Get Paratransit Eligibility Application - Indygo

The PARATRANSIT ELIGIBILITY APPLICATION for IndyGo is a crucial document for individuals needing transportation assistance due to disabilities. This guide will help you navigate the application process step-by-step, ensuring you provide all necessary information clearly.

Follow the steps to complete your application effectively.

1. Use the ‘Get Form’ button to access and open the application in the editing tool.
2. Begin by selecting whether you are submitting a new application or a renewal. This will help identify your status and needs.
3. Fill in your personal information accurately, including your full name, birth date, and gender. Complete this section clearly, as it is essential for verification.
4. Provide your address, including apartment number if applicable. Ensure that your location matches where you will be using the Open Door service.
5. List your contact numbers, including home, cell, and work numbers, which will assist in communication regarding your application.
6. In the section designated for emergency contact information, include a name, relationship, and both day and evening phone numbers.
7. If you require future information in an alternative format, indicate your preference (large print, Braille, audio, etc.) and provide your email address if applicable.
8. Read the applicant's certification carefully. Signing this part confirms your understanding of the application’s purpose and that you agree to undergo a functional assessment.
9. Provide information about your condition or disability, noting any mobility aids you use. This section is critical to determine your eligibility.
10. Detail your functional abilities. Answer questions regarding your travel routines and any obstacles you face when using regular city buses.
11. List your five most frequent travel destinations, how you currently reach them, and how often you visit each place.
12. Use the provided space to share any additional thoughts or challenges related to using public transportation, which may assist in your assessment.
13. After completing all sections, review your information for accuracy. Once confirmed, you can save changes, download, print, or share the form as needed.

Complete your PARATRANSIT ELIGIBILITY APPLICATION online today to ensure your transportation needs are met.