City of Gardena’s GTrans
Please complete this form to request a reasonable accommodation of GTrans’ bus and/or Bolt Powered by GTrans services.
Submit the completed form to:
Lee Sterling, GTrans Reasonable Modification Coordinator
Email: lsterling@gardenabus.com
Fax: 310.538.1989
Mail: 13999 South Western Avenue, Gardena, CA, 90249
Name:
Today’s Date:
Phone Number:
Email Address:
Address:
Description of Request:
Location (if applicable):
Are you able to ride without this accommodation?