Get Chile Line Ada Handi-van Policy And Application - Town Of Taos

Filling out the Chile Line ADA HANDI-VAN Policy and Application is a straightforward process designed to help individuals with disabilities access vital transportation services. This guide outlines step-by-step instructions to assist users in completing the application efficiently and effectively.

Follow the steps to complete your Hands-VAN application online.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by selecting whether you are a first-time or renewal applicant. This will guide the processing of your application.
3. Fill in your personal details, including your name, mailing address, physical address, city, state, zip code, phone number, and date of birth accurately.
4. Respond to eligibility questions by checking the statements that best describe your disability and how it affects your ability to use the Chile Line Fixed Route.
5. Indicate if you require a Personal Care Attendant or mobility aid by selecting 'yes' or 'no' as appropriate.
6. Provide details of any mobility aids you use by checking the relevant boxes, such as wheelchair, scooter, or walker.
7. Describe your ability to use accessible buses and list the three locations you will frequently travel to using this service.
8. Complete the emergency contact section by providing the name, address, daytime phone, alternate phone, and relationship of your designated contact.
9. Sign and date the application. If someone else filled out the form, that individual must also provide their information and sign.
10. Ensure that a Personal Physician, Registered Nurse, or Social Worker has completed the attached certification section, including their signature and contact information.
11. Once completely filled out, ensure to save your application and prepare it for submission.
12. You can choose to download, print, and share the completed application as necessary once all information has been entered.

Complete your HANDI-VAN application online today to access reliable transportation services tailored to your needs.