Please fill out the form below to schedule a pick-up. Peoplerides staff will follow up with a call to confirm your ride. Please note that your ride is NOT confirmed until Peoplerides staff have contacted you to let you know a driver is available at your specified time. If you are submitting this form after 4:30 PM, your request will not be seen or responded to until the next business day. Call our dispatch office during normal business hours at 1-641-752-6202 or toll free 1-888-616-4298 with any questions.

Refer to our pricing page for rider fare information.

Medicaid riders: If your ride is covered by Medicaid, call your Medicaid transportation provider first. All Medicaid-funded transportation must be booked through your Medicaid transportation broker (such as MTM). Once your ride is approved, it will be sent to Peoplerides for scheduling.

Rider Name *

Rider Birth Date *

Pickup Address *

Pickup City, State, Zip *

Destination *

Date of Your Ride *

Pickup Time

Are you requesting transportation for a medical appointment? NoYes

Appointment Time

Your Phone Number *

Your Email (No email? Just type NA in this box) *

Do you require a wheelchair or walker to ride with Peoplerides? Check the option below that applies to you. *

• I require a wheelchair
• I require a walker
• I do not require a wheelchair or walker

Request a Ride