Get Please Read Before Filling Out This Application - Easy Lift Transportation

Filling out the Please Read Before Filling Out This Application is a crucial step in securing your ADA Paratransit services. This guide provides clear, step-by-step instructions for completing the application accurately and efficiently, ensuring a smooth process for users with varying levels of experience.

Follow the steps to complete the application online effectively.

1. Press the ‘Get Form’ button to retrieve the application and open it in your editing tool.
2. Begin by entering your personal information in Section 1, which includes your name, date of birth, and address. Be sure to indicate if you live in a gated community by providing the gate code.
3. Fill in your contact details, including daytime, evening, and cell phone numbers, as well as your email address.
4. Provide a mailing address if it differs from your residential address and include information for a local friend or relative that can be contacted in case of an emergency.
5. Answer the questions regarding your health condition or disability, specifying whether it is temporary or permanent, and indicate any need for assistance while traveling.
6. In Section 2, assess your functional abilities without aid. Mark your answers based on whether you can complete various tasks such as understanding instructions or navigating bus stops.
7. Complete Section 3 by certifying the application statement, ensuring that the information provided is accurate and complete. Sign and date the certification.
8. If someone assisted you in completing the application, include their information as needed, including their relationship to you and their contact details.
9. Once the application is completed, save your changes, and proceed to download or print the application for submission. You may also share it if required.

Complete your application online today to ensure your access to necessary transportation services.