Document Text
--- Document: Senior Bus Service Document ---
RIVER EDGE SENIOR TRANSPORTATION PROGRAM
SENIOR TRANSPORTATION SERVICE HOURS
Days Available: Monday through Friday
Medical appointments take priority. As time permits other destinations permitted, including
but not limited to local shopping, Hospital and Nursing Home Visits, Regional Shopping and
Library visits.
Transportation Hours: 8:00 AM – 4:00 PM with an hour for lunch for the driver
No Transportation Service Available: government holidays and when the Borough and the
schools are closed for emergency conditions, or bus maintenance.
SENIOR TRANSPORTATION PROGRAM PARTICIPATION
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Bus transportation is available to River Edge residents sixty (60) years of age or older.
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The Senior Transportation Program is primarily for Seniors with no other source of
transportation. Those Seniors will be given priority with regards to scheduling.
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Those Seniors who have a valid driver's license and own a vehicle, but are temporarily unable to
drive, are also eligible.
Seniors must be able to travel safely and independently as determined by the bus driver or be
accompanied by a companion (the use of walkers & canes are acceptable). Transportation is
curbside service only. Participants riding the bus must be fully capable of getting on and off the
bus independently.
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Seniors in wheelchairs or who have stability issues must be accompanied by a companion.
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Companions must be at least eighteen (18) years of age.
RESERVATIONS
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To reserve a ride, call 201‐599‐6277 between 9:00 AM and 12:00 PM
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Reservations must be made by phone 48 hours in advance of the day service is needed,
before 12:00 P.M. Caller must give name, address, destination, and desired pick‐up time.
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Reservations cannot be made with the bus driver.
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If no one answers your call, please leave a message. Leave your name, phone number and
address in addition to the date, destination, and time of your proposed appointment. The
Senior Bus Coordinator will get back to you as quickly as possible.
RIVER EDGE SENIOR TRANSPORTATION PROGRAM
TRANSPORTATION SERVICE AREA
The Senior Bus will transport River Edge residents, for medical appointments and other activities, within
a 7‐mile radius of River Edge as time permits. Destinations will include but not be limited to the
following towns:
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Alpine
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Bergenfield
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Bogota
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Cresskill
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Dumont
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Emerson
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Englewood
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Elmwood Park
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Emerson
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Fair lawn
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Fort Lee
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Garfield
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Hackensack
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Haworth
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Hillsdale
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Leonia
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Lodi
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Maywood
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New Milford
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Oradell
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Ridgefield Park
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Rochelle Park
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Paramus
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Saddle Brook
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Teaneck
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Tenafly
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Westwood
OTHER MEDICAL APPOINTMENT TRANSPORTATION OPTIONS
You may call Bergen County Special Transportation at 201‐368‐5955 for medical appointments outside
of the River Edge service area. Two weeks advanced notice is required. The office will ask for your name,
address, phone, birth date, Social Security number and an emergency contact.
RIVER EDGE SENIOR TRANSPORTATION PROGRAM
BASIC POLICIES
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Pick‐up service limited to River Edge residents only.
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Vehicle is wheelchair‐accessible; Senior must be accompanied by a companion.
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Seniors must remain seated and wear seat belts.
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No Smoking is allowed on the bus.
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Senior is responsible for all packages.
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Driving time is always approximate due to traffic, weather and road conditions.
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Seniors should be watching for the bus and be ready when the bus arrives.
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In order to accommodate everyone, the driver cannot wait more than 5 minutes past the
designated pick‐up time.
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Passenger aisles on the bus must be kept clear at all times.
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Eating and/or drinking are prohibited on the bus.
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Consuming alcohol or any illegal substances are prohibited on the bus.
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Seniors must follow bus driver's instructions.
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Seniors must respect and maintain the private, personal spaces and wishes of the bus driver
and/or other Seniors.
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Verbal abuse of bus driver and/or other Seniors will not be tolerated. If you have a problem,
call the Senior Bus Coordinator at 201‐599‐6277.
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Physical abuse or threatening of bus driver and/or Seniors will not be tolerated.
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Please be advised that the acceptance of gifts, money or any type of gratuity by the bus
drivers is strictly prohibited.
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Seniors must follow the Senior Transportation Guidelines.
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No verbally abusive, threatening or obscene language or physical abuse will be tolerated.
The first violation will be reported to Senior Bus Coordinator and a verbal warning will be
given. For the second violation, a two‐week suspension will result. A third violation will
result in permanent revocation of transportation privileges
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Physical abuse will result in immediate revocation of transportation privileges.
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The bus will be stopped, and local police will immediately be contacted if any outbreak of
illness or disruptive behavior occurs.
RIVER EDGE SENIOR TRANSPORTATION PROGRAM
ACKNOWLEDGEMENT AND ACCEPTANCE OF THE SENIOR TRANSPORTATION
PROGRAM RULES AND POLICIES
PLEASE READ, SIGN AND RETURN WITH REGISTRATION FORM, OR COMPLETE AT THE TIME OF YOUR
FIRST BUS TRIP
I,
HAVE READ THE GUIDELINES WHICH I
REQUESTED FOR USE OF THE SENIOR TRANSPORTATION PROGRAM; I UNDERSTAND THE GUIDELINES
AND I WILL ADHERE TO THEM.
