Get Uk East Hull Community Transport Dial A Ride Application Form 2020-2025

The UK East Hull Community Transport Dial A Ride application form is designed for individuals who face challenges using public transport. This guide will assist you in completing the form online accurately and efficiently.

Follow the steps to complete the application form effectively.

1. Click ‘Get Form’ button to obtain the application form and open it for editing.
2. Begin by filling in your title, first name, and last name. Ensure to select the appropriate title that reflects your identification.
3. Input your date of birth to confirm your eligibility. Next, provide your telephone number for contact purposes.
4. Enter your address and postcode accurately to facilitate communication and service delivery.
5. Provide your mobile phone number for more efficient contact and updates regarding your application.
6. Indicate why you find it difficult or impossible to use public transport in the designated space.
7. Respond to the question about your disability status by selecting 'Yes' or 'No.' If applicable, describe the nature of your disability.
8. Please provide contact information for an emergency contact, including their name, relationship to you, address, and phone number.
9. Answer whether you require any special transportation needs and specify if you travel in a wheelchair.
10. Indicate the type of wheelchair you use, whether manual or electric, and confirm if you use any walking aids.
11. State whether you must be accompanied during travel and confirm whether you can travel in a car.
12. Add any further information that you feel is important for your travel needs before submission.
13. Tick the box indicating the primary reason for your transport need, such as education, recreation, or medical.
14. Review the declaration statement and confirm that all the details provided are correct by signing your name and entering the date.
15. Lastly, answer the question regarding data protection consent by selecting your preferred option, ensuring you understand your rights.
16. Once you have filled out the form, ensure to save the changes, and choose to download, print, or share the form as necessary.

Complete your application online today to ensure you receive the necessary transport services.