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CITY OF LAGUNA Millibar Code: Senior DialATaxi Program APPLICATION FORM (Please Print) PARTICIPANT INFORMATION: (Each participant must complete an application form) Last Name: First Name: Middle Initial:
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How to fill out senior dial-a-taxi program

01
Contact the senior dial-a-taxi program by phone or online to request a ride.
02
Provide your personal information, such as your name, address, and contact number.
03
Specify the date and time you would like to schedule your taxi ride.
04
Inform the program of any specific requirements or accommodations you may need, such as wheelchair accessibility.
05
Wait for confirmation of your ride request and receive information regarding the driver and vehicle details.
06
Be ready at the scheduled time and wait for the taxi to arrive at your specified pickup location.
07
Pay the fare for the ride, which may vary depending on the program's pricing structure.
08
If you have any feedback or complaints, contact the senior dial-a-taxi program's customer service.

Who needs senior dial-a-taxi program?

01
Senior citizens who may have limited mobility or difficulty using public transportation.
02
Individuals who require specialized transportation services tailored to their needs.
03
Patients who need transportation to medical appointments or treatments.
04
People who prefer the convenience and reliability of a dedicated taxi service for their transportation needs.
05
Caregivers or family members who arrange transportation services for seniors.
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The Senior Dial-A-Taxi Program is a transportation service designed to provide seniors with accessible and affordable taxi rides to help them meet their mobility needs.
Seniors who wish to participate in the program and utilize its services are required to file for the Senior Dial-A-Taxi Program.
To fill out the Senior Dial-A-Taxi Program application, seniors should complete the required forms provided by the program's governing body, ensuring that all necessary personal information and eligibility criteria are included.
The purpose of the Senior Dial-A-Taxi Program is to enhance mobility for senior citizens by providing them with convenient transportation options, thus promoting independence and improving access to essential services.
Participants must report information including their name, address, contact information, age, and any documented needs for assistance related to mobility when filing for the program.
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