Get Anchor Rides Application

The Anchor Rides Application is designed to provide transportation to people with disabilities who are unable to use the standard bus system. This guide will walk you through each section of the application, ensuring you have the necessary information to complete it accurately and efficiently.

Follow the steps to fill out the Anchor Rides Application effectively.

1. Click the ‘Get Form’ button to access the application and open it in your preferred editor.
2. Begin by providing your personal information, including your last name, first name, middle initial, date of birth, and contact details. Fill in your primary pick-up address along with any additional mailing addresses if applicable.
3. Specify your emergency contact details, including their name, phone number, and relationship to you.
4. Indicate whether you are a new applicant or re-certifying your status. Provide details on your disabilities and how they limit your ability to use the People Mover bus service, including any medical diagnoses.
5. Answer whether you require a personal care attendant and provide details regarding mobility aids or any barriers to using the bus service, including weight details if necessary.
6. Complete the optional sections that gather demographic information for program statistics, ensuring your privacy is maintained.
7. Fill out the authorization sections for the exchange of information and medical verification. Make sure to list the healthcare professional authorized to discuss your condition.
8. Review your application for completion. Ensure all necessary fields are filled and signatures are provided by you and any assisting individual.
9. Return your completed application by your preferred method: mail, email, or fax, as indicated in the instructions.
10. Finally, save or print a copy of your submitted application for your records. Consider reaching out to the Anchor Rides office if you have questions during the process.

Complete your application online today to access the transportation services offered by Anchor Rides.