PLEASE FILL OUT EITHER -OR- BUT NOT BOTH APPLICATION for 2025

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4.4 out of 5

46 votes

The document is an application form for the London Dial-a-Ride service, designed to assist individuals with mobility issues. It outlines eligibility criteria, personal details required from applicants, and sections for assessing mobility challenges. The form includes instructions for providing proof of identity and eligibility, as well as options for preferred communication formats. Additionally, it emphasizes the need for essential escorts for those who cannot be left unattended during transport.

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Click ‘Get Form’ to open it in the editor.
Begin by completing Part One, which requires your personal details. Fill in your title, last name, first name(s), address, postcode, date of birth, and contact information. Ensure you include a mobile number and email if available.
In the alternative contact section, provide details if correspondence should be sent to someone other than yourself. This includes their title, name, address, postcode, email address, and relationship to you.
Proceed to Part Two for eligibility assessment. In Section 2a, tick any applicable boxes regarding automatic eligibility and attach photocopies of relevant documents.
For Section 2b and 2c under non-automatic eligibility, provide written proof from a healthcare professional about your mobility issues and any benefits received.
Complete Part Three by detailing any long-term conditions affecting your mobility. Include information on aids used during travel and emergency contact details.
Finally, review the privacy notice and sign the declaration confirming the accuracy of your information before submitting the form.

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Versions	Form popularity	Fillable & printable
2018	4.4 Satisfied (46 Votes)
2016	4.8 Satisfied (45 Votes)
2013	4 Satisfied (27 Votes)

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