Descriptions of each program can be found here. The application must be complete before it will be reviewed; a complete Paratransit Eligibility application is defined by: 1) all questions within the application are answered to the best of the applicantâs ability, 2) the application is signed by the applicant or the individual completing the application, Visitors to Fargo-Moorhead who have been certified as "ADA Paratransit Eligible" by another public entity will be provided service up to 21 days during any 365-day period beginning with the visitor’s first use of the service during such 365-day period. To receive an application, call RT at (916) 557-4685 or (916) 557-4686 TDD; or email firstname.lastname@example.org; or download the ADA Paratransit Interactive Application by visiting this link, and scrolling down to the âADA Paratransit Serviceâ section. Transportation services may be available at a reduced rate, if you meet any of the following criteria: â¢ Currently on Medical Assistance through the Department of â¦ Qualification is based on the individual’s functional capabilities rather than a specific medical diagnosis. The applicant, or a representative of their choice, shall have the opportunity to be heard and present information and arguments in support of his/her position to the Appeals Subcommittee of the Metro Area Mayors’ Committee for People with Disabilities. Applications for this program are to be completed by MH/IDD support coordinators only. ADA Paratransit Eligibility is based on a functional, rather than medical, model. Flexibility is at your fingertips with rabbittransit’s on-demand shuttle. c. If a determination is not made within 21 days, the applicant will be determined temporarily eligible until such time as the final determination of eligibility is made by the Mobility Manager. • Expiration date for eligibility Revisions: 5/7/14, 8/8/16 Page 1 . (701) 241-8140 MAT Paratransit is intended to provide transportation to individuals with disabilities who are unable to independently utilize the Fixed Route Bus System (also known as MATBUS). I authorize the professionals listed above to release to Valley Metro information about my disability and its effect on my ability to â¦ If service disruptions such as re-routing due to construction make the training temporarily inappropriate, the individual would be eligible for those trips. Refer to Section 3.5 - Eligibility Process to apply for a Special User Card. Medical, Physical Therapist, Stores, and other places) Place Address City Telephone Number (if known) 17. With the exception of assistance provided by the driver or other employees of the service, eligibility under this category is based on a person's ability to independently use the service. A written appeal must be filed within 60 days of the date of the letter notifying an individual that they have been determined to be ineligible for ADA Paratransit service. ADA Paratransit is provided for individuals whose disability or health condition may prevent them from using the CTA and/or Pace fixed route services for some or all of their travel. Additional information is included in the application. ADA Paratransit Glossary of Terms. Photos submitted to MAT Paratransit, must be clear (not blurry or pixelated), color and of the applicant only, no other people can be in the picture. d. A written determination of the decision on the appeal, including the reasons for such decision, shall be forwarded to the applicant within 30 days of the completion of the appeals process. • Whether the eligible individual utilizes a personal care attendant Paratransit Application Form Please note that any information given on this application will be kept confidential and shared only with professionals involved in providing the paratransit service on an as needed basis. Since it is an Origin-to-Destination and curb-to-curb service, the ParaTransit vehicles do not go into driveways or parking lots. The City of Fargo's Health Officer, an M.D., will advise the Committee as necessary. A complete Paratransit application includes the application form, authorization form completed by the applicant, and a professional verification form completed by the professional authorized to verify the applicant's information. A subcommittee of the Metro Area Mayors’ Committee for People with Disabilities (Appeals Subcommittee) will serve as the Administrative Appeals Board for the Cities of Fargo and Moorhead. A complete Paratransit application includes the application form, authorization form completed by the applicant, and a professional verification form completed by the professional authorized to verify the applicant's information. Applications for ADA Paratransit Service. To receive an application by mail, call 1-800-632-9063. If a determination is not made within 21 days, the applicant will be determined temporarily eligible until such time as the final determination of eligibility is made by the Mobility Manager. However, all riders must pre-register for Paratransit Service before requesting a trip. MATBUS sends the verification form to the professional identified by the applicant on the authorization form. You must complete an application form that you can obtain by: Downloading the application form Picking up a form at either of our office locations Contact our Brokerage Office at 519-451-1340 ext 381 and leave a message with your name and address Return this application to: BJCTA-MAX Post Office Box 10212 Birmingham, Alabama 35202-0212 Overview â Services Available B-Line ADA Paratransit . A written appeal must be filed within 60 days of the date of the letter notifying an individual that they have been determined to be ineligible for ADA Paratransit service. • Telephone number to call to reserve a ride THERE ARE THREE CATEGORIES OF ELIGIBILITY: CATEGORY 1: UNABLE TO BOARD, RIDE OR DISEMBARK. Completing this pre-application is the first step in determining the right public transportation service for you. Under the ADA, transit agencies operating a fixedroute system must provide a comparable - paratransit system for people with disabilities who cannot use the fixedroute system. 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