Get Dallas Area Rapid Transit Ada Paratransit Eligibility Re - Dart

Filling out the DALLAS AREA RAPID TRANSIT ADA PARATRANSIT ELIGIBILITY RE - Dart form is an essential step for individuals seeking paratransit services. This guide will walk you through each section of the form to ensure you provide the necessary information accurately and efficiently.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your general information. Enter your last name, first name, and middle initial. If applicable, include your paratransit identification number, date of birth, and the last four digits of your Social Security number.
3. Fill in your address details, including street address, building or apartment number, apartment name or gate code, city, state, and zip code.
4. Next, provide your contact information. Include your home phone number and your cell or work phone number.
5. In the case of an emergency, provide the name of a contact person, their relationship to you, and their phone numbers. Also, include their address, city, state, and zip code.
6. In the disability information section, list your medical conditions and the date each condition was diagnosed. Ensure you provide clear information about your health status.
7. Indicate if your medical condition has changed since your last application with DART by providing a brief explanation.
8. Specify the mobility aids you use by circling all that apply from the provided list. Additionally, indicate the primary mobility device you use when traveling in the community.
9. Review the final statement regarding the accuracy of the information provided. Ensure you understand the implications of furnishing false information, and provide your signature and the date.
10. If someone else is completing the application on your behalf, they should sign and provide their relationship to you along with their contact information.
11. After you have filled out the entire form, save your changes. You can download, print, or share the completed application for submission.

Get started on completing your DALLAS AREA RAPID TRANSIT ADA PARATRANSIT ELIGIBILITY RE - Dart form online today!