Get Eligibility Application Form - Durham Region Transit

This guide provides clear and friendly instructions on how to complete the Eligibility Application Form for Durham Region Transit online. It is designed to assist users in navigating the form easily and ensuring all required information is accurately provided.

Follow the steps to successfully fill out your application form

1. Press the ‘Get Form’ button to access the Eligibility Application Form and open it in your preferred editing tool.
2. Begin by entering your personal information in the fields provided. Fill in your first name and surname, and select any appropriate titles such as Mr, Mrs, Ms, or Miss.
3. Input your address details including street number, street name, apartment/unit number, city or town, and postal code.
4. Provide your contact information by entering your home phone, cell phone, and business phone numbers.
5. Fill in your date of birth by selecting the month, day, and year from the dropdown menus.
6. Indicate your mobility options by responding to the questions about your use of a wheelchair or scooter. If applicable, specify whether you use a manual or electric wheelchair or another mobility device.
7. Respond to additional questions about your home’s accessibility, such as the presence of a ramp or lift and your ability to ride in a car.
8. Complete the emergency contact section with the name, relationship, and phone numbers of your designated emergency contact.
9. Review the applicant’s consent section, which allows Durham Region Transit to contact your health care professional for clarification on disability information.
10. Finalize the form by adding your signature and date. Once completed, you can save changes, download and print the form for submission.
11. Submit the application form by mailing it to DRT Specialized Services or faxing it to the provided number.

Complete your Eligibility Application Form online today to access essential transportation services.