Get Viatrans Online Services

Filling out the Viatrans Online Services recertification application is a crucial step for patrons to ensure they continue receiving the necessary transportation services. This guide will provide clear, user-friendly instructions to assist you in completing the application accurately.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application and open it in the online editor.
2. Begin with Part I, which requests general information about the patron. Fill in the name, VIAtrans ID number, date of birth, and address in the designated fields.
3. Provide accurate contact numbers, including home, cell, emergency contact, and work numbers. State the relationship of the emergency contact to the patron.
4. Describe the patron's disability in detail. Additionally, note any changes in their condition or travel needs since their initial application.
5. Indicate the date of the patron's most recent VIAtrans trip and outline how frequently they use the service and for what general purposes.
6. Move to Part II to share information about mobility and assistive devices. Check all applicable assistive devices used for travel.
7. If the patron uses a wheelchair or scooter, fill in specific details about the device, including brand name, make and model number, dimensions, and weight.
8. Indicate whether a personal care attendant is required by the patron and detail the responsibilities of the PCA.
9. Specify the preferred communication format, choosing from the options listed such as English, Braille, or large print.
10. Provide information about the patron's primary physician, including their name, telephone number, address, condition treated, and the date of the last exam.
11. In Part III, if someone other than the patron has filled out the application, that individual must complete their personal details, including name, relationship to the applicant, address, phone numbers, and signature.
12. Review all the information provided to ensure accuracy and completeness. Once confirmed, save changes, and choose to download, print, or share the completed form as necessary.

Complete your application online today to ensure continued access to VIAtrans services.