Register Now

This form will create your commute profile and account to access your monthly commute calendar. You will only need to create your commute profile once. Please fill out this form completely.

Fields marked with an * are required.

- If you are an ETC and will NOT participate in the Easy Rewards program, check this box.

* Select a User Name (Must be between 6 - 15 characters)
* Password (Must be between 6 - 15 characters)
* Confirm Password (Must match above password)

Remember your User Name and Password, they will be required each time you log on to your profile.

* Email Address (ex. johnsmith@work.com)

* First Name
* Last Name
* Home Address 1
Address 2
* City
* State
* Zip Code
* Home Phone
* Work Phone Ext.
* Best Contact Phone - Home - Work - Both

* Employer

You have indicated that this is a new company. We can add the new company for you, but we'll need you to complete the details below.
Please ensure that this information is complete and accurate - as incomplete or inaccurate information can delay your account activation.

* Company Name (ex. Duwamish TMA)
* Company Address 1 (ex. 123 Main Street)
Company Address 2 (ex. Suite 150)
* Company City (ex. Seattle)
* Company State (ex. WA)
* Company Zip Code (ex. 90201)

Work Location (ex. Suite, Bldg #3, Floor 2)
Work Fax
* Your Supervisor (ex. Janet Persons)
* Supervisor's Work Phone Ext.
* Send My Gift Card to - Home - Work

Survey

In order to ensure eligibility, please complete the following questions. All information is required.

One-way, how many miles do you commute from home to your usual work location? Do not use round trip or weekly distance. Include miles for stops made daily on the way to work. Round off the distance to the nearest mile.
Miles (ex. 10 miles)
Which of the following most fits your work schedule?
- 9 days in 2 weeks (9/80)
- 7 days in 2 weeks
- 3 days a week
- 4 days a week (4/10s)
- 5 days a week
- Other:
If you are in a carpool or vanpool or if you ride a motorcycle, how many people (age 16 or older) are usually in the vehicle, including yourself? If you are not in a carpool or vanpool, enter "0"
People (ex. 5 people)
If you are in a carpool, please list riders: (Sarah Jones, Bob Smith, Roger Martin)
If you are in a vanpool, please enter van number: (16332A)
In order to participate your commute trip must remove a single occupancy vehicle from the road at least 8 times amonth. Choose one mode per day for the longest leg of your morning commute. Leave days not worked blank

Use the symbols below to fill in the calendars:
D: Drive Alone
2: 2-Person Carpool
3: 3-Person Carpool
4: 4-Person Carpool
V: Vanpool/Shuttle
T: Transit (Bus/Train/Ferry)
B: Bicycle
W: Walk
H: Work from Home
O: Other (Holiday, Vacation, Sick, etc)
Last Month, what type of transportation did you use each day to commute to your usual work location?

S M T W T F S

What is your plan to change your commute for Easy Rewards?

S M T W T F S