Loading
Get Oh 72-987 2021-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the OH 72-987 online
The OH 72-987 is the application form for ADA Paratransit Service provided by the Greater Cleveland Regional Transit Authority. This guide will support you in accurately completing the form online, ensuring that all necessary information is submitted for evaluation.
Follow the steps to fill out the OH 72-987 accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Part I, provide your personal information in Section I. This includes your name, address, date of birth, phone numbers, and indicate if you are applying for the first time or recertification. Be sure to fill all fields using blue or black ink as required.
- Complete Section II, which asks about your current travel information. Answer questions about your use of fixed regular bus/rail service, ability to reach the nearest bus stop, and the presence of sidewalks.
- In Section III, detail your disability and health conditions. Provide information on the nature of your disability, whether it prevents you from using regular transit services, and if it is permanent. Indicate any mobility aids you may use.
- Certify your application in Section IV by signing and dating the form. If you are unable to sign, your authorized representative may do so, but they must provide proof of guardianship if applicable.
- Part II requires completion by your licensed medical professional. Ensure they provide the necessary information and signature verifying your condition.
- Once the form is fully completed, save your changes. You are then prepared to download, print, or share your application as needed before submission.
Complete the OH 72-987 form online today to begin the application process for ADA Paratransit Service.
Related links form
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.