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ASHCROFTCLINTON TRANSIT SYSTEM SPECIAL TRANSIT SERVICE REQUEST APPLICATION FORM Please complete the following and submit this form to the Village of Ashcroft for consideration and approval. Please
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How to fill out special transit service request

01
Contact the special transit service provider to request an application form.
02
Fill out the form completely and provide all necessary information.
03
Make sure to include any relevant medical documentation or certificates if required.
04
Submit the completed form to the special transit service provider either in person or by mail.
05
Wait for the approval of your request and confirmation of your special transit service eligibility.

Who needs special transit service request?

01
Individuals with disabilities who are unable to use regular transportation services.
02
Elderly individuals who require assistance with transportation due to mobility issues.
03
Patients who need specialized medical transportation services for appointments or treatments.
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Special transit service request is a request for transportation services for individuals with disabilities who are unable to use fixed-route public transportation.
Individuals with disabilities who are unable to use fixed-route public transportation are required to file special transit service request.
Special transit service request can be filled out by contacting the local transit agency or by visiting their website to download the form.
The purpose of special transit service request is to provide transportation services for individuals with disabilities who are unable to use fixed-route public transportation.
Special transit service request must include the individual's name, contact information, disability status, and transportation needs.
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