Get Dial A Ride Application Form

Completing the Dial A Ride Application Form online is essential for accessing door-to-door transport services for individuals who may have difficulty using public transport. This guide will provide clear instructions to help you navigate each section of the form effectively.

Follow the steps to successfully complete your application form.

1. Click ‘Get Form’ button to access the application form and open it in your browser or preferred viewer.
2. Fill in your personal information in the designated fields. Ensure you provide accurate details such as your name, address, and contact information.
3. Provide information on your mobility status. If you use a wheelchair or mobility aid, be sure to enter the make and model, as this is crucial for vehicle safety checks.
4. Indicate whether you are applying under automatic eligibility or non-automatic eligibility. If applying under automatic eligibility, gather your supporting documents as outlined.
5. If applying under non-automatic eligibility, ensure you include written confirmation from a health or social care professional regarding your mobility concerns.
6. Review the checklist included in the form to ensure you have all necessary documents, including proof of identity and relevant eligibility confirmations.
7. Sign the declaration at the end of the form, confirming that all information provided is accurate to the best of your knowledge.
8. Once you have completed and reviewed the form, save your changes, and print or download a copy for your records. Ensure to submit any required documents as per the instructions.

Complete your Dial A Ride Application Form online today to access essential transportation services.