Do I need a notary for the Transportation Program Application?

No. The participant signs and dates the consent and waiver; the document identifies no notarized attachment or sworn step.

Who can apply for the Keen Center transportation programs?

Seniors seeking non-emergency transportation can apply for the Volunteer Driver Program, the Yellow Cab Taxi Program, or both. The City determines Volunteer Driver Program eligibility based on mobility and cognitive requirements.

What information does the application ask for?

It requests participant and emergency contact information, mobility needs, details for two frequently visited doctors and destinations, medical information, consent, and signed acknowledgments.

How do I submit the Transportation Program Application?

Complete the application before your scheduled transportation date. The document does not specify a submission method; check the city website for current contact details.

Irvine, CA · Orange County

No notary required

Transportation Program Application

Irvine seniors use this application to request participation in the Keen Center Volunteer Driver Program, Yellow Cab Taxi Program, or both.

What this form is

Complete this application before your scheduled transportation date to apply for one or both Keen Center programs. It requests participant and emergency contact details, mobility needs, doctor and destination information, and consent for services. The application also includes participant disclaimers and a waiver that the participant must read and sign.

Who needs it

Irvine seniors seeking non-emergency transportation through the Keen Center Volunteer Driver Program, Yellow Cab Taxi Program, or both should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the participant signs and dates the consent and waiver, and no notarized attachment or sworn step is identified.

How to submit this form

1
Download The Application
Download the Keen Center Transportation Program Application PDF.
2
Complete The Application
Fill in participant and contact details, mobility needs, doctor information, destinations, and medical information.
3
Review And Sign
Read the consent and participant waiver, then sign and date the required sections.
4
Submit To The City
Complete the application before your scheduled transportation date; check the city website for current submission details.

Frequently asked questions

Do I need a notary for the Transportation Program Application?: No. The participant signs and dates the consent and waiver; the document identifies no notarized attachment or sworn step.
Who can apply for the Keen Center transportation programs?: Seniors seeking non-emergency transportation can apply for the Volunteer Driver Program, the Yellow Cab Taxi Program, or both. The City determines Volunteer Driver Program eligibility based on mobility and cognitive requirements.
What information does the application ask for?: It requests participant and emergency contact information, mobility needs, details for two frequently visited doctors and destinations, medical information, consent, and signed acknowledgments.
How do I submit the Transportation Program Application?: Complete the application before your scheduled transportation date. The document does not specify a submission method; check the city website for current contact details.

Need something notarized?

This Transportation Program Application doesn’t need a notary — but if you have another Irvine form that does, a commissioned online notary can help.