Follow the steps to successfully complete the application.

1. Click ‘Get Form’ button to obtain the application and open it for editing.
2. Begin with Section 1: General Information. Fill in your name, home and work phone numbers, street address, city, state, and zip code. Include your mailing address if it differs from your residential address and specify your date of birth along with current age.
3. In the section where you specify the VanGo services you are applying for, choose among options such as Door to Door Service, Transportation to Dialysis, Reduced Fare Card, or Transportation to Senior Center.
4. Move on to Section 2: Disability Information. Identify the type(s) of disability you have and describe how it affects your ability to use public transit. Indicate the duration of your disability and any mobility aids or equipment you use.
5. In Section 3: Service Information, list your regular destinations along with their addresses and how frequently you travel there. It is important to specify your ability to travel to the curb without assistance, and if not, to provide relevant details.
6. Complete the Request for Professional Verification in Section 5. Ensure that this section is filled out by a qualified health care professional to validate your application.

Complete your application online today to gain access to vital transportation services.