Laguna Hills, CA · Orange County
Senior Dial-A-Taxi Program Application and Waiver
This application and waiver is for Laguna Hills residents applying to participate in the City’s Senior Dial-A-Taxi Program.
What this form is
The application collects participant contact details and answers about residency, age, mobility, and transportation needs. The waiver documents the participant’s agreement to program terms. The City reviews the application to verify eligibility and schedule an appointment to process a Dial-A-Taxi photo identification card.
Who needs it
Each person applying to participate in the Senior Dial-A-Taxi Program must complete an application and sign the waiver.
How to submit it
Return the application and waiver to Laguna Hills Community Center and Sports Complex, 25555 Alicia Parkway, Laguna Hills, CA 92653, Attention: Senior Transportation Administrator.
About notarization
This document is signed without a notary; the participant or responsible party signs and dates both forms, and no notarized or sworn attachment is identified.
How to submit this form
- 1
Download the Forms
Download the Senior Dial-A-Taxi application and waiver.
- 2
Complete the Application
Print clearly, provide participant information, and answer every eligibility question.
- 3
Complete the Waiver
Fill in the requested contact information and sign and date the waiver.
- 4
Gather Supporting Documents
The City may require proof or written documentation supporting answers on the application.
- 5
Return Both Forms
Send the application and waiver to the Senior Transportation Administrator at the listed Community Center address.
Frequently asked questions
- What is the Senior Dial-A-Taxi application and waiver for?
- The application collects participant information and eligibility answers. The waiver records agreement to program terms and policies.
- Who completes the application?
- Each participant must complete an application form. The participant or a responsible party can sign the forms.
- Do I need a notary for the Senior Dial-A-Taxi application and waiver?
- No. The participant or responsible party signs and dates both forms; no notarized or sworn attachment is identified.
- How do I submit the Senior Dial-A-Taxi application and waiver?
- Return both forms to Laguna Hills Community Center and Sports Complex, 25555 Alicia Parkway, Laguna Hills, CA 92653, Attention: Senior Transportation Administrator.