Get Regina Paratransit Service Application

The Regina Paratransit Service Application is designed for residents and visitors of Regina who require special transportation due to disabilities. This guide provides a clear and supportive framework for efficiently completing the application online.

Follow the steps to fill out your application with ease.

1. Click ‘Get Form’ button to access the Regina Paratransit Service Application and open it for editing.
2. Begin with Part A, entering your last name, first name, and date of birth. Make sure to correctly format the date as day/month/year.
3. Fill in your address, home phone number, cell phone number, and email address. If your mailing address differs from your home address, provide that information as well.
4. Indicate which mobility aids you use by checking all applicable options in the designated section.
5. Answer whether the dimensions or weight of your mobility aid exceed the specified requirements.
6. Describe your current means of transportation by checking all that apply. Include space for notes on how your situation has changed.
7. Explain why you are unable to use regular transit services in the provided fields.
8. Answer the questions regarding your ability to travel and your conditions by checking the appropriate responses and providing explanations where needed.
9. Complete the Release of Information section, ensuring you sign and date it. If someone else filled out the form on your behalf, their information must also be recorded.
10. If required, have Part B completed by a qualified healthcare practitioner, ensuring all necessary signatures and details are included.
11. Review the entire application for accuracy and completeness before submission to avoid delays.
12. Once completed, save your changes, and you may choose to print, download, or share the form as necessary.

Start filling out your application online today to ensure you receive the support you need!