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This document is a request form for certification of eligibility for ADA transportation services provided by Valley Transit for individuals with disabilities who cannot use the fixed route bus system.
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How to fill out Request for Certification of ADA Eligibility

01
Obtain the Request for Certification of ADA Eligibility form from your local transit authority.
02
Fill in your personal information, including your name, address, phone number, and email.
03
Provide any necessary medical or disability-related information as required by the form.
04
Sign and date the form to confirm that the information provided is accurate.
05
Submit the completed form via mail or in person to the designated department indicated on the form.

Who needs Request for Certification of ADA Eligibility?

01
Individuals with disabilities who require transportation services provided under the Americans with Disabilities Act (ADA).
02
People who are unable to use regular public transit due to a physical or mental impairment.
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The Request for Certification of ADA Eligibility is a formal application used to determine an individual's eligibility for services and benefits under the Americans with Disabilities Act (ADA).
Individuals who are seeking to access services, benefits, or accommodations under the ADA typically need to file this request to establish their eligibility.
To fill out the Request for Certification of ADA Eligibility, individuals should complete the necessary forms by providing required personal information, details about their disability, and supporting documentation as specified in the guidelines.
The purpose of the Request for Certification of ADA Eligibility is to formally recognize and document an individual's status under the ADA, enabling access to necessary services and accommodations.
The information that must be reported includes the individual's personal details, description of their disability, any relevant medical or supporting documentation, and specifics about the services they are requesting.
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