TRANSPORT FOR PEOPLE WITH MOBILITY RESTRICTIONS
Scottish Charity SC 013906


 

If you wish to register online please fill in the form:
Title
First names
Surname
Address
Post Code
Telephone
Email address
Date of birth

Emergency contact name
Emergency contact Tel number
Do you use anything to help you get about?
Electric wheelchair Wheelchair Walking Aid
Other (Please specify)
I have read details of Handicabs services and consider myself eligible to use the following services:
Dial-A-Ride Dial-A-Bus
Is there anything else you feel we should know about your mobility restrictions:

 
If you are a user of our services and want to become more involved, what about becoming a member of Handicabs?
Please visit our membership page for more details.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 


You can also view the form as a word document by clicking on the following button:

Then you can print the form, fill it in and send it to:

Handicabs Local Office.

See address at
Contact