Edit, Download, and Sign the ADA Paratransit Application for GoRaleigh ACCESS

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How do I fill this out?

To fill out the ADA Paratransit Application, start by reviewing the eligibility criteria to ensure you qualify. Complete Part A of the application thoroughly and then have an authorizing professional fill out Part B. After both parts are completed, submit them to the City of Raleigh Transportation Department for processing.

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How to fill out the ADA Paratransit Application for GoRaleigh ACCESS?

  1. 1

    1. Review the eligibility brochure and application.

  2. 2

    2. Complete Part A and have a professional fill out Part B.

  3. 3

    3. Ensure both parts are signed and dated.

  4. 4

    4. Mail the complete application to the provided address.

  5. 5

    5. Wait for a confirmation from the City of Raleigh.

Who needs the ADA Paratransit Application for GoRaleigh ACCESS?

  1. 1

    Individuals with disabilities who cannot use regular public transport due to their condition.

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    Elderly individuals who require assistance with mobility.

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    People with temporary disabilities recovering from injuries.

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    Individuals with specific impairments that hinder their access to transport.

  5. 5

    Caregivers or family members applying on behalf of someone who is eligible.

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What are the instructions for submitting this form?

To submit the ADA Paratransit Application, please ensure both parts A and B are fully completed. Mail the completed form to the City of Raleigh Transportation Department at P.O. Box 590, Raleigh, NC 27602. For questions or further assistance, you can also contact GoRaleigh ACCESS at (919) 996-3459.

What are the important dates for this form in 2024 and 2025?

The ADA Paratransit Application does not have specific submission deadlines; however, it is recommended to apply well in advance of your intended travels. Ensure you're aware of any updates regarding eligibility assessments and service availability. Keep an eye on announcements from the City of Raleigh Transportation Department for important program updates.

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What is the purpose of this form?

The purpose of this form is to determine eligibility for paratransit services provided by the GoRaleigh ACCESS program under the ADA. It ensures that individuals with disabilities can access necessary transportation options. By completing this application, users can secure the support they need to travel within the service area.

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Tell me about this form and its components and fields line-by-line.

This application form consists of several key sections that gather essential information about the applicant.
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  • 1. Eligibility Criteria: Details outlining the qualifications necessary for paratransit services.
  • 2. Applicant Information: Personal details needed to identify and evaluate the application.
  • 3. Authorization: Section for a professional to validate the applicant's need for service.

What happens if I fail to submit this form?

If the application is not submitted, you will not be eligible for paratransit services. This may result in difficulties in accessing necessary transportation for disabilities. Applicants must ensure the form is completed and mailed to receive assistance.

  • Lack of Transportation Access: Without this application, individuals may face challenges in arranging necessary travel.
  • Delay in Services: Not submitting could prolong the time to receive essential transportation support.
  • Missed Opportunities: Failure to apply may prevent opportunities for outings, appointments, or employment.

How do I know when to use this form?

This form should be used when an individual with a disability requires transportation services that differ from traditional public transit. It is ideal for those who cannot use regular buses due to their condition or specific needs. Utilize this application for any travel needs within the Raleigh ADA service area.
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  • 1. Permanent Disabilities: Those with lasting conditions requiring ongoing transportation support.
  • 2. Temporary Limitations: Individuals recovering from an injury that affects their ability to travel.
  • 3. Elderly Citizens: Senior individuals who need assistance with transportation.

Frequently Asked Questions

How do I determine if I am eligible for the paratransit service?

Review the eligibility criteria specified in the application to confirm your qualification.

What if I encounter difficulties in filling out the application?

Contact the GoRaleigh ACCESS office for assistance or get help from a professional.

Can I submit the application electronically?

Submissions must be mailed to the City of Raleigh; electronic submission is not available.

What should I do after submitting my application?

You will be contacted for a functional assessment to determine your eligibility.

How long does it take to process the application?

Expect to be contacted within 21 days of submission.

What happens if my application is denied?

You will receive a letter outlining the decision along with details on how to appeal.

Is there a fee associated with the paratransit service?

Yes, the service requires a fee of $2.50 per trip for eligible users.

Where can I access additional copies of this application?

Extra copies are available at the City of Raleigh Transportation Department and various local agencies.

Can I request assistance while filling out my application?

Yes, you can ask designated professionals for help during the application process.

Will my personal information be kept confidential?

Yes, all submitted information will be used solely for eligibility determination and kept confidential.

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