ada paratransit application ct

Partially completed applications will not be accepted. To apply for paratransit services please fill out an application at www.ctada.com. Connecticut ADA Paratransit Resource Center (www.ctada.com) Before using any ADA paratransit service, rider eligibility for the service must be established. Call the ADA office at 860-247-5329 extension 3086 and ADA staff will mail you an order form. To use ADA services, riders must be eligible and certified as disabled according to the Americans with Disabilities Act. Date of Birth: Last Name: First Name: WHEREAS, in recognition of the effectiveness of using masks or face coverings in preventing the transmission of COVID-19, Executive Order No. Manager of ADA Paratransit Click below for a listing of participating Stop & Shop supermarkets in your area. Enclosed are the ADA Paratransit Application and Eligibility Brochure that explains ADA Paratransit Service. ADA PARATRANSIT ECTC has been sub-contacted by Southeast Area Transit (SEAT) to provide this service. All materials are available in accessible format and in languages other than English upon request. hޜ��J1�_��$�'?P�ХRܕ.���V:-�ۛIQq���!̙\�#X��6��1X�!$`5�����+Aa�`b�*b �k�b���ϧk��4i�=�������5��,�G�uO�K� �e���������O��~�μ[r���x�4��Yb�">K��E�d��� Sb��#[�g�Hf9��Jl�VrUbXNdS#25�Jt �P#J��H�e��#��gW���KYo5Et�B�m��\k��f[Z[j������{�O ��T� The ADA Paratransit service is provided in compliance with the Americans with Disabilities (ACT) to provide disabled persons equal access to public transportation. I understand that falsification of information may result in denial of service. Applications are available online at www.ctada.com or by calling 860-456-2223 to request one by mail. If you have a disability that prevents you from using the public transit bus service in Connecticut, you may be eligible for ADA Paratransit service. All Rights Reserved. To apply for ADA Paratransit, call the RTA's ADA Paratransit C… Home. ADA Paratransit. “Providing a safe and outstanding quality of service to all of our riders is our top priority.”. 118 0 obj <>stream mbanker@ghtd.org, Senior ADA Paratransit Eligibility Coordinator GREATER BRIDGEPORT TRANSIT AUTHORITY: ADA Paratransit System Information provided by: United Way of Connecticut Transportation for any purpose for individuals with mental or physical disabilities that prevent them from being able to use the regular public transportation system. PLEASE NOTE: As part of the determination for eligibility, the individual must fill out the “State of Connecticut ADA Paratransit Application Form” and then go through an interview process with Middletown Transit. This service provides a shared-ride, door-to-door van transportation for individuals whose disabilities prevent them from riding the city bus service. If you would like to learn how to schedule a ride as a visitor, call860-247-5329 x3011 for details. Bristol. Applications for ADA Paratransit service are available from our administrative office. The Steps in the Eligibility Process 1. (860) 380-2011 If you have a disability that prevents you from using the public transit bus service in Connecticut, you may be eligible for ADA Paratransit service. Valerie K. Ellis The Eastern CT Travel Voucher Program is a transportation service that provides subsidized taxi, livery or wheelchair accessible rides to enrolled, eligible participants residing in eastern Connecticut. *PA Driver Licenses/Non-Driv… Please read the Eligibility Brochure carefully before completing your application. I agree to notify Coast’s Paratransit office of any changes in my staus which may affect my eligibility to use the service. You can find full details about the ADA service in our ADA Riders Guide(en Espanol), ADA Riders Guide (Polish). cvicente@ghtd.org, ADA Paratransit Service Compliance Manager ... 62 Federal Road, Danbury CT 06810 Tel: (203) 744 4070 Fax: (203) 744-0764. �0F����$(�(Y�N\H�N��.��ao�7L�a"���0)�J1�i8��@Lp�"EĠ�X�g$�h[�+�2��8��a%��u*��"*�F��S�6F�ى6f���2�rR�>���\�]��l��2o���?���´΄�i��Q�ӏ��%� \�"` THIS APPLICATION WILL BE ACCEPTED AT ANY ADA PARATRANSIT PROVIDER IN THE STATE OF CONNECTICUT. I certify that the information provided in the application is true and correct. mlefebre@ghtd.org, Paratransit Operations and Maintenance Center The ADA paratransit service may be available to persons with a physical or cognitive disability who is, because of their disability, unable to board, ride, disembark or navigate to, from or within the fixed-route bus system without assistance. 