Handicap Van Rental Reservation Form

United Access is happy to be affiliated with a nationwide network of accessible van rentals, Accessible Vans of America, LLC.

United Access rents lowered-floor mobility minivans in Missouri, Illinois, Tennessee, Texas, New Mexico, Oklahoma, Arkansas, Kentucky, Mississippi and Kansas. A valid credit card is required for all wheelchair van rentals.

To request a van rental online, complete the following form, print a copy of your records, and click the "submit" button. If you prefer not to register online, contact us at 877-501-8267.

Contact Information

Insurance Information

Rental Dates
 
 

Verification


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