Get Modesto Area Dial-a-ride Certification Application
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Modesto Area Dial-A-Ride Certification Application online
The Modesto Area Dial-A-Ride (MADAR) Certification Application is designed to assist individuals who are unable to use public transportation due to a physical or mental disability. This guide provides clear, step-by-step instructions for completing the certification application online, ensuring that users can navigate the process smoothly.
Follow the steps to complete your application accurately.
- Click 'Get Form' button to obtain and open the application in the chosen editor.
- Fill in your personal details in Step 1, including your name, phone number, address, and date of birth. Ensure that all information is typed or printed clearly.
- Choose the appropriate certification category in Step 2. Select either A, B, or C, based on your eligibility. Only one section should be checked: A for age 65 or older without a disability, B for non-ADA disabled individuals who struggle to use the MAX system, or C for ADA eligible individuals who cannot use the fixed-route system.
- If you selected B or C, complete the necessary detailed sections in Step 4. You will need a physician or authorized human service agency representative to explain your disability, detailing how it affects your ability to use the MAX system.
- Answer the supplemental questionnaire to provide additional information that may assist in meeting any special needs or service requirements you might have. Note that this information does not affect your eligibility.
- Once all sections are completed, return the application and supplemental questionnaire by mail to Modesto Area Dial-A-Ride or fax it to 209-527-5060. It's crucial to ensure all applicable sections are filled out completely to avoid processing delays.
- If approved, you will receive your Dial-A-Ride card and Consumer Guide within ten days. If denied, remember that you have the right to appeal the decision.
- After completing the application, you can save the form digitally, download, print, or share it as needed.
Complete your Modesto Area Dial-A-Ride Certification Application online today for efficient access to paratransit services.
To apply for paratransit services in San Francisco, you need to complete an application process which often includes documentation of your disability. You can typically access the application through the San Francisco Municipal Transportation Agency’s website or local health services. Additionally, understanding the Modesto Area Dial-A-Ride Certification Application may also provide insights if you plan on using similar services. Once your application is submitted, a mobility evaluator will guide you through the next steps.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.