Get Form 2124

Form 2124 is an essential document for logging community support transportation services. This guide will provide you with step-by-step instructions on how to complete the form online, ensuring that you meet all requirements.

Follow the steps to fill out Form 2124 accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering the individual's name at the top of the form in the designated field. This identifies who the transportation services are provided for.
3. Next, input the service provider's name in the section labeled 'Service Provider Name'. This should match the entity responsible for the transportation.
4. Select the method used for transportation by checking one of the options provided under 'Method Used'. Make sure to include all relevant details.
5. Sign and date the form in the section labeled 'Service Provider Signature'. This confirms that the information provided is accurate.
6. For each transportation segment, fill out the 'Begin Time' and 'End Time' fields. Record the total transportation time in the appropriate section.
7. Calculate the service time based on the provided formula: [total transportation time x # of service providers] ÷ # of passengers. Input this value in the 'Service Time' section.
8. Complete the 'Units of Service', 'Place of Departure', and 'Destination' fields with the necessary information about each transport segment.
9. Once all sections are filled out correctly, review the form for accuracy. Ensure all entries are complete and clear.
10. Finally, you can save your changes, download, print, or share the completed form as needed.

Take the next step to complete your documentation by filling out Form 2124 online today.