Get Via Trans Fillable Application

Filling out the Via Trans Fillable Application online is an essential step for individuals requiring specialized transportation services. This guide provides clear and systematic instructions to assist users in completing the application accurately and efficiently.

Follow the steps to complete your application flawlessly.

1. Press the ‘Get Form’ button to access the Via Trans Fillable Application, opening it in your preferred editor.
2. Begin the application by providing your personal information. Ensure that you fill in all fields, including your name, date of birth, and residency details. Accurate answers are critical for the eligibility determination process.
3. Indicate whether you have previously applied for the VIAtrans service or reduced fare card. Use the checkboxes to select your responses.
4. Provide details about your mobility and assistive devices you may use while traveling. Be specific about your conditions and how they affect your ability to use regular VIA bus services.
5. Address the questions related to your functional mobility, such as your ability to travel independently to the nearest bus stop and wait for the bus. Use the provided options to indicate your capabilities.
6. Complete the agreement and authorization sections, confirming the accuracy of the information provided and authorizing the release of necessary records. Sign and date this section.
7. If someone assisted you in completing the application, that individual must fill out their details in the specified section, providing their relationship to you and their signature.
8. Ensure pages five and six are completed by a licensed health care provider. These pages are essential for reviewing your medical condition and confirming your eligibility for VIAtrans services.
9. Review the entire application for any missing information or errors. Make necessary corrections to avoid delays in processing.
10. After ensuring all sections are complete, save your changes, and download or print the application as needed. Follow the instructions for submission provided by VIA.

Complete your Via Trans Fillable Application online today to access specialized transportation services.