if applicable. *
Do you wish to have your identity kept confidential? *
Address of Complainant (include city, state, zip) *
Preferred method of contacting you *
Email address entered above Phone number entered above
Date and Time of Violation *
General Description of Driver out of ADA/504 compliance (drag lower-right corner to enlarge): *
Identify service, program or activity out of ADA/504 compliance (drag lower-right corner to enlarge): *
Summary of Violationout of ADA/504 compliance (drag lower-right corner to enlarge): *
Identify individuals by name and address that have information relating to the violation: *
Priority *
Please select the priority.
low
normal
high
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