Senior Taxi Program

Senior Taxi Application

APPLICATION FOR
SENIOR/DISABLED RESIDENT 
TAXICAB PROGRAM

To be eligible for transportation assistance, a senior citizen must be able to produce proof that he/she is at least 62 years of age by showing a Medicare card, birth certificate, driver’s license, or similar document.  Disabled residents of Buffalo Grove, regardless of age, who qualify for the CTA/Metra/Pace Special Services card are also eligible to participate in the program.  All applications will be verrified by village staff.  

First Name:       

Middle Name:     

NameLast :    

Street Address:   

Phone Number: 

Date of Birth:   

By checking this box I affirm that I am able to produce proof of Buffalo Grove residency as well as age or qualifications for the CTA/Metra/Pace Special Services card.

Once village staff processes your application, a identification card will be mailed to the address provided on this application.

 



Security Measure

Who's Listening?

Evan Michel

Evan Michel

Assistant to the Village Manager
50 Raupp BlvdBuffalo Grove, IL 60089
Ph: 847-459-2506
Hours: 8:00AM-4:30PMDrop Off: 8:00AM-4:30PM