Request Transportation Kindly fill out the form below to initiate your ride request with Go Time Transportation. Our dispatch team will promptly reach out to you to verify availability and gather any necessary additional details. Reservation Form (#5)Personal InformationFirst NameLast NameEmailPhone/MobileTransportation for Self Yes NoCustomer’s First NameCustomer’s Last NamePayment Type Self Paying MassHealthMobility Type Walker Standard Wheelchair Large/Electric WheelchairPick-Up LocationTransport DatePick-up AddressPick-up TimeApartmentSpecial Instruction / Additional Info DestinationMedical Facility NameDestination AddressSuite/Office NumberReturn pick-up TimeAdditional InformationSubmit