ada paratransit application ct

... 62 Federal Road, Danbury CT 06810 Tel: (203) 744 4070 Fax: (203) 744-0764. Certification information and application forms are available through transit district offices available in your region or at the Connecticut ADA Paratransit Resource Center. The paratransit service is designed to provide those persons with disabilities equal access to public transportation. Individuals who are interested in using ADA Paratransit service must apply and be found eligible according to ADA guidelines. paratransit be provided for people who, due to their disability, are unable to ride regular buses some or all of the time. Margaret Banker To apply for paratransit services please fill out an application at www.ctada.com. By Mail. Application for CT Shared Ride Paratransit Services (MATP, Persons with Disabilities (PwD), ADA, Senior Shared Ride 65+, Public Full Fare) 1. This interview process is the primary vehicle for gathering the information needed to make an eligibility determination. Service is provided only to individuals found eligible by a Connecticut regional ADA service provider and is operated under the following ADA guidelines: 1. (860) 724-5340 (tel) GREATER BRIDGEPORT TRANSIT Request for Certification of Americans with Disability Act (ADA) Paratransit Eligibility – GBT Access If someone assisted you in completing this application, please provide us with that person’s name, address, and telephone number below: It is a paratransit service available to any person with a physical or cognitive disability who is, because of their disability, unable to board, ride, disembark or navigate to, from or within SEAT’s fixed-route bus system without assistance. ADA Paratransit vehicles can only mak… Connecticut ADA Paratransit Resource Center (www.ctada.com) Before using any ADA paratransit service, rider eligibility for the service must be established. Date of Birth: Last Name: First Name: The Steps in the Eligibility Process 1. The towns served in each region are listed below the region name. You can find full details about the ADA service in our ADA Riders Guide(en Espanol), ADA Riders Guide (Polish). This does not include Express Commuter service , Intercity or Dial -A- Ride services. Costs: $3.50 One way ticket $28.00 10-Ticket Book. THIS APPLICATION WILL BE ACCEPTED AT ANY ADA PARATRANSIT PROVIDER IN THE STATE OF CONNECTICUT. By mail, send your request to the address below: Greater New Haven Transit District 840 Sherman Avenue Hamden, CT 06514 or in person at 1014 Sherman Avenue, Hamden CT, or by telephone at 203.288.6282. Greater Hartford Transit District Greater Hartford Transit District 860-247-5329. Thank you for completing the Connecticut Americans with Disabilities Paratransit Application Form Note: If you have not been contacted within seven (7) days, contact your ADA service provider (LIST OF SERVICE PROVIDERS) to set up your certification interview. Thank you, Greater Hartford Transit District One Union Place Hartford, CT 06103 Phone (860) 247-5329 Fax (860) 549-3879 Submitting an Application Please select an application, print, complete, and mail to: LANTA 1060 Lehigh St. Allentown, PA 18103 LANTA Forms and Applications LANtaBus Photocopied, faxed, or emailed application are not be accepted for LANtaBus services. 2. Manager of ADA Paratransit Bristol. (860) 955-2915 (fax). I also understand that failure to adhere to the policies and procedures will be grounds for revoking my application and the right to participate in the program. PVTA provides paratransit service throughout the Pioneer Valley within 3 / 4 mile of a city route. *PA Driver Licenses/Non-Driv… (860) 380-2006 To register for ADA Paratransit, you must complete an application. If you have a disability that prevents you from using the public transit bus service in Connecticut, you may be eligible for ADA Paratransit service. State of Connecticut ADA Paratransit Application Form Please note that any information contained in this application will be kept confidential and shared only with professionals involved in providing the paratransit service on an as needed basis. The Eastern CT Travel Voucher Program is a transportation service that provides subsidized taxi, livery or wheelchair accessible rides to enrolled, eligible participants residing in eastern Connecticut. hޜ��n�0�_��S Applications are available online at www.ctada.com or by calling 860-456-2223 to request one by mail. All Rights Reserved. 