DEMAND RESPONSE ELIGIBILITY APPLICATION 2026

1. Click ‘Get Form’ to open the DEMAND RESPONSE ELIGIBILITY APPLICATION in the editor.
2. Begin with the Demand Response Applicant Form (green). Fill in your personal and contact information, including your name, phone number, and address. Ensure you indicate if you manage your own affairs.
3. In the section titled 'Tell Us About Your Disability', provide detailed answers about your disability and how it affects your ability to use Fixed Route Bus Service. Be honest and thorough.
4. Complete the mobility aids section by checking all applicable items that you use. If you have a mobility aid, specify its dimensions and weight.
5. Sign and date Page 5 of the form, certifying that all information is accurate. If you require a personal care attendant, complete the Certification Form for Personal Care Attendant on Page 6.
6. Next, complete the Authorization Form for Disclosure of Protected Health Information (yellow). Decide whether to authorize disclosure of your health information and follow through accordingly.
7. Once both parts of your application are completed, return them to RABA via mail or fax as indicated at the end of the form.

Start using our platform today to fill out your DEMAND RESPONSE ELIGIBILITY APPLICATION easily and for free!