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How to fill out the Dial A Ride Application Forms online
This guide provides clear and supportive steps to help users fill out the Dial A Ride Application Forms online. By following these instructions, you can complete the form accurately and efficiently.
Follow the steps to successfully complete your application online.
- Click ‘Get Form’ button to access the application form and open it in the online editor.
- Begin by completing Part One, which requires your personal details. Ensure you enter your full name, address, phone numbers, and email address if available. This section is mandatory for all applicants.
- If you are submitting on behalf of someone else, fill out the alternative contact details. Provide your relationship to the applicant along with your contact information.
- Proceed to Part Two to assess eligibility. There are sections for both automatic and non-automatic eligibility. Make sure to tick all relevant boxes and attach any required documents.
- In Section 2b, provide detailed responses to questions regarding your mobility and public transport use. This will assist assessors in determining your eligibility.
- Complete Part Three by discussing any long-term conditions or disabilities and how they impact your mobility. Answer questions about mobility aids and equipment.
- Provide emergency contact details and indicate how you would like to receive information about the service. This ensures that you are informed in a manner that suits your needs.
- Attach proof of identity as specified and ensure that all required documents are included with your application.
- Sign and date the declaration at the end of the form. If someone else is signing on your behalf, they must also provide their details.
- Finally, review your application for completeness, save any changes, and proceed to download, print, or share the form as needed.
We encourage you to complete the Dial A Ride Application Forms online to ensure a smooth application process.
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Dial-A-Lift Long Beach is a curb-to-curb, shared ride transit service exclusively for the mobility impaired residing in and traveling throughout the cities of Long Beach, Lakewood, Paramount and Signal Hill.
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