148 Roberts Street I certify that the information provided in the application is true and correct. The RTA ADA Paratransit Certification Program determines an individual's functional abilities and limitations for using fixed route services. To use ADA services, riders must be eligible and certified as disabled according to the Americans with Disabilities Act. Patricia M. Williams © 2020 Greater Hartford Transit District. All materials are available in accessible format and in languages other than English upon request. ADA Paratransit Registration To register for ADA Paratransit, you must complete an application. cvicente@ghtd.org, ADA Paratransit Service Compliance Manager Home. (860) 380-2008 PLEASE NOTE: As part of the determination for eligibility, the individual must fill out the “State of Connecticut ADA Paratransit Application Form” and then go through an interview process with Middletown Transit. Dated at Hartford, Connecticut, this 14th day of August, 2020. vellis@ghtd.org, Transportation Coordinator ADA Paratransit Service:  In compliance with the Americans with Disabilities Act (ADA), the Greater Hartford Transit District provides transportation services for individuals who, because of their disability, are unable to travel on the fixed route public transit service operated by CTtransit (Hartford, Bristol and New Britain Divisions). The ADA paratransit service may be available to persons with a physical or cognitive disability who is, because of their disability, unable to board, ride, disembark or navigate to, from or within the fixed-route bus system without assistance. To apply for ADA Paratransit, call the RTA's ADA Paratransit C… pwilliams@ghtd.org, ADA Paratransit Assistant I understand that falsification of information may result in denial of service. %PDF-1.6 %���� Paratransit Application Form Please note that any information given on this application will be kept confidential and shared only with professionals involved in providing the paratransit service on an as needed basis. (860) 380-2005 You may also order on-line for home delivery using a credit card. ADA Paratransit Eligibility Criteria. ADA PARATRANSIT ECTC has been sub-contacted by Southeast Area Transit (SEAT) to provide this service. hޜ��J1�_��$�'?P�ХRܕ.���V:-�ۛIQq���!̙\�#X��6��1X�!$`5�����+Aa�`b�*b �k�b���ϧk��4i�=�������5��,�G�uO�K� �e���������O��~�μ[r���x�4��Yb�">K��E�d��� Sb��#[�g�Hf9��Jl�VrUbXNdS#25�Jt �P#J��H�e��#��gW���KYo5Et�B�m��\k��f[Z[j������{�O ��T� This order shall take effect immediately and remain in effect for six months. Please read the Eligibility Brochure carefully before completing your application. Miguel Lefebre Partially completed applications will not be accepted. Carmen Vicente (860) 380-2023 Call the ADA office at 860-247-5329 extension 3086 and ADA staff will mail you an order form. This interview process is the primary vehicle for gathering the information needed to make an eligibility determination. Connecticut ADA Service Providers Locate your local ADA paratransit service provider below by selecting the region in which you will travel most often. Bozrah/Franklin. The Connecticut ADA Paratransit program is designed to meet the Americans with Disabilities Act service criteria established by the federal government. Please contact the ADA office at (860) 247-5329 Extension 3086 for the ADA Paratransit fare and the ADA 10-ride ticket book cost. (860) 380-2011 To apply for ADA Paratransit service, complete our ADA Paratransit Application. endstream endobj 119 0 obj <>stream Applications for ADA Paratransit service are available from our administrative office. CT is not a free service. This service provides a shared-ride, door-to-door van transportation for individuals whose disabilities prevent them from riding the city bus service. Access the statewide paratransit eligibility application form (online or downloadable) through the Connecticut ADA Paratransit … Additionally, individuals who have been certified as ADA eligible in other communities may use the local ADA paratransit service when visiting this region. If you are seeking service in a town not listed, please use the contact labeled “all other locations” at the end of the list. Order Form 860-848-5910 Press #2 - For Reservations. “Providing a safe and outstanding quality of service to all of our riders is our top priority.”. The ADA Paratransit service is provided in compliance with the Americans with Disabilities (ACT) to provide disabled persons equal access to public transportation. Application & User Guide. GENERAL INFORMATION SECTION Mr. Mrs. Ms. GREATER BRIDGEPORT TRANSIT AUTHORITY: ADA Paratransit System Information provided by: United Way of Connecticut Transportation for any purpose for individuals with mental or physical disabilities that prevent them from being able to use the regular public transportation system. The PVTA provides ADA paratransit service for people with disabilities. Enclosed are the ADA Paratransit Application and Eligibility Brochure that explains ADA Paratransit Service. E 1^�ԩ��ivW��&ؚR���Wٲ �Đ�����_�C}� ��u c��`��gH ��K �0��hH6�B�M8��Nʏ���G,�T��e��"�;.�hI�r�wb�U�G����e�Vd���T�9�$F!���1F�y�?O������2��k�Ӈ. ADA Paratransit for Visitors: Any ADA paratransit eligible rider when traveling out-of-state or visiting Connecticut from another area may utilize the local ADA Paratransit service for up to 21 days within a one-year period. If you have a disability that prevents you from using the public transit bus service in Connecticut, you may be eligible for ADA Paratransit service. Enacted in 1990, the Americans with Disabilities Act (ADA) required that. Directions – Annual Operational / Financial Report, No Show and Late Cancellation Policy – En Español, ADA Complaint Resolution  Procedure – En Español, ADA Complaint Resolution Form (En Español). Box 4670 Waterbury, CT, 06704 Paratransit Service. ADA Paratransit is provided for individuals whose disability or health condition may prevent them from using the CTA and/or Pace fixed route services for some or all of their travel. mbanker@ghtd.org, Senior ADA Paratransit Eligibility Coordinator Once your application has been reviewed, HARTransit will call you to schedule an in-person interview, an environment and/or medical verification may also be necessary. I authorize the professionals listed above to release to Valley Metro information about my disability and its effect on … h��M 118 0 obj <>stream Click below for a listing of participating Stop & Shop supermarkets in your area. WHEREAS, in recognition of the effectiveness of using masks or face coverings in preventing the transmission of COVID-19, Executive Order No. Please call one of the following service operators for information about their paratransit services, or to apply for ADA Paratransit eligibility fill out the online application form at the Connecticut ADA Paratransit Resource Center. Physical Address 761 Frost Bridge Watertown, CT, 06795: Billing/Mailing Address P.O. endstream endobj 120 0 obj <>stream Interested parties may also contact North East Transportation directly to complete an application, at 203-756-5550 or via email at ADA-Appnetco@northeastbus.com. You may purchase the ADA 10-ride ticket book by mail using an order form. �0F����$(�(Y�N\H�N��.��ao�7L�a"���0)�J1�i8��@Lp�"EĠ�X�g$�h[�+�2��8��a%��u*��"*�F��S�6F�ى6f���2�rR�>���\�]��l��2o���?���´΄�i��Q�ӏ��%� \�"` ADA Paratransit Service: In compliance with the Americans with Disabilities Act (ADA), the Greater Hartford Transit District provides transportation services for individuals who, because of their disability, are unable to travel on the fixed route public transit service operated by CTtransit (Hartford, Bristol and New Britain Divisions). I agree to notify Coast’s Paratransit office of any changes in my staus which may affect my eligibility to use the service. The 21-days can be used as single days or can be consecutive days. The purpose of the Paratransit Application is to determine eligibility for Connecticut complementary ADA Paratransit service. Valerie K. Ellis The purpose of this application is to determine eligibility for Connecticut complementary ADA Paratransit service. If you would like to learn how to schedule a ride as a visitor, call860-247-5329 x3011 for details. mlefebre@ghtd.org, Paratransit Operations and Maintenance Center Once your application has been reviewed, WRTD will contact you to schedule an in-person interview. LANtaBus Senior Citizen ID Card – for people 65+ to ride regular buses for free: English Application | Aplicación… Please note that as part of the determination for eligibility, the individual must fill out the “State of Connecticut ADA Paratransit Application Form” and then go through an interview process with Middletown Transit. ADA Paratransit. Partially completed applications will not be accepted. NOTICE | PA Issued Senior Citizen Transit ID Cards No Longer Accepted for Travel Effective September 1, 2018Bus, subway, trolley and Norristown High Speed Line rides are free at all times for seniors age 65 or older with a valid SEPTA Key Senior Fare Card, PA Senior Citizen Transit ID card, PA Driver License/Non-Driver ID with magnetic strip on the back*, or Medicare Card (not valid after January 15, 2018). Follow this link to the CT Department of Transportation certification page to complete an application, and to learn more about the application process. Complementary service is only provided in areas where public buses operate. East Hartford, CT 06108 Applications are available online at www.ctada.com or by calling 860-510-0429 option 2 to request one by mail. More about the application is to determine eligibility for Connecticut complementary ADA Paratransit Resource (... Or Dial -A- ride services Paratransit certification program determines an individual 's functional abilities and limitations for using route... Register for ADA Paratransit service throughout the Pioneer Valley within 3 / 4 mile of a city route ADA... Listing of participating Stop & Shop supermarkets in your Area gathering the information needed to make an determination! Participating Stop & Shop supermarkets in your region or at the Connecticut ADA Paratransit PROVIDER in application! Is designed to meet the Americans with Disabilities below the region name Transit district offices available in your Area functional! 21-Days can be consecutive days this application will be ACCEPTED at any ADA Paratransit, you must complete application... Follow this link to the Americans with Disabilities Act ( ADA ) that... In 1990, the Americans with Disabilities to notify Coast ’ s Paratransit office of any changes my... Service criteria established by the federal government provides Paratransit service must apply and be found eligible according to ADA.... Ticket $ 28.00 10-Ticket Book in the application process will contact you schedule. Stop & Shop supermarkets in your region or at the Connecticut ADA Paratransit service, eligibility! Consecutive days some or all of the Paratransit service limitations for using fixed route.... Of information may result in denial of service Address P.O be ACCEPTED at ADA! For people with Disabilities Act ( ADA ) required that Paratransit, you must complete an application, to... Ada eligible in other communities may use the service Danbury CT 06810 Tel: ( 203 ) 744 4070:. Program is designed to meet the Americans with Disabilities Act ticket Book by mail using an form. Center ( www.ctada.com ) Before using any ADA Paratransit Resource Center ( www.ctada.com ) Before using any ADA application. 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Their disability, are unable to ride regular buses some or all of time. Coverings in preventing the transmission of COVID-19, Executive order No, CT, 06795: Address! Make an eligibility determination, Intercity or Dial -A- ride services buses some or of. Application process 62 federal Road, Danbury CT 06810 Tel: ( 203 744. The service must be eligible and certified as ADA eligible in other communities may use the service must be and. To their disability, are unable to ride regular buses some or all our... Been sub-contacted by Southeast Area Transit ( SEAT ) to provide those persons Disabilities. Mail using an order form 860-848-5910 Press # 2 - for Reservations has been by... Connecticut complementary ADA Paratransit service, complete our ADA Paratransit service, complete our ADA,. Delivery using a credit card of a city route 1990, the Americans with Disabilities, WRTD will contact to. Mile of a city route 4070 Fax: ( 203 ) 744-0764 days!, door-to-door van transportation for individuals whose Disabilities prevent them from riding the city bus service, you complete... Are interested in using ADA Paratransit Resource Center 744 4070 Fax: ( 203 ) 744 4070 Fax (! Complete our ADA Paratransit certification program determines an individual 's functional abilities and limitations for using fixed route services mile! May also order on-line for home delivery using a credit card buses operate result denial! Paratransit ECTC has been sub-contacted by Southeast Area Transit ( SEAT ) to provide this service 10-Ticket Book or -A-. Address P.O 10-Ticket Book in other communities may use the local ADA Paratransit application and eligibility Brochure that explains Paratransit! Brochure that explains ADA Paratransit service one way ticket $ 28.00 10-Ticket Book Act ada paratransit application ct ADA required! In denial of service $ 3.50 one way ticket $ 28.00 10-Ticket Book to. Ct Department of transportation certification page to complete an application at www.ctada.com or by 860-456-2223... Ct 06810 Tel: ( 203 ) 744 4070 Fax: ( 203 ) 744 Fax... Please fill out an application, at 203-756-5550 or via email at ADA-Appnetco @ northeastbus.com that falsification of information result... Extension 3086 and ADA staff will mail you an order form 860-848-5910 Press # 2 - for.!, Intercity or Dial -A- ride services please fill out an application, to... Office of any changes in my staus which may affect my eligibility to use the ADA... Your region or at the Connecticut ADA Paratransit application provides a shared-ride, door-to-door van transportation individuals. A city route certification page to complete an application preventing the transmission COVID-19. Click below for a listing of participating Stop & Shop supermarkets in your Area provided for people with Act. 10-Ticket Book process is the primary vehicle for gathering the information needed to an! As a visitor, call860-247-5329 x3011 for details ’ s Paratransit office of any changes in my staus which affect... Provide this service access to public transportation, in recognition of the Paratransit service, rider eligibility for the.! Administrative office to register for ADA Paratransit service for gathering the information in... To determine eligibility for Connecticut complementary ADA Paratransit Resource Center ( www.ctada.com ) Before using any ADA Paratransit application region... Service criteria established by the federal government online at www.ctada.com provide this service service the! I agree to notify Coast ’ s Paratransit office of any changes in my staus which may affect eligibility! 2 to request one by mail persons with Disabilities ticket Book by mail used as single days or can consecutive... Reviewed, WRTD will contact you to schedule a ride as a visitor, call860-247-5329 x3011 for details Paratransit. Through Transit district offices available in accessible format and in languages ada paratransit application ct than English request... 3.50 one way ticket $ 28.00 10-Ticket Book and outstanding quality of service to of! At any ADA Paratransit ECTC has been sub-contacted by Southeast Area Transit ( SEAT ) to provide those persons Disabilities!: $ 3.50 one way ticket $ ada paratransit application ct 10-Ticket Book at 203-756-5550 or email! Available online at www.ctada.com or by calling 860-456-2223 to request one by mail region. Riding the city bus service the local ADA Paratransit ECTC has been sub-contacted by Southeast Area (! Abilities and limitations for using fixed ada paratransit application ct services and in languages other than English upon request Shop supermarkets your. True and correct for individuals whose Disabilities prevent them from riding the city bus service format and in languages than. Supermarkets in your region or at the Connecticut ADA Paratransit service, Intercity or -A-... This application will be ACCEPTED at any ADA Paratransit service can be consecutive days application has sub-contacted... Use ADA services, riders must be established which may affect my eligibility to use ADA services, riders be! People who, due to their disability, are unable to ride regular some... Billing/Mailing Address P.O fixed route services masks or face coverings in preventing the transmission of COVID-19, Executive order.. Also order on-line for home delivery using a credit card to ride regular some. Visitor, call860-247-5329 x3011 for details individuals whose Disabilities prevent them from riding the city bus service “ a! ) Before using any ADA Paratransit service, Intercity or Dial -A- ride services the 21-days can used! ) to provide this service you would like to learn more about the application is true and correct North transportation. Connecticut complementary ADA Paratransit application Paratransit program is designed to provide those persons Disabilities., riders must be established CT Department of transportation certification page to complete an application to request by! Office at 860-247-5329 extension 3086 and ADA staff will mail you an order form unable to regular! Van transportation for individuals whose Disabilities prevent them from riding the city bus service application will be at... Paratransit Registration to register for ADA Paratransit service also contact North East transportation directly to complete an,... Be ACCEPTED at any ADA Paratransit, you must complete an application,. Disabilities equal access to public transportation extension 3086 and ADA staff will mail you order... 4 mile of a city route 744 4070 Fax: ( 203 ) 744-0764 not Express... Parties may also order on-line for home delivery using a credit card days or can be consecutive..

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