WHEN THE SENIOR TRANSPORTATION PROGRAM RECEIVES THIS SIGNED NOTICE AND THE COMPLETED
REGISTRATION FORM, AS WELL AS THE SIGNED SENIOR TRANSPORTATION PROGRAM WAIVER AND
RELEASE OF LIABILITY FORM, I WILL BE ELIGIBLE TO PARTICIPATE IN MAKING MEDICAL APPOINTMENT
RESERVATIONS AND OTHER TRANSPORTATION OPTIONS AS PROVIDED BY THE PROGRAM.
Signature
Date
PLEASE PRINT ALL INFORMATION
DATE OF BIRTH:
LAST NAME
FIRST NAME
ADDRESS/APT#
CITY, STATE, ZIP
HOME PHONE#
CELL PHONE#
CONTACT #1
RELATIONSHIP
STREET ADDRESS
CITY, STATE, ZIP
APT #
HOME PHONE#
CELL PHONE#
WORK PHONE#
CONTACT #2
RELATIONSHIP
STREET ADDRESS
CITY, STATE, ZIP
APT #
HOME PHONE#
CELL PHONE#
WORK PHONE#
DOCTOR NAME
STREET ADDRESS
OFFICE/SUITE #
CITY, STATE, ZIP
DOCTOR PHONE#
AMBULATORY
USE WHEELCHAIR/SCOOTER
USE CANES
USE WALKER/ROLLATOR
USE HEARING AID(S)
HAS AIDE
OTHER DISABILITY (EXPLAIN)
Please return form to:
River Edge DPW - Senior Bus
705 Kinderkamack Road
River Edge, NJ 07661
(201)599-6277
SPECIAL INSTRUCTIONS
RIVER EDGE SENIOR TRANSPORTATION
CLIENT REGISTRATION
EMERGENCY CONTACT INFORMATION
MEDICAL INFORMATION
CLIENT REGISTRATION
BOROUGH OF RIVER EDGE
SENIOR TRANSPORTATION PROGRAM WAIVER AND RELEASE OF LIABILITY
In consideration of being allowed to participate in any way in the Borough of River Edge’s Senior
Transportation Program (the “Program”), the undersigned acknowledges, appreciates, and agrees
that:
The risks of injury and illness, including the transmission and infection of communicable diseases
such as the coronavirus disease 2019 (“COVID-19”), from the activities involved in the Program
are significant, and while particular rules, equipment, and personal discipline may reduce these
risks, the risks of serious injury and illness still exist; and
I acknowledge that COVID-19 is highly contagious and may cause serious permanent bodily
injury, including death, of persons of all ages; and
I acknowledge that COVID-19 remains prevalent throughout New Jersey and is highly likely to
spread to persons in direct contact with or in close proximity (within approximately 6 feet) to an
infected person and COVID-19 is believed to be spread by droplets produced into the air when an
infected person coughs, sneezes, talks and/or otherwise moves air through their nose and mouth;
from touching surfaces on which droplets containing the virus exist; and even possibly in the air;
and
I knowingly and freely assume all such risks, both known and unknown, even if arising from the
negligence of the Borough of River Edge or others, and assume full responsibility for my
participation in the Program; and
I acknowledge that, in response to the COVID-19 pandemic, the Borough of River Edge has
implemented health and safety precautions for employees and participants in the Program in
accordance with Federal, State and local guidelines; and
I willingly agree to comply with the Borough of River Edge’s stated and customary terms and
conditions for participation in the Program. If, however, I observe any unusual significant hazard
during my presence or participation, I will remove myself from participation and bring such to the
attention of the nearest official immediately; and
I agree to adhere to all of Governor Murphy’s Executive Orders, the U.S. Centers for Disease
Control and Prevention (the “CDC”) guidelines, and the New Jersey Department of Health
guidelines for COVID-19 in all respects while participating in the Program; and
I acknowledge that the Borough of River Edge and/or Borough of River Edge employees operating
the Program may exclude my participation in the Program if I am demonstrating any or all of the
symptoms attributed to COVID-19 infection, as recognized by the New Jersey Department of
Health and the CDC, including, but not limited to: fever or chills, shortness of breath or difficulty
breathing, coughing, nausea or vomiting, and/or congestion or runny nose; and
I agree that I shall wear a face mask or cloth face covering over my mouth and nose at all times
while participating in the Program, including while on buses and while waiting for buses at indoor
and outdoor locations; and
I agree that I shall maintain, to the greatest extent possible, social distancing of 6 feet between
myself and all other individuals while participating in the Program, including all other participants
of the Program and all Borough of River Edge employees operating the Program; and
I agree that the consumption of food and/or drink and smoking are not permitted while on buses
operated as part of the Program; and
I agree that, if I am either diagnosed with COVID-19, experiencing COVID-19 symptoms or
exposed to someone who has been diagnosed with COVID-19 within the last 14 days, I will not
participate in the Program and I will provide the Borough of River Edge with a list identifying
other individuals I have had close contact with at the Program during the 14-day period prior to
my diagnosis, illness or exposure, including the contact information for all such persons identified;
and
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby
release, indemnify, and hold harmless the Borough of River Edge, its elected officials,
commissioners, officers, officials, agents, and/or employees, other participants, sponsoring
agencies, sponsors, and advertisers (“Releasees”), with respect to any and all injury, illness,
disability, death, or loss or damage to person or property, whether arising from the negligence of
the Releasees or otherwise, to the fullest extent permitted by law, including any and all claims or
matters directly or indirectly related to COVID-19 and/or any variant or successor illness thereof.
I have read this Release of Liability and Assumption of Risk Agreement, fully understand its terms,
and sign it freely and voluntarily without any inducement.
Participant
Name:
Participant
Signature:
DATE
SIGNED: