Handivan application 2026

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The document is an application form for the HandiVan service, designed for individuals seeking ADA paratransit eligibility due to disabilities that prevent them from using accessible, fixed-route city buses. It collects general information about the applicant, details regarding their disabilities, and requires certification of the accuracy of the provided information. The form also includes sections for professional verification to confirm the applicant's claims.

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Click ‘Get Form’ to open the HandiVan application in the editor.
Begin by filling out the 'General Information' section. Enter your name, address, phone number, city/state/zip code, birthdate, and social security number.
Provide an emergency contact's name and phone number along with their relationship to you.
In the 'Applicant’s Certification' section, check all applicable reasons for seeking ADA paratransit eligibility.
Detail your disabilities in the following sections by checking all relevant conditions and providing additional descriptions where necessary.
Complete questions regarding your mobility aids, assistance needs, and ability to use accessible buses. Be thorough in your responses for accurate evaluation.
Finally, ensure that a professional verifies your application by completing the 'Professional Verification Form' before submission.

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