Follow the steps to successfully complete the application.

1. Click the ‘Get Form’ button to access the application form in your preferred online format.
2. Begin by providing general information about the applicant in Part A. This includes selecting whether the applicant is a current rider or a new applicant. Fill in the applicant's name, address, contact information, and any applicable ID numbers.
3. Complete the emergency contact section. Provide names, relationships, and phone numbers of at least two emergency contacts.
4. Answer the disability-related questions in detail. Describe how the applicant's disability affects their use of regular city buses and provide an indication of the condition's duration.
5. Indicate the types of mobility aids currently used by the applicant. Also, specify if any assistance is needed while traveling in the community.
6. Address each question regarding the applicant's ability to navigate their environment, cross streets, and recognize destinations. Be as specific as possible in responses to ensure a clear understanding of the needs.
7. Sign and date the verification section to confirm the accuracy of the provided information. If someone else is completing the form on behalf of the applicant, include their name, relationship to the applicant, and signature.
8. If applicable, Part B of the application must be completed by a licensed or certified health care professional. This section provides a detailed evaluation of the applicant’s disability and functional capabilities.
9. Review the entire application to ensure all fields are completed accurately. Incomplete applications may be returned, which can delay processing.
10. Finally, save the completed application, and choose to either download, print, or share it as needed. Submissions can be sent via mail or email, ensuring both Part A and Part B are included together.

Complete the DE DART First State ADA Paratransit Services Application online today to assess your eligibility for essential transportation services.