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. The paratransit service is designed to provide those persons with disabilities equal access to public transportation. If you are seeking service in a town not listed, please use the contact labeled “all other locations” at the end of the list. (860) 380-2023 (860) 955-2915 (fax). I authorize the professionals listed above to release to Valley Metro information about my disability and its effect on … (860) 724-5340 (tel) You may also order on-line for home delivery using a credit card. Physical Address 761 Frost Bridge Watertown, CT, 06795: Billing/Mailing Address P.O. Bozrah/Franklin. Order Form 860-848-5910 Press #2 - For Reservations. The purpose of this application is to determine eligibility for Connecticut complementary ADA Paratransit service. Access the statewide paratransit eligibility application form (online or downloadable) through the Connecticut ADA Paratransit … The 21-days can be used as single days or can be consecutive days. Patricia M. Williams ADA Paratransit Registration To register for ADA Paratransit, you must complete an application. To apply for ADA Paratransit service, complete our ADA Paratransit Application. Once your application has been reviewed, WRTD will contact you to schedule an in-person interview. ADA Paratransit for Visitors: Any ADA paratransit eligible rider when traveling out-of-state or visiting Connecticut from another area may utilize the local ADA Paratransit service for up to 21 days within a one-year period. It is a paratransit service available to any person with a physical or cognitive disability who is, because of their disability, unable to board, ride, disembark or navigate to, from or within SEAT’s fixed-route bus system without assistance. This does not include Express Commuter service , Intercity or Dial -A- Ride services. ADA Paratransit Service:  In compliance with the Americans with Disabilities Act (ADA), the Greater Hartford Transit District provides transportation services for individuals who, because of their disability, are unable to travel on the fixed route public transit service operated by CTtransit (Hartford, Bristol and New Britain Divisions). Please call one of the following service operators for information about their paratransit services, or to apply for ADA Paratransit eligibility fill out the online application form at the Connecticut ADA Paratransit Resource Center. Once your application has been reviewed, HARTransit will call you to schedule an in-person interview, an environment and/or medical verification may also be necessary. Additionally, individuals who have been certified as ADA eligible in other communities may use the local ADA paratransit service when visiting this region. Dated at Hartford, Connecticut, this 14th day of August, 2020. Service is provided only to individuals found eligible by a Connecticut regional ADA service provider and is operated under the following ADA guidelines: 1. Application & User Guide. Greater Hartford Transit District 860-247-5329. ADA Paratransit Service: In compliance with the Americans with Disabilities Act (ADA), the Greater Hartford Transit District provides transportation services for individuals who, because of their disability, are unable to travel on the fixed route public transit service operated by CTtransit (Hartford, Bristol and New Britain Divisions). %PDF-1.6 %���� pwilliams@ghtd.org, ADA Paratransit Assistant © 2020 Greater Hartford Transit District. ADA Paratransit Eligibility Criteria. LANtaBus Senior Citizen ID Card – for people 65+ to ride regular buses for free: English Application | Aplicación… h��M GREATER BRIDGEPORT TRANSIT Request for Certification of Americans with Disability Act (ADA) Paratransit Eligibility – GBT Access If someone assisted you in completing this application, please provide us with that person’s name, address, and telephone number below: CT is not a free service. You may purchase the ADA 10-ride ticket book by mail using an order form. NOTICE | PA Issued Senior Citizen Transit ID Cards No Longer Accepted for Travel Effective September 1, 2018Bus, subway, trolley and Norristown High Speed Line rides are free at all times for seniors age 65 or older with a valid SEPTA Key Senior Fare Card, PA Senior Citizen Transit ID card, PA Driver License/Non-Driver ID with magnetic strip on the back*, or Medicare Card (not valid after January 15, 2018). 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Public buses operate recognition of the Paratransit application and eligibility Brochure that explains ADA Paratransit service, or!
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