ada paratransit application
Paratransit Eligibility Application . There is one consolidated application for all city programs. ��D)X��^Ju�2~� ��4Le�t��L�"N�!�y:>V��X��e���j�36 APPLICATION FOR PARATRANSIT SERVICE . Applying. Application for MTS Access Paratransit Service 2 HOW TO APPLY: 1. Review the eligibility information supplied on this ADA application. THIS APPLICATION WILL BE ACCEPTED AT ANY ADA PARATRANSIT PROVIDER IN THE STATE OF CONNECTICUT. regulations of the Americans with Disabilities Act of 1990. Remember that you have a responsibility to use accessible fixed-route bus service when possible. ADA Paratransit Services Application There are two types of public transportation available throughout the State of Delaware: Fixed Route Service (regular city buses) provides service at designated bus stops along specific routes on set schedules. The GoRaleigh ACCESS program, a paratransit system operating in accordance with the Americans with Disabilities Act (ADA) of 1990, is designed to serve individuals whose disabling conditions or functional limitations prevent … In addition, if you are unable to get to and from a bus … The following application must be filled out legibly and completely. I certify that the information provided on this application is true and complete. <>/Metadata 333 0 R/ViewerPreferences 334 0 R>> PVTA provides paratransit service throughout the Pioneer Valley within 3 / 4 mile of a city route. Overview – Services Available B-Line ADA Paratransit . Please fill out the application completely, sign all the pages requiring your signature and return it to us by mail. provides curb-to-curb transportation service in accordance with the Americans with Disabilities Act of 1990 (ADA). If you believe you qualify for ADA paratransit services: a. Scheduling a Trip To request trips, eligible customers should call the … Complete Sections 1, 2, 3 and have a Healthcare Professional complete Section 4. stream NOW HIRING Chicago Area Driving and Paratransit Jobs Available with Paid Training! ADA refers to the Americans with Disabilities Act of 1990. Please contact Jordan Posner, Mobility Management Coordinator, with any questions: E-Mail: JPosner@RideGMT.com Phone: 802-540-0874. MATA will process incomplete applications. METRO ADA PARATRANSIT APPLICATION In accordance with the Americans with Disabilities Act of 1990 (ADA), Metro and the St. Clair County Transit District provide paratransit (van/shared-ride) services to individuals with disabilities who are unable to use the fixed-route services (e.g., buses - MetroBus or light-rail-MetroLink). - Memphis, TN 38131 NOTE: Complete all pages of the application. I understand that any false information or omission may lead to termination of my transportation privileges on the ADA Paratransit vehicles. ADA PARATRANSIT. Inability to Navigate the System Independently Any person who is unable to board, ride, or exit any accessible RTA fixed-route bus or train without the assistance of another person, other than the operator, as a result of a physical, visual, or mental disability. Gwinnett County Transit Paratransit Application Revised: December 2019 Page 1 Gwinnett County Transit ADA Paratransit Service PART A: Information materials and application form for Paratransit Thank you for your interest in the ADA Paratransit Program for Gwinnett County Transit. b. This service provides a shared-ride, door-to-door van transportation for individuals whose disabilities prevent them from riding the city bus service. are the ADA Paratransit Application and Eligibility Brochure that explains ADA Paratransit Service. %PDF-1.6 %���� The Americans with Disabilities Act of 1990 (ADA) is a civil rights bill, which bans discrimination against people with disabilities. ADA Paratransit is double the fare of the fixed route system. b. For fare purposes, a primary service area has been established. Enclosed is an ADA Paratransit Application Form. and 5 p.m., Monday through Friday, to request an application. Read the Eligibility Brochure that is enclosed. To Apply, Please Follow these 3 Steps: 1. The TAP program is less expensive than paratransit and often more convenient because rides do not have to be scheduled the day before. Applications for ADA Paratransit Service. ECTC has been sub-contacted by Southeast Area Transit (SEAT) to provide this service. To apply for ADA Paratransit eligibility, fill out this form online or contact the regional ADA Paratransit service provider . 2 0 obj For questions regarding requesting an ADA eligibility application please call (530) 642-5383. The current fare amount for an ADA paratransit ride is $3.25. ada paratransit ECTC has been sub-contacted by Southeast Area Transit (SEAT) to provide this service. Under the ADA, transit agencies operating a fixedroute system must provide a comparable - 4 0 obj (This form must have … ADA Dial-a-Ride Eligibility Application. ADA paratransit service is provided within a 3/4 mile radius and during the same days and hours as the fixed route bus. Inaccurate or false information may lead to denial or suspension of service. 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. Application for ADA Paratransit Eligibility Please complete ALL sections of this form. ADA Paratransit is a shared-ride, advanced reservation, origin-to-destination service provided by JAUNT on behalf of CAT. See the brief descriptions of each program below and check the boxes next to the programs you would like to apply for. For more information or to fill out an application with LIFT, please contact ADA Ride, toll-free at (877) 232-7433, or via the Internet at www.adaride.com. The primary service area is that part of the City within 3/4 miles of a bus route. An incomplete application will be returned. 4. 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. Online Application Printable Application ADA Paratransit Eligibility Application Part I. ADA Paratransit Eligibility Application Part II. Application for ADA Paratransit Service Revised 4/2009 The application must be properly completed and you must make yourself available for a second level assessment if requested. In accordance with the Americans with Disabilities Act (ADA), travel times and the timeliness of service are comparable to fixed-route bus service. The Memphis Area Transit Authority (MATA) will use this application … The RTA may be reached at 312-663-HELP (4357). ☐ Access ADA Paratransit Service - