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How do I fill this out?
To fill out this application, complete the personal information sections and have a medical professional complete the medical form. Your forms will be reviewed upon submission. Follow the steps to ensure your application is processed.
How to fill out the TARC3 ADA Paratransit Application?
1
Complete the personal information form.
2
Have a medical professional complete the medical form.
3
Submit the forms for review.
4
Wait for a decision within 21 days.
5
Request an appeal if you disagree with the decision.
Who needs the TARC3 ADA Paratransit Application?
1
Individuals with physical disabilities who cannot use fixed-route buses.
2
Individuals with cognitive or mental limitations affecting their travel capabilities.
3
Individuals with visual impairments limiting their ability to navigate to, board, or ride buses.
4
Residents of Greater Louisville or Southern Indiana within the service area.
5
People needing door-to-door public transportation services due to disabilities.
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How do I edit the TARC3 ADA Paratransit Application online?
You can easily edit this PDF on PrintFriendly using our powerful PDF editor. Make necessary changes directly on the form by filling in your personal information and details. Save and download the updated document for submission.
1
Open the PDF in PrintFriendly's editor.
2
Make necessary changes to your personal information.
3
Have your medical professional complete their section.
4
Review the completed form for accuracy.
5
Save and download the updated PDF.
What are the instructions for submitting this form?
Submit the completed forms to the TARC3 Eligibility Office. You can mail them to the office address shown on the form, email them to the provided contact email, or use the online submission form. Follow the instructions on the form for the proper submission method. Ensure all sections are completed and signed before submission.
What are the important dates for this form in 2024 and 2025?
Ensure your application is submitted well before the eligibility decision deadline, typically within 21 days from the receipt of your completed forms.
What is the purpose of this form?
The purpose of this form is to apply for TARC3 ADA paratransit services if you have disabilities that prevent you from independently riding fixed-route buses. The application includes details for eligibility determination and requires both personal and medical information. By completing and submitting this form, you will be considered for door-to-door public transportation services under the ADA.
Tell me about this form and its components and fields line-by-line.
- 1. Personal Information: Includes your name, address, and personal details such as disability information.
- 2. Medical Information: A section to be completed by a medical professional, providing details about your disability.
- 3. Service Area: Information about the service area within Jefferson County and Southern Indiana.
What happens if I fail to submit this form?
Failure to submit this form correctly may result in delays or denial of your application for ADA paratransit services.
- Application Delays: Incomplete forms or missing information can cause delays in processing.
- Denied Application: Failure to provide required medical information may lead to application denial.
How do I know when to use this form?
- 1. Physical Disabilities: When physical limitations make it difficult to travel to, board, or ride buses.
- 2. Cognitive or Mental Limitations: When cognitive or mental limitations affect your ability to use fixed-route buses.
- 3. Visual Impairments: For individuals with visual impairments that limit their travel capabilities.
Frequently Asked Questions
How do I edit this PDF on PrintFriendly?
Open the PDF in PrintFriendly's editor, make necessary changes, and save the updated document.
Can I sign the PDF on PrintFriendly?
Yes, you can add your digital signature by clicking on the designated signature field or uploading a signature image.
What information is required in the personal form?
The personal form requires your name, address, and personal details such as disability information.
Who completes the medical form?
A medical professional must complete the medical form.
How long does the review process take?
The review process can take up to 21 days after submission.
Can I share the completed form?
Yes, you can share the completed form via email or generate a shareable link.
What if I disagree with the eligibility decision?
You can request an appeal if you disagree with the eligibility decision.
Where can I submit my completed forms?
Submit your completed forms to the addresses and contacts provided in the instructions.
What if some information changes after submission?
If any information changes, update the form using PrintFriendly's editor and resubmit it.
Can I get assistance with filling out the form?
Yes, you can contact the eligibility office for assistance with completing the form.
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