Get Americans With Disabilities Act Complementary Paratransit Bucks County Pa Form

This guide provides step-by-step instructions on how to fill out the Americans With Disabilities Act Complementary Paratransit Bucks County Pa Form online. It aims to assist people with disabilities in accessing reduced fare transportation services in Bucks County.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In Part 1, fill in your personal information, including your last name, first name, middle initial, address, city, state, zip code, and contact information such as home telephone, cell phone, and email. Ensure all information is accurate and legible.
3. Confirm your eligibility by indicating whether you have a disability as defined by the Americans with Disabilities Act. Make sure to review the definition provided in the document.
4. In Part 2, if you have written verification of your disability, check the appropriate organization from which you are submitting this verification. If you do not have one, indicate that you require a Certification of Disability Form and provide the necessary details.
5. In Part 3, provide your income and household-related data. Indicate your household size and your annual income by checking the corresponding boxes.
6. In Part 4, answer the question regarding current transportation services that you may already be receiving. This section helps avoid duplication of services.
7. In Part 5, provide additional information about your disability, such as whether it is permanent, the nature of the disability, and any mobility aids you use. Indicate if you require a personal care attendant and list any trip destinations.
8. At the end of the form, sign and date the application to certify the accuracy of the information provided. If someone else filled out the form for you, they should also provide their details.
9. Once completed, save your changes, download the form, print it, or share it as needed. Be sure to send the form along with any required documentation to Bucks County Transport, Inc.

Begin filling out your application for reduced fare transportation services online today!