Accessible Van Rental | Wheelchair Van Rental

Online Rental Reservation Form

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

United Access rents wheelchair accessible lowered floor minivans in Missouri, Illinois, Tennessee, Texas, and Kansas. A valid credit card is required for all van rentals.

To request a van rental online, complete the following form, print a copy for your records, and click the "submit" button. If you prefer not to register online, contact us at 877-503-9399.

Contact Information

First Name:*

Last Name:*

Address:

City:

State:

ZIP Code:

Phone:*

Email Address:

Insurance Information

Insurance Company:

Insurance Policy Number:

Rental Dates

Pick Up Date:*

Return Date:*

Submit