Get Accessible Transit Application - Chatham-kent - Chatham-kent

Filling out the Accessible Transit Application for Chatham-Kent is a straightforward process that ensures individuals with disabilities can access necessary transportation services. This guide will walk you through each step to complete the application easily and accurately.

Follow the steps to complete the Accessible Transit Application online.

1. Click the ‘Get Form’ button to access the application and open it in the editor.
2. In the 'Name' field, clearly print your full name as the applicant.
3. Enter the 'Current Date' in the specified format, ensuring accuracy.
4. Fill in your 'Address' details, including street name and number, city, and postal code.
5. Provide your phone number in the designated 'Phone #' field.
6. Include your date of birth in 'Month/Day/Year' format.
7. Select the type of disability you have and clarify if you require Handibus service permanently or temporarily.
8. Indicate whether you use a wheelchair, crutches, cane, walker, or other mobility aids by checking the relevant box.
9. Answer if an attendant is required to assist you with mobility by selecting 'Yes' or 'No.'
10. Specify the probable type of trips you will take, such as shopping, educational, employment, medical, recreational, or others, detailing any additional types as needed.
11. Indicate the probable number of trips you anticipate taking per week.
12. Include remarks or notes from your attending doctor in the 'Doctor’s Remarks' section.
13. Ensure both the applicant and the attending doctor sign the form in the designated signature fields.
14. Print or download the completed form after filling it out. Once ready, submit it to the Engineering & Transportation Division as specified.

Complete your Accessible Transit Application online today to secure your transportation needs efficiently.