Residents must apply for the taxi program.

This information is confidential and will only be used to determine eligibility for taxi services.

Applications can be submitted electronically or printed off (select Print from the File menu or use ctrl + p) and returned to:

Transportation Services
Town of Castle Rock Service Center
4175 N. Castleton Court
Castle Rock, CO 80109

Contact information

Name

Address

Zip

Date of birth

Phone

E-mail address

Employer

Employer phone

Emergency contact

Phone

Please explain what access to a vehicle, if any, exists in your household

Describe any disability that keeps you from driving

Use this method for electronic submission. Be sure all fields are fully filled out, or your application will not be immediately processed.

By checking this box, I declare that I meet the eligibility requirements for Town transportation services.

Use this method for hard copy submission.

By signing below, I declare that I meet the eligibility requirements for Town transportation services.

Signature

Date

Parent or guardian signature if applicant is 16 or 17

This application is for the taxi program only. For Senior Center applications, call the Senior Center.