2. Enacted in 1990, the Americans with Disabilities Act (ADA) required that. Applications are available online at www.ctada.com or by calling 860-510-0429 option 2 to request one by mail. To apply for ADA Paratransit, call the RTA's ADA Paratransit C… 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. 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. The purpose of this application is to determine eligibility for Connecticut complementary ADA Paratransit service. This interview process is the primary vehicle for gathering the information needed to make an eligibility determination. pwilliams@ghtd.org, ADA Paratransit Assistant 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. I agree to notify Coast’s Paratransit office of any changes in my staus which may affect my eligibility to use the service. I certify that the information provided in the application is true and correct. This order shall take effect immediately and remain in effect for six months. 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. (860) 380-2006 Bozrah/Franklin. The towns served in each region are listed below the region name. CT is not a free service. 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: paratransit be provided for people who, due to their disability, are unable to ride regular buses some or all of the time. 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. 148 Roberts Street You may also order on-line for home delivery using a credit card. Valerie K. Ellis WHEREAS, in recognition of the effectiveness of using masks or face coverings in preventing the transmission of COVID-19, Executive Order No. The paratransit service is designed to provide those persons with disabilities equal access to public transportation. ... 62 Federal Road, Danbury CT 06810 Tel: (203) 744 4070 Fax: (203) 744-0764. 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. The RTA ADA Paratransit Certification Program determines an individual's functional abilities and limitations for using fixed route services. To apply for paratransit services please fill out an application at www.ctada.com. Carmen Vicente 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. 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. Miguel Lefebre To apply for ADA Paratransit service, complete our ADA Paratransit Application. Box 4670 Waterbury, CT, 06704 endstream endobj 120 0 obj <>stream 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. 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. ADA Paratransit Registration To register for ADA Paratransit, you must complete an application. (860) 380-2023 Certification information and application forms are available through transit district offices available in your region or at the Connecticut ADA Paratransit Resource Center. Home. LANtaBus Senior Citizen ID Card – for people 65+ to ride regular buses for free: English Application | Aplicación… You may purchase the ADA 10-ride ticket book by mail using an order form. 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). *PA Driver Licenses/Non-Driv… To use ADA services, riders must be eligible and certified as disabled according to the Americans with Disabilities Act. I understand that falsification of information may result in denial of service. Patricia M. Williams Please read the Eligibility Brochure carefully before completing your application. Margaret Banker Applications for ADA Paratransit service are available from our administrative office. ADA Paratransit vehicles can only mak… Enclosed are the ADA Paratransit Application and Eligibility Brochure that explains ADA Paratransit Service. The ADA Paratransit service is provided in compliance with the Americans with Disabilities (ACT) to provide disabled persons equal access to public transportation. ADA Paratransit Eligibility Criteria. 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. h��M 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. 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� Partially completed applications will not be accepted. All materials are available in accessible format and in languages other than English upon request. Once your application has been reviewed, WRTD will contact you to schedule an in-person interview. If you are seeking service in a town not listed, please use the contact labeled “all other locations” at the end of the list. %PDF-1.6 %���� 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. mbanker@ghtd.org, Senior ADA Paratransit Eligibility Coordinator The 21-days can be used as single days or can be consecutive days. endstream endobj 119 0 obj <>stream PVTA provides paratransit service throughout the Pioneer Valley within 3 / 4 mile of a city route. (860) 380-2005 Order Form 860-848-5910 Press #2 - For Reservations. �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��%� \�"` Connecticut ADA Service Providers Locate your local ADA paratransit service provider below by selecting the region in which you will travel most often. Access the statewide paratransit eligibility application form (online or downloadable) through the Connecticut ADA Paratransit … 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). Greater Hartford Transit District (860) 380-2011 Manager of ADA Paratransit © 2020 Greater Hartford Transit District. 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). This interview process is the primary vehicle for gathering the information needed to make an eligibility determination. East Hartford, CT 06108 You can find full details about the ADA service in our ADA Riders Guide(en Espanol), ADA Riders Guide (Polish). To register for ADA Paratransit, you must complete an application. Complementary service is only provided in areas where public buses operate. Dated at Hartford, Connecticut, this 14th day of August, 2020. The Steps in the Eligibility Process 1. ADA Paratransit. hޜ��n�0�_��S This does not include Express Commuter service , Intercity or Dial -A- Ride services. 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. 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). (860) 724-5340 (tel) Individuals who are interested in using ADA Paratransit service must apply and be found eligible according to ADA guidelines. Costs: $3.50 One way ticket $28.00 10-Ticket Book. The PVTA provides ADA paratransit service for people with disabilities. The Connecticut ADA Paratransit program is designed to meet the Americans with Disabilities Act service criteria established by the federal government. Follow this link to the CT Department of Transportation certification page to complete an application, and to learn more about the application process. Connecticut ADA Paratransit Resource Center (www.ctada.com) Before using any ADA paratransit service, rider eligibility for the service must be established. By Mail. mlefebre@ghtd.org, Paratransit Operations and Maintenance Center Partially completed applications will not be accepted. Paratransit Service. GENERAL INFORMATION SECTION Mr. Mrs. Ms. 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. Physical Address 761 Frost Bridge Watertown, CT, 06795: Billing/Mailing Address P.O. The purpose of the Paratransit Application is to determine eligibility for Connecticut complementary ADA Paratransit service. cvicente@ghtd.org, ADA Paratransit Service Compliance Manager Call the ADA office at 860-247-5329 extension 3086 and ADA staff will mail you an order form. (860) 955-2915 (fax). THIS APPLICATION WILL BE ACCEPTED AT ANY ADA PARATRANSIT PROVIDER IN THE STATE OF CONNECTICUT. 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) 380-2008 Application for CT Shared Ride Paratransit Services (MATP, Persons with Disabilities (PwD), ADA, Senior Shared Ride 65+, Public Full Fare) 1. ADA PARATRANSIT ECTC has been sub-contacted by Southeast Area Transit (SEAT) to provide this service. vellis@ghtd.org, Transportation Coordinator 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. 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 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. This service provides a shared-ride, door-to-door van transportation for individuals whose disabilities prevent them from riding the city bus service. If you would like to learn how to schedule a ride as a visitor, call860-247-5329 x3011 for details. 118 0 obj <>stream Date of Birth: Last Name: First Name: Click below for a listing of participating Stop & Shop supermarkets in your area. All Rights Reserved. Applications are available online at www.ctada.com or by calling 860-456-2223 to request one by mail. Service is provided only to individuals found eligible by a Connecticut regional ADA service provider and is operated under the following ADA guidelines: 1. 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. I authorize the professionals listed above to release to Valley Metro information about my disability and its effect on … Application & User Guide. Additionally, individuals who have been certified as ADA eligible in other communities may use the local ADA paratransit service when visiting this region. Thank you, Greater Hartford Transit District One Union Place Hartford, CT 06103 Phone (860) 247-5329 Fax (860) 549-3879 Greater Hartford Transit District 860-247-5329. 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. “Providing a safe and outstanding quality of service to all of our riders is our top priority.”. Bristol. From riding the city bus service services please fill out an application, to! For a listing of participating Stop & Shop supermarkets in your region or at the Connecticut Paratransit. Is to determine eligibility for Connecticut complementary ADA Paratransit service for people who, due to disability. Or Dial -A- ride services this 14th day of August, 2020 this interview process is primary! 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