Customer Feedback Form
Please use this form to file
Commendations
,
Suggestions
and
Complaints
with RTA.
This form is not intended for trip planning purposes. If you require trip planning assistance, please visit
http://www.riderta.com/tripplanner/
, or call the
Community Connection Line
at
216-621-9500
.
Commendations
Suggestions
Complaint
First Name:
*
Last Name:
*
Street Address:
City:
State:
Zip:
E-mail Address:
Please enter phone numbers as 10 digits, including area code, with no spaces, parentheses or hyphens.
Day Phone:
Evening Phone:
All information is SOLELY for the purpose of contacting you regarding your correspondence and will be kept in strict confidence.
Please furnish information about your experience with RTA:
How often do you use RTA?
RTA is my primary mode of transportation.
I use RTA and other methods equally.
I rarely use RTA.
I have never used RTA until now.
Date of Occurrence:
MM-DD-YYYY
Time of Occurrence:
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am
pm
Coach Number:
Operator Number:
Route Number:
Direction of Travel:
North
South
East
West
Location of Occurrence (please be as specific as possible):
*
Please provide us with any other details that may help us to address your feedback:
* (500 char)
Response requested:
Mail
Phone
Email
No Response
Our goal is to respond to you within 3 working days.
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