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Name___Address___ ___150 Nickerson Street, Suite 100 Seattle, WA 98109 2066952905 apdaparkinson.org/northwestPhone Number___Email address___Date of Birth___Year of Diagnosis___APDA RIDE REPAY APPLICATION
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How to fill out apda ride repay

01
Visit the APDA Ride Repay website.
02
Log in or create an account if you don't have one.
03
Select the 'Request Repayment' option on the dashboard.
04
Fill out the required personal information fields.
05
Enter the details of the ride, including date, time, and fare.
06
Upload any necessary receipts or documentation proving the ride.
07
Review your submission for accuracy.
08
Submit the repayment request and check for confirmation.

Who needs apda ride repay?

01
Individuals diagnosed with Parkinson's disease.
02
Caregivers assisting individuals with Parkinson's disease.
03
Patients requiring assistance with transportation costs related to their medical care.
04
Anyone attending a medical appointment for Parkinson's related treatments or consultations.
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APDA Ride Repay is a program designed to reimburse eligible individuals for certain transportation expenses related to their medical care or disability services.
Individuals who have incurred transportation expenses related to medical appointments or disability services and wish to receive reimbursement are required to file APDA Ride Repay.
To fill out the APDA Ride Repay, individuals must complete the provided form, ensuring to include required information such as personal details, transport expenses, and any relevant receipts.
The purpose of APDA Ride Repay is to alleviate the financial burden of transportation costs for individuals accessing necessary medical treatments or services related to their disabilities.
The information that must be reported on APDA Ride Repay includes personal identification details, date and purpose of transportation, total expenses incurred, and any supporting documentation such as receipts.
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