OmniMatch Request Form

OmniMatch representatives are available Monday through Friday from 8:30 AM to 5:00 PM. Voicemail messages may be left after business hours and calls will be returned promptly. Call OmniMatch at (703) 730-6664 or (888) 730-6664.

In addition, Prince William County, Manassas, Manassas Park, Stafford and Fredericksburg commuters may request a match list online by completing the following form below. If you are commuting from other areas call (800) 745-7433.

If you are already registered with OmniMatch, it is not necessary to complete the form. Simply send an e-mail to Match@OmniRide.com, include your NAME, OMNIMATCH ID #, WORK PHONE, and ANY CHANGES TO PREVIOUS APPLICATION.

Bold indicates required field

First Name:

Last Name:

Home Address:

City:

State:

ZIP:

County:

Home Phone:

Email:

Employers Name:

Work Address:

City:

State:

ZIP:

County:

Work Phone:

Nearest Major Intersection to Work Address:

Nearest Metro Station:

Work Hours:

Number of minutes able to arrive before regular start time:

Number of minutes able to arrive after regular start time:

Number of minutes able to leave before regular end time:

Number of minutes able to leave after regular end time:

I prefer to be in: Carpool   Vanpool   No Preference

I would be willing to: Ride   Drive   Share Driving

Present mode of travelling to work:    Drive Alone   OmniRide   VRE   Other

I would like my contact information to be available (solely for ridesharing purposes) to other commuters for:    1 month   2 months   3 months   Do not share

Please send me materials about:

The Guaranteed Ride Home Program

Teleworking

Other ridesharing resources

Virginia Railway Express commuter trains

Other regional transit services

Slugging - casual carpooling

OmniMatch Commuter Information Pack

How to start my own vanpool

OmniRide commuter buses

OmniLink local buses

How did you find out about OmniMatch:

Comments:

I would like to receive emergency service announcements and other updates for OmniMatch and PRTC’s other commuter services via email: Yes   No