Get Mountain Mobility Summit County

This guide provides step-by-step instructions on how to complete the Mountain Mobility Summit County application online. Designed to assist users in navigating the application process, it ensures that all necessary information is accurately submitted to facilitate eligibility for transportation services.

Follow the steps to effectively complete your application.

1. Press the ‘Get Form’ button to obtain the application form and open it in the designated editor.
2. Fill in your personal details, including your first name, last name, mailing address, and contact information. Ensure all information is accurate and clearly presented.
3. Provide information regarding your emergency contact, including their name, relationship to you, and contact information.
4. Complete the section detailing your disability and any conditions that prevent you from using fixed route services. Be specific regarding any temporary conditions.
5. Indicate your cognitive abilities by answering the yes/no questions provided. Provide explanations where necessary, especially in the case of a negative response.
6. Complete the mobility section, indicating any mobility aids used and additional needs for transportation.
7. List any specific destinations you require paratransit services for, along with the reasons you cannot use the fixed route service.
8. Review the client certification and signature section. Ensure that you sign the document, confirming the provided information is correct.
9. If applicable, provide Sections B and C to your designated health professional for verification. Keep a copy of these sections for your records.
10. Once completed, submit the Mountain Mobility application along with any required professional verification forms through the designated mail-out instructions. Ensure you keep a copy for your records.

Start your application online to secure your transportation services today.