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Y to your mobility as a mobility device (such as a wheelchair or walker). f. Other g. None of the above Crutches Office Use Only: CAT: PCA: 1 1 YES 3 NO Can you use the bus stop nearest your home? Yes No If no, why not? (Example: no shelter, no curb cut, no bench, etc.) How far, in city blocks, is the nearest bus stop to your home? Please check a box for each q.

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How to fill out the Rvtd online

Filling out the Rvtd application can seem daunting, but with careful guidance, you can complete it efficiently. This guide provides clear, step-by-step instructions to help you fill out the Valley Lift application online, ensuring you receive the transportation services you need.

Follow the steps to complete your Valley Lift application online.

  1. Click the ‘Get Form’ button to access the Rvtd application and open it in your preferred digital format.
  2. Begin by filling in your personal information, including your last name, first name, middle initial, address, city, state, zip code, home phone, work phone, date of birth, and email address.
  3. Complete the section regarding your emergency contact by providing the name and number of a person to reach out to in case of an emergency.
  4. Indicate which mobility aids you utilize while traveling and answer whether you can transfer to a non lift-equipped vehicle.
  5. Respond to questions about your ability to use the nearest bus stop and detail any barriers you may face.
  6. Answer the questions regarding your experience with RVTD buses, including how often you ride and any major factors influencing your decision to apply for Valley Lift service.
  7. Fill out the disability information section, indicating how your disability impacts your daily activities and transportation use.
  8. Sign the applicant certification confirming that your information is true. If someone assists you in completing this application, they will also need to sign under the certification section.
  9. The final step is to have a licensed professional complete the professional verification section. This professional must be someone other than the person completing the previous certification.
  10. Once all sections are completed, ensure the application is thorough, save your changes, and you can choose to download, print, or share the form for submission.

Complete your application online today to ensure you have access to essential transportation services.

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