Access Scioto County Public Transit
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Access Scioto County (ASC) has a strong commitment to providing excellent service to all of our customers and visitors of this web site, including respecting your concerns about privacy. We understand that you may have questions about how ASC uses the information you provide us to register for our service.

In order to use our transportation service we need to know who you are, where you are and how to reach you.  We also require other information such as social security or medical card numbers in order to help qualify you for programs that may pay for your transportation.

All information collected is only used internally by ASC and is kept secure and strictly confidential.  We do not share the information you provide us with any other persons or entities.

If you have concerns or questions about providing ASC with your personal information please feel free to call us at (740) 353-5626.   You can also use this number to register by phone.

Or you can email your concerns to Larry Mullins, ASC Coordinator at ldmullins1@juno.com

ASC Registration Form

First Name
Middle Name
Last Name
Home Address
Mailing Address (If differenct than Home)
Apartment Number (If applicable)
City, State, Zip Code
Home Phone
Cell Phone
Email Address
Gender
Date of Birth
SSN
Ethnicity
Medical Card No. (If applicable)
Emergency Contact
Emergency Contact Phone No.
Perferred Language
Special Needs
  

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