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WWW.poconoseniors.org Monroe County Seniors? Express Times S U PPO R T S E R VI C E S FO R S E N IO RS Volume IV Issue X October 2012 How to Shop for a Medicare Part D Plan Special points of interest:

How to fill out monroe county seniors express

How to fill out Monroe County Seniors Express:

1. Obtain the application form: Start by locating the Monroe County Seniors Express application form. This form can usually be obtained from the Monroe County Senior Services office or downloaded from their official website.
2. Fill out personal information: Begin the application by providing your personal information. This typically includes your full name, address, phone number, date of birth, and social security number. Make sure to provide accurate and up-to-date information.
3. Provide proof of eligibility: Monroe County Seniors Express is typically available for residents who are 60 years of age or older and meet certain income requirements. In order to demonstrate eligibility, you may need to provide documentation such as income statements, tax returns, or proof of public assistance.
4. Indicate transportation needs: In the application form, there will be a section where you can specify your transportation needs. This may include indicating the frequency of rides required, preferred destinations, and any special requirements or accommodations needed.
5. Complete emergency contact information: It is important to provide emergency contact information in case of any unforeseen situations during transportation. Fill out the relevant section of the application form with the names, phone numbers, and relationships of your emergency contacts.
6. Submit the application: Once you have completed the application form, review it for any errors or missing information. Make sure to sign and date the form where required. Finally, submit the application either in-person at the designated office or by mailing it to the provided address.

Who needs Monroe County Seniors Express:

1. Elderly residents of Monroe County: Monroe County Seniors Express is specifically designed for seniors aged 60 and older who reside in Monroe County. These individuals may require transportation assistance to get to medical appointments, grocery shopping, social events, or other necessary destinations.
2. Seniors with limited mobility: Monroe County Seniors Express is particularly beneficial for seniors with limited mobility who may find it challenging to use public transportation or drive themselves. This service ensures that they have a reliable and accessible mode of transportation to meet their needs.
3. Individuals meeting income requirements: Monroe County Seniors Express typically has income requirements in order to qualify for the service. Senior residents who are eligible for public assistance or have limited financial means can benefit from this program, enabling them to access transportation at an affordable or subsidized cost.

Remember to always consult the official Monroe County Senior Services office or website for the most up-to-date guidelines and instructions for filling out the application and determining eligibility for Monroe County Seniors Express.

For pdfFiller’s FAQs

What is Monroe County Seniors Express?

Monroe County Seniors Express is a program designed to provide transportation services for seniors in Monroe County.

Who is required to file Monroe County Seniors Express?

Seniors residing in Monroe County who wish to utilize the transportation services provided by the program are required to file Monroe County Seniors Express.

How to fill out Monroe County Seniors Express?

To fill out Monroe County Seniors Express, seniors can visit the program's website or contact the program directly for assistance.

What is the purpose of Monroe County Seniors Express?

The purpose of Monroe County Seniors Express is to ensure that seniors in Monroe County have access to reliable transportation services.

What information must be reported on Monroe County Seniors Express?

Seniors must report their personal information, contact details, and transportation needs on Monroe County Seniors Express.

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