Get the free ACCESS-A-RIDE ELIGIBILITY APPEAL FORM
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MN ACCESSORIZE ELIGIBILITY APPEAL FORM Please complete this form if you wish to appeal the eligibility determination on your Accessorize (AAR) application, and return it within 60 days of the eligibility
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How to fill out access-a-ride eligibility appeal form
How to fill out access-a-ride eligibility appeal form
01
Obtain the access-a-ride eligibility appeal form from the appropriate agency.
02
Fill out the personal information section of the form, including your name, address, phone number, and date of birth.
03
Provide details about why you are appealing your eligibility determination. Explain any relevant medical conditions or disabilities that affect your ability to use public transportation.
04
Attach any supporting documentation, such as medical records or letters from healthcare professionals, that can help support your appeal.
05
Review the completed form and make sure all information is accurate and complete.
06
Submit the form and any supporting documentation to the designated agency by the specified deadline.
07
Keep copies of the form and documentation for your records.
Who needs access-a-ride eligibility appeal form?
01
Anyone who has been denied access-a-ride eligibility and believes that they should qualify for the service can utilize the access-a-ride eligibility appeal form.
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