Get Handi Bus Application 2004 - Chatham-kent - Chatham-kent

Filling out the Handi Bus Application allows individuals to access vital transportation services in the Chatham-Kent area. This guide will provide step-by-step instructions to assist users in completing the application accurately and efficiently online.

Follow the steps to complete your Handi Bus Application online.

1. Press the ‘Get Form’ button to retrieve the application and open it for editing.
2. Carefully input the applicant's name in the designated fields, ensuring to provide both first and last names.
3. Enter the current date in the specified format, using month/day/year.
4. Fill in the address, including street address, city, and postal code.
5. Provide a contact phone number for the applicant.
6. Indicate the applicant's date of birth, again using the month/day/year format.
7. Select the type of disability from the provided options, ensuring clarity in the choice.
8. State whether the Handibus service is required permanently or temporarily.
9. Indicate the mobility aid used by the applicant, selecting from the multiple-choice options provided.
10. Specify if an attendant is needed for assistance with mobility by answering yes or no.
11. Choose the probable type of trip by checking the appropriate categories such as shopping, educational, or other.
12. Input the estimated number of trips per week the applicant will require.
13. Include any remarks from the attending doctor in the designated field.
14. Have the applicant sign the form in the specified area.
15. Complete the doctor's section by providing the doctor's name, address, phone number, and obtaining their signature.
16. Once all sections are completed, review the information for accuracy before saving the document.
17. Save the changes made to the application, then download or print a copy for your records. Share it as necessary.

Begin filling out your Handi Bus Application online to ensure you receive the transportation services you need.