Get Ada Paratransit Eligibility Application - Yuba Sutter Transit

Filling out the ADA Paratransit Eligibility Application is an essential step for individuals who require assistance with public transit due to a disability. This comprehensive guide will help you navigate the process of completing the application online, ensuring that you provide all necessary information for an eligibility determination.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the ADA Paratransit Eligibility Application and open it in your preferred document editor.
2. Begin by filling out Part A: Application Data. Include your name, birth date, street address, city, zip code, and both home and work telephone numbers. Make sure to provide an emergency contact person's details as well.
3. Answer questions regarding your use of mobility aids in Part A. Specify if you use aids such as wheelchairs, walkers, or canes, and include any additional details if needed.
4. Continue to provide information on whether you need a personal care attendant and if you require extra help traveling. Address these questions thoughtfully, explaining your needs in the provided sections.
5. In Part B: Functional Information, describe any physical, sensory, or mental limitations you experience in using a standard bus. Be detailed in your explanations to assist the evaluation team.
6. Respond to questions regarding your ability to board and disembark from buses, as well as your capacity to manage fare payment and maintain balance while seated. Provide explanations for any limitations.
7. Complete the rest of Part B, detailing any additional challenges you face related to distinguishing bus routes or awaiting transportation at a bus stop.
8. After completing Part B, proceed to Part C and certify that all provided information is accurate by signing and dating the application.
9. If someone else is completing the form on your behalf, they need to fill out Part D, providing their details and relationship to you, along with their signature.
10. Fill out Part E to authorize the release of your personal information to Yuba-Sutter Transit. List the professional verifying your condition and their contact information as needed.
11. Once the application is fully completed, review your answers for accuracy. Save any changes, then download, print, or share the completed application as necessary.

Complete your ADA Paratransit Eligibility Application online today to ensure you receive the assistance you need.