Get Individual Access Pass Application - Www2 Erie

Filling out the Individual Access Pass Application can be straightforward if you follow the necessary steps. This guide provides clear instructions to help you complete the application online with confidence.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the application form and open it in your browser.
2. In Part One, provide your personal information. Fill in your last name, first name, middle initial, street address, city or town, ZIP code, and if applicable, your mailing address. Make sure to enter your phone number and the date of birth correctly.
3. Attach a recent photo of yourself within the specified dimension of 1" x 1-1/4" in the designated space. Remember to write your name on the back of the photo rather than using staples or glue.
4. Sign and date the form to certify that the information you provided is accurate. Review the certification statement carefully to ensure compliance.
5. Proceed to Part Two where you must complete either Section A or Section B. If opting for Section A, attach the required certification documents proving your disability status as listed.
6. If you do not have the required certifications in Section A, have your physician complete Section B, including the appropriate initialing of statements regarding the disabling condition.
7. Ensure that your physician provides their complete information, including name, address, phone number, and license number, along with their signature.
8. Once all sections are completed and verified, save your changes. You may then download, print, or share the completed form as needed.

Take the next step in your application process by completing your documents online.