Get the free 60+ Dial-a-Ride Program Application (Non-ADA Customers)

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60+ Salaried Program Application (NonADA Customers) This program is for customers who are ages 60 or over and do not qualify for ADA Salaried. Name: ___ Last, First Date of Birth: ___ Physical Address:

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How to fill out 60 dial-a-ride program application

01

Obtain a copy of the 60 dial-a-ride program application form.

02

Fill out your personal information including name, address, phone number, and date of birth.

03

Provide any necessary documentation such as proof of age or disability if required.

04

Indicate your preferred pick-up and drop-off locations, as well as the times you will need transportation.

05

Sign and date the application form before submitting it to the appropriate office or organization.

Who needs 60 dial-a-ride program application?

01

Individuals who are seniors aged 60 and older

02

Individuals with disabilities who are unable to use public transportation

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What is 60 dial-a-ride program application?

The 60 dial-a-ride program application is a form or process used to apply for transportation services for individuals who are 60 years of age or older.

Who is required to file 60 dial-a-ride program application?

Individuals who are 60 years of age or older and in need of transportation services are required to file a 60 dial-a-ride program application.

How to fill out 60 dial-a-ride program application?

To fill out a 60 dial-a-ride program application, one must provide personal information such as name, address, age, contact information, and transportation needs.

What is the purpose of 60 dial-a-ride program application?

The purpose of the 60 dial-a-ride program application is to help individuals who are 60 years of age or older access transportation services for their daily needs.

What information must be reported on 60 dial-a-ride program application?

Information such as personal details, transportation needs, medical conditions (if relevant), and emergency contact information must be reported on a 60 dial-a-ride program application.

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