ADA Paratransit Eligibility Application Instructions
This file provides essential instructions for applying for ADA Paratransit eligibility through Jefferson Transit. Users can find guidelines on completing the application and important contact information. It aims to assist those with mobility impairments in navigating the application process.
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How do I fill this out?
To fill out the application, ensure all sections are completed with accurate information. If assistance is needed, reach out to the MITS office for support. Note that incomplete applications will be returned.

How to fill out the ADA Paratransit Eligibility Application Instructions?
1
Read the instructions carefully and complete the application form.
2
Provide all required personal information in the designated fields.
3
Have a healthcare professional complete the certification form.
4
Sign the application to confirm the accuracy of information provided.
5
Mail the completed application to the Jefferson Transit MITS Office.
Who needs the ADA Paratransit Eligibility Application Instructions?
1
Individuals with mobility impairments seeking paratransit services.
2
Caregivers applying on behalf of individuals needing transportation support.
3
Healthcare professionals certifying mobility impairments for their patients.
4
Residents of Jefferson Parish wanting to access the MITS service.
5
Anyone who has had a previous application denied and wishes to appeal.
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What are the instructions for submitting this form?
To submit the completed ADA Paratransit Eligibility Application, mail it to the Jefferson Transit MITS Office at 118 David Dr., Metairie, LA 70003. You can also reach the MITS office at 504-889-7155 for further assistance and inquiries regarding submissions. Ensure all required signatures and information are included to avoid any delays in processing your application.
What are the important dates for this form in 2024 and 2025?
Important dates for the ADA Paratransit Eligibility Application include the application review period, which typically occurs within 30 days of submission. Monitoring the expiration of your MITS ID is also crucial as it requires recertification every three years. Keep an eye on potential updates regarding eligibility changes in 2024 and beyond.

What is the purpose of this form?
The purpose of the ADA Paratransit Eligibility Application is to determine the eligibility of individuals with mobility impairments for transportation services provided by MITS. This application ensures that those who require special assistance in transportation are identified and supported accordingly. By completing this form, users can access vital mobility services within urbanized Jefferson Parish and Orleans Parish areas.

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

- 1. Name: Applicant's full name including first, middle, and last.
- 2. Social Security Number: The applicant's social security number for identification.
- 3. Date of Birth: The applicant's date of birth.
- 4. Home Address: Current residential address of the applicant.
- 5. Emergency Contact: Information regarding a person to contact in case of an emergency.
- 6. Healthcare Professional: Details of the healthcare professional certifying the applicant's condition.
- 7. Mobility Aids: Information regarding any mobility aids the applicant uses.
- 8. Residency Accessibility: Details on whether the applicant's residence has wheelchair access.
What happens if I fail to submit this form?
Failing to submit the application may result in delays in receiving necessary transportation services. It's crucial to ensure all information is accurate and complete to avoid any setbacks in the eligibility review process.
- Incomplete Applications: Applications not fully completed may be returned, delaying the process.
- Missing Signatures: Applications without proper signatures will not be processed.
- Invalid Information: Providing false information may lead to denial of services.
How do I know when to use this form?

- 1. Requesting Paratransit Services: For individuals seeking transportation due to mobility issues.
- 2. Caregiver Assistance: For caregivers of those unable to apply themselves.
- 3. Healthcare Professional Certification: To certify the need for paratransit services.
Frequently Asked Questions
How do I access this form?
You can download the application form directly from our website.
What should I do if I need assistance?
For help in completing your application, contact the MITS office at 504-889-7155.
Can I save changes made to the form?
Yes, after editing the form in PrintFriendly, remember to download it before closing the application.
What is the MITS fare?
The fare for MITS is currently set at $3.00 each way.
How long does the application process take?
The application review process begins once your completed form is received.
What happens if my application is denied?
You have the right to appeal the decision, and instructions will be provided at that time.
Do I need to recertify my eligibility?
Yes, you must recertify every three years to maintain your eligibility.
Are personal care attendants charged a fee?
No, there is no charge for personal care attendants traveling with you.
How can I transfer to other transit services?
MITS allows transfers to New Orleans RTA's paratransit service if traveling outside the service area.
What information do I need to provide?
You'll need to provide personal identification details, including your name, address, and healthcare professional information.
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