Get Open Door Application - Indygo

This guide provides a step-by-step approach to completing the Open Door Application for IndyGo, ensuring that users understand each section and field of the form. Follow these instructions carefully to submit your application successfully.

Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to obtain the application form and open it in your chosen document editor.
2. Begin by selecting the type of application: check either 'New Application' or 'Renewal'.
3. Provide your general information: enter your name (last, first, middle), birth date, gender, and optional ethnic group.
4. Fill out your address, including apartment number, city, state, and zip code, along with your phone numbers (home, cell, work).
5. In the emergency contact section, input the name, relationship, and phone numbers for your emergency contact.
6. Answer the voluntary question regarding your ethnicity and indicate whether you receive Medicaid (Hoosier Healthwise) by checking 'Yes' or 'No'.
7. Read and understand the applicant's certification statement, then provide your signature and date it to confirm your understanding.
8. If someone is completing the form on your behalf, they should fill out their name and relationship to you along with the date.
9. In the section regarding your condition or disability, check all relevant mobility aids you use and describe how your health condition affects your ability to use regular buses.
10. Provide details in response to questions about your functional abilities and describe any travel challenges you face.
11. List your five most frequent destinations, stating how you currently get there and the frequency of travel for each.
12. After thoroughly filling out the form, save your changes, and choose the appropriate option to download, print, or share your completed application.

Start your application process by completing the Open Door Application online.