TripFeedback All feedback, excluding fraud, should be entered via this form. Type of Concern:*Trip, driver or transportation providerRider/EnrolleeMedical PractitionerTrip Set Up/MAS interactionMAS wants to know any feedback you have regarding trips, whether its a driver who smoked with the windows closed to an issue with scheduling a ride. Please select the field that seems the closest related to your comments.ConcernAccidentComplaintComplimentEnrollee - ComplaintEnrollee - FraudMAS Staff IssueMedical Practitioner IssueTrans. Provider - ComplaintTrans. Provider - FraudOtherPlease select an appropriate concern from the drop down below.Description*Enrollee's Abusive BehaviorEnrollee No ShowAdditional EnrolleesMAS Staff ComplimentMAS Staff IssueMedical Practitioner IssueTransportation Provider/Ride Charged CashTransportation Provider Driver ConductTransportation Provider Heat/AC IssueTransportation Provider - LatenessTransportation Provider Music IssueTransportation Provider Did Not ArriveTransportation Provider - SmokingTransportation Provider Caused Safety ConcernsOtherComments*Please provider as much information as possible so that we can work with you to resolve this issue.Contact InformationThis information is not necessary, but with more information and a contact, we can work with you to help resolve any issues and concerns that you might have.Name First Last Email Phone
