door to door pick up

Payment Scheme details Karrier is a membership-based scheme. Full terms and conditions are available online at This scheme is operated by Compaid The annual membership fee contributes towards the cost www.kent.gov.uk (search Kent Karrier) or by request with financial help from KCC. of administering the scheme, and a fare is payable every from the address below. By applying for the scheme you for north west kent time you travel. Please enclose a cheque / postal order acknowledge that you have read and accept these terms. To book the service and for made out to Kent County Council to the value of £5. The information that you provide on this form is collected application forms call Compaid Please do not send cash by post. and dealt with in compliance with the Data Protection Act on 01892 832447 The £5 charge will not be waived under any circumstances. 1998. It will be used by Kent County Council to administer the Kent Karrier Scheme (including the detection and If you wish to check times, fares or have As membership runs for one calendar year, the fee applies prevention of fraud) and will be shared with the transport a comment to make, please call Compaid irrespective of the date of application. Refunds will not be provider(s) of the scheme which you are joining for the on the above number. issued and payments by instalment cannot be accepted. same purposes. Applications New applications can be made at any time. You must be Checklist a Kent resident and can only apply for the scheme which n Have you completed all sections of the form, operates in your area. and had it counter-signed by a registered medical Membership cards are not issued but after your application professional (if applicable)? has been successfully processed, you will receive a letter n Have you provided proof of your age if you are 85+ confirming your membership number and the contact (if applicable)? details for the operator of the scheme in your area. n Have you enclosed your payment of £5.00 Kent County Council Kent County Council is not liable for transport or other and made the chequ e/postal order payable to Public Transport costs incurred while membership applications are being Kent County Council ? PO BOX 441 processed. If you have not received your membership letter Aylesford Apply today - within 28 days of your application, please contact us. Please return this form, along with payment Kent ME6 9HJ (see above), to the following address: membership Please remember to inform us of any change of www.kent.gov.uk application circumstances, such as change of address, as this Kent Karrier Membership, Kent County Council, form inside information is not automatically sent to this department, Public Transport, PO BOX 441, Aylesford, Kent ME6 9HJ For other enquiries call: 03000 413 567 or email: [email protected] even if you have told another part of Kent County Council. Contact details Renewals Further information about Kent Karrier Dial-a-Ride services is available at www.kent.gov.uk (search Kent Karrier).

Renewal notices will be sent to you automatically, 7 7 0

Should this not answer your question 3 approximately four weeks prior to the expiry date of 3 The transport service that picks you up 5

4

please write to us at the address above, 7

your current membership. If you have not renewed your 4

1 & drops you back at your door 0 or email [email protected] e membership within six weeks of your renewal date, l i f o or telephone 03000 413567 r P you will need to submit a new application.

h Main destinations include: g i H

y • • Bluewater •

Concessionary bus pass holders b

www.traveline.info d

e • Rail Stations & more, see inside t n

Membership of Kent Karrier is not dependent upon holding i 0871 200 22 33 r P

- a concessionary (or ‘free’) bus pass. Similarly, membership calls from landlines cost 10p per minute 5 1 0 2

of Kent Karrier does not mean that you will be entitled to a l i r p A

‘free’ bus pass. ENCTS passes are not valid on this service. train information . 1

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For more information about these bus passes, please 08457 48 49 50 i s r e contact Kent County Council or visit www.kent.gov.uk www.nationalrail.co.uk V north west kent

What is Kent Karrier Dial-a-Ride? North West Kent Karrier will take you to and from anywhere Personal details Mobility details in the scheme area which is shown on the map below. Kent Karrier is a flexible Dial-a-Ride service that takes members directly from their door to a number of useful Please complete in BLOCK CAPITALS I am applying to join my local Kent Karrier Dial-a-Ride Scheme destinations in their local area. All services are operated Times of travel because: (please tick ONE reason only) Title: Mr/Mrs/Ms/Miss Other with wheelchair accessible vehicles and our experienced n I live more than 500 metres from the nearest bus stop, OR Monday to Friday you can travel between 8:00am & 6:00pm. delete as appropriate please specify drivers will give them all the help they need. Saturdays you can travel between 9:00am and 6:00pm. n I am 85+, OR Who can use it? There is no service on Sundays or Public Bank Holidays. First name n I have difficulty using existing public transport* * if the third box is ticked please answer the following questions To book the service you need to be a Kent Karrier member that apply to you and arrange for a registered medical professional and quote your membership number. Pick up locations (from your door) Last name (ie Doctor/Nurse) to complete the ‘Supporting declaration’ section. You can become a member if: Monday - Saturday n I am registered blind • you have a mobility impairment or other medical Address n I have a mobility impairment (please specify below) condition that makes travelling on public transport Dartford: • Wilminton • Dartford • Stone • Swanscombe difficult. Carers or companions can also travel. • • • Sutton at Hone • Hawley • you live in a rural area more than 500 metres away from • • n I travel with an escort carer or family member a bus stop or railway station. n I travel with a wheelchair: manual/electric : • • • Horton Kirby I stay in the wheelchair/I transfer out of the wheelchair • you are 85+ (proof of age required). • South Darenth • Hartley • • Ash-cum-Ridley please tick/delete as appropriate How do I apply? • • • Crockenhill Postcode If you require any further application forms then phone Gravesham: • • Gravesend • Shorne • Higham Compaid on 01892 832447 and they will send one to you. • Cobham • • Luddesdown Home telephone Supporting declaration Once completed, send your application to: Title: Mr/Mrs/Ms/Dr/Other Kent Karrier Membership, Kent County Council, Date of birth Public Transport, PO Box 441, Aylesford, Kent ME6 9HJ Name We will write back to you with your membership number, Signature STONE DARTFORD SWANSCOMBE Position (must be medical professional) which you use to book your journey. AND GREENHITHE N

O R GRAVESEND Dartford T HIGHAM Date How H Telephone do I book transport? WILMINGTON F S DARENTH L U E

A T E

N T T O You need to phone your local operator to book your D SOUTHFLEET

N H SHORNE

A A W T Address

H journey. You can book up to seven days in advance, L E O SWANLEY Y N Emergency contact details E L HORTON KIRBY ONG Gravesham F between 9:00am and 4:00pm.You will need to give your AND IELD SOUTH DARENTH COBHAM F membership number, tell them where you want to go and L A IL R H N HARTLEY IN M N G A Name when you want to travel. The operator will tell you what E H H K A K C M W O A F Signature time you will be collected. Your local operator details will R N C W EYNSFORD MEOPHAM O ASH-CUM-RIDLEY D be provided with your membership number. S E Relationship to you D Sevenoaks D Date U L

What does it cost? WEST KINGSDOWN By signing this form you are confirming that the applicant is known to Telephone you to have difficulty using public transport for reasons indicated above. Membership £5.00 per year Kent County Council reserves the right to withdraw membership if the declaration is found to be false. All areas to all destinations £2.80 plus 90p per mile ✃ Please return this form along with payment (see overleaf) to: FOR OFFICE USE ONLY Kent Karrier Membership, Kent County Council, Public Transport, PO BOX 441, Aylesford, Kent ME6 9HJ Scheme Ref: Processed by: