Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the application and open it in your preferred editor.
2. Begin filling out Part I, Background Information of Applicant, which includes your name, address, phone numbers, social security number, date of birth, and emergency contact information.
3. Proceed to Part II, Information About Your Disability. Answer all questions regarding your disability, including whether it prevents you from using regular bus or rail services and any mobility aids you may use.
4. Complete Part III, Information about Your Current Use of the Regular/Fixed-Route Bus/Rail Service. Indicate your usage patterns, accessibility needs, and difficulties encountered while using public transport.
5. In Part IV, Applicant’s Current Travel, provide details about terrain, sidewalks, and your most frequent destinations. This information helps GCRTA to understand your travel challenges.
6. Ensure you fill out Part V, Applicant Certification, where you confirm that the information you provided is accurate and that your application may require further assessment.
7. If someone assisted you in completing this form, record their details in Part VI.
8. In Part VII, Applicant Authorization for Release of Medical Information, authorize your healthcare professional to share relevant information.
9. Have your licensed physician or healthcare professional complete Part VIII, Medical Professional Certification, ensuring they provide details about your disability.
10. Once all sections are filled out completely, review the application for completeness to avoid delays. Save your changes before downloading or printing the final document.

Complete your application online today to ensure timely processing.