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This document outlines the specifications for an extended wheelchair van required by the City of San Jose, detailing the vehicle's features, compliance requirements, delivery protocols, and warranties.
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How to fill out EXHIBIT 3 - EXTENDED WHEELCHAIR VAN
01
Begin by reading the instructions provided with EXHIBIT 3 carefully.
02
Gather all necessary information regarding the wheelchair van including make, model, and year.
03
Accurately fill in the owner’s details such as name, address, and contact information.
04
Document the specific modifications made to the van to accommodate wheelchair access.
05
List any additional features or equipment that enhance accessibility.
06
Ensure all information is precise and double-check for any errors.
07
Sign and date the form as required before submission.
Who needs EXHIBIT 3 - EXTENDED WHEELCHAIR VAN?
01
Individuals who are wheelchair users and require accessible transportation.
02
Caregivers and family members of individuals who have mobility challenges.
03
Organizations that provide transport services for people with disabilities.
04
Healthcare providers involved in assisting clients with mobility needs.
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People Also Ask about
How much does a wheelchair accessible van cost?
Wheelchair Vans can Cost Anywhere Between $18,000 and $98,000 Depending on Type & Condition. Navigating the cost of wheelchair vans can be overwhelming, especially if you're new to the process. Between chassis prices, conversion costs, and the variety of accessible features, it's easy to feel lost.
What do you call a wheelchair-accessible van?
A handicap van can also go by several other names, including wheelchair accessible vehicle, wheelchair van, conversion van, mobility van and more.
Does Medicare pay for a wheelchair van?
While Medicare and Medicaid may cover the cost of your wheelchair or scooter, they do not cover the cost of a wheelchair accessible vehicle. Neither does health insurance. There are some national, state and nonprofit funding sources that can help. Find a full list of national, state, and nonprofit funding sources.
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What is EXHIBIT 3 - EXTENDED WHEELCHAIR VAN?
EXHIBIT 3 - EXTENDED WHEELCHAIR VAN is a form used to document specific details about an extended wheelchair accessible van, including its specifications and modifications.
Who is required to file EXHIBIT 3 - EXTENDED WHEELCHAIR VAN?
Individuals, organizations, or agencies that are applying for funding or services that involve the use of an extended wheelchair van are required to file EXHIBIT 3.
How to fill out EXHIBIT 3 - EXTENDED WHEELCHAIR VAN?
To fill out EXHIBIT 3, provide accurate information in the required fields including details about the van's make, model, modifications, and any relevant transportation needs.
What is the purpose of EXHIBIT 3 - EXTENDED WHEELCHAIR VAN?
The purpose of EXHIBIT 3 is to collect consistent information to assess eligibility, funding, and support for individuals who require an extended wheelchair van for mobility.
What information must be reported on EXHIBIT 3 - EXTENDED WHEELCHAIR VAN?
The information that must be reported includes the vehicle specifications, modifications, intended use, and any relevant identification details related to the van and its users.
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