Get Zips Rochester Mn

This guide provides a detailed and user-friendly approach to completing the Zips Rochester Mn application form online. It is designed to assist users in effectively navigating the form, ensuring they provide all necessary information accurately.

Follow the steps to successfully complete your Zips Rochester Mn application.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by filling out Part A. Provide your full name, date of birth, address, telephone number, and city, state, zip code. Clearly describe your disability in the designated area.
3. Indicate whether you use any assistive devices by checking the applicable options. Respond to the questions regarding your ability to use Rochester Public Transit buses.
4. If you have previously been approved for Zips services, enter your ID number. Lastly, provide the name and telephone number of an emergency contact.
5. Proceed to Part B, which must be completed by a physician. Ensure that your physician checks the relevant criteria regarding your ability to use regular bus services and provides a description of how your disability affects your transportation options.
6. Your physician should also specify whether the need for Zips service is permanent, temporary, or conditional, and estimate the time needed for you to learn to use regular bus services if applicable.
7. If you are completing Part C for mental disabilities, ensure a qualified professional answers the specified questions, providing relevant details and comments.
8. Once all sections are complete, review for accuracy, then submit the application by sending it to the Rochester Public Transit using the provided address.
9. Finally, make copies of the completed form for your records before mailing it.

Complete your Zips Rochester Mn application online today for a more accessible transportation service.