Ladot Bus Complaint Entry Form pg 1
Complaint Form
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LADOT is committed to offering the public the very best possible service. Help us achieve that goal and help us address your concerns by completing this form. Any personal information will be treated with confidentiality.
Name:
First Name
M.I.
Last Name
Primary Phone No:
Secondary Phone No:
Fax No:
Best Time to Call:
Hour
AM
PM
Email Address:
Address:
City:
State:
Zip:
NOTE: Please provide your first name and applicable field as a minimum if you are requesting a response, i.e. if you need a telephone response, make sure you provide your telephone number so that we could contact you.
In what form do you want to receive the response?
Mail
Email
Fax
Telephone
Voice Mail
No Response
NOTE: Click on the arrow located at the end of the Service Type and select the Route. The system will automatically complete the following fields: Project Manager, Service Provider and Route Number.
Service Type:
DASH
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Beachwood Canyon
Boyle Heights/East LA
Central City East
Chesterfield Square
Crenshaw
Downtown LA - A
Downtown LA - B
Downtown LA - C
Downtown LA - D
Downtown LA- DD
Downtown LA - E
Downtown LA - F
El Sereno/City Terrace
Fairfax
Highland Park/Eagle Rock
Hollywood
Hollywood/West Hollywood
Hollywood/Wilshire
King-East
Leimert/Slauson
Lincoln Heights/Chinatown
Los Feliz
Midtown
Northridge
Panorama City/Van Nuys
Pico Union/Echo Park
Pueblo Del Rio
San Pedro
Southeast
Van Nuys/Studio City
Vermont/Main
Warner Center
Watts
Wilmington
Wilshire Center/Koreatown
Commuter Express
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142 Harbor Route
409 To: Civic Center From: Sylmar/Sunland
413 To: Civic Center From: Van Nuys
419 To: Downtown LA from Chatsworth/Northridge
422 To: Agoura Hills From: Central LA
423 To:LA Downtown From:Newbury Park
430 To: Financial District From Pacific Palisades
431 To: Financial District From: Westwood
437 To: Financial District From: Venice
438 To: Financial District From: Redondo Beach
448 To: Financial District From: Rancho Palos Verdes
534 To: Union Station From: Westwood
549 To: Pasadena From: Encino
573 To: Century City From: Mission Hills
574 To: El Segundo From: Sylmar
575 To: Simi Valley From: Warner Center
Metrolink Bunker Hill
Other
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Project Manager:
Service Provider:
Route No.
Bus No
:
Date of Incident
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2002
2003
2004
2005
2006
2007
2008
2009
2010
Time of Day:
Hour
AM
PM
Direction of Travel
:
North
South
West
East
Northeast
Northwest
Southwest
Southeast
Stop/Location (Nearest Intersection):
and
Driver Name:
Driver Description:
Male
Female
Driver Ethnicity:
Black American
Hispanic American
Native American
Asian-Pacific American
Subcontinent Asian American
Caucasian American