Jackson Memorial Hospital

Use the following form to register your carpool with South Florida Commuter Services (SFCS) by completing the following form.  You will receive a parking permit in the mail which will allow you to utilize the carpool parking spaces.  You will also receive a confirmation email with instructions on how to access your SFCS Online Profile. You will need to log into your profile on a weekly basis to track the days you carpooled in order to be eligible for the monthly drawing and other benefits. Your carpool registration will be valid through December 31, 2014.

Carpools are only eligible to use the carpool parking spaces on days they carpool to work. Carpool spaces are available on a first come first served basis.

Emergency Ride Home Program - You and your carpoolers will automatically be enrolled in the South Florida Commuter Services (SFCS) Emergency Ride Home (ERH) Program. If email addresses are provided for you or your carpool partners, you will automatically be enrolled in SFCS' online ERH voucher program.  If you would like to receive SFCS pre-printed vouchers by mail, contact an SFCS Customer Service Representative.

If you would prefer to receive a hard-copy version of this form to complete, please contact SFCS at 1-800-234-RIDE (7433).