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Form 2124-2026
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- Click ‘Get Form’ to open form 2124 in the editor.
- Begin by entering the 'Name of Individual' and 'Service Provider Name' at the top of the form. This information is crucial for identifying the service recipient and provider.
- Select the 'Method Used' by checking either option A or B. This indicates how transportation services were provided.
- Fill in the 'Transportation Begin Time' and 'Transportation End Time' fields, ensuring you specify AM/PM correctly for accurate time tracking.
- Calculate the total transportation time using the formula provided: [total transportation/segment time X # of service providers] ÷ # of passengers = service time. Enter this value in the designated field.
- Document each segment's details, including 'Place of Departure', 'Destination', and ensure that all required signatures are completed at the bottom of the form.
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