Citizens Taking  Action
                              for transit dependent riders


Form for passengers to comment, complain or compliment on any aspect of public transit operations.     This is the hard copy version.        
                                            For email, go to::                                 
Please describe briefly your concerns that should be brought by our organization to the attention
of the appropriate person or party responsible for a remedy, or incident that merits investigation.

Bus Route #__________

El Line______________

Station / Stop_________















Optional:
I would like to be contacted further regarding this matter:

Name____________________________________Telephone___________________________

Address__________________________________City/Zip Code_________________________

E-Mail____________________________________

Print and Return to:                               Or, Send Your Concerns to Our Secretary

Citizens Taking Action                  cpaidock@hotmail.com
3211 S. Union Ave                    (312) 842-5036, (312) 714-7790 cell
Chicago, IL 60616

Referred to:__________________________________________Date_________________
Action Taken / Resolution
email me