We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Al Clastran Application For Determination Of Eligibility 2020

Get Al Clastran Application For Determination Of Eligibility 2020-2025

All individuals, regardless of age or disability, are eligible for transportation to/from rural areas of Jefferson and Shelby counties. Qualification must be determined through an application process. All information is confidential. Please fill out all pertinent parts of this application and return with supporting documentation. Email: certification clastran.com Fax: 205-325-8788 U.S. Mail: ClasTran PO Box 10386 Birmingham, AL 35202-0386 For questions or information: 205-325-8787 877-826.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the AL ClasTran Application For Determination Of Eligibility online

The AL ClasTran Application For Determination Of Eligibility is an essential form for individuals seeking subsidized transportation services in urbanized areas of Jefferson and Shelby counties. This guide provides clear and supportive instructions on how to accurately complete the application online.

Follow the steps to successfully fill out the application.

  1. Click ‘Get Form’ button to obtain the application and access it in your preferred editor for online completion.
  2. Begin by filling out the personal information section. Provide your first name, middle initial, last name, date of birth, email address, and primary phone number. Indicate whether your primary phone is a mobile number. If you have a secondary phone, include that information as well.
  3. Next, enter your street address and, if applicable, your mailing address. In case of emergency, provide the contact information for someone who can be notified.
  4. Move to the age qualification section if you are 60 years or older. Here, you need to submit a copy of a verification document, such as a state identification card or birth certificate. If you qualify based on age, skip the disability qualification section.
  5. If you qualify due to a disability, proceed to the disability qualification section. Specify the nature of your disability (physical, mental, or visual) and if it is temporary. Proof of your disability must be obtained from a licensed professional.
  6. Complete the mobility information section by checking all mobility aids you frequently use, such as a cane or wheelchair.
  7. Indicate whether you regularly travel with a personal care attendant (PCA) and provide their name and employer if applicable.
  8. List common locations you frequently travel to and provide any special instructions for vehicle operators regarding these locations.
  9. Optionally, report your household income and number of people in your household in the household income section, which will not affect eligibility but may inform fare structure.
  10. In the special instructions section, provide any additional considerations for scheduling transport services or instructions for vehicle operators.
  11. Review the certification section carefully. Ensure all information provided is accurate and complete. Sign and date the application.
  12. Once completed, save your changes, download the application, and keep a copy for your records. Share or print the application as needed.

Complete your AL ClasTran Application For Determination Of Eligibility online today for efficient access to transportation services.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

DOT FTA
Jan 18, 2023 — Activities to be performed: Funds will be used to cover eligible...
Learn more
DEPLOYING ADVANCED PUBLIC TRANSPORTATION ...
by SL Jones Jr · 2003 — The information presented herein was obtained from...
Learn more
Human Services Coordinated Transportation Plan
To be eligible for Federal Transit Administration (FTA) program funds, including but not...
Learn more

Related links form

Canada NSNP 400 2021 UK General Medical Council GEN2 2021 AU VRPIN00228 2019 UK Postal Share Dealing 2021

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get AL ClasTran Application For Determination Of Eligibility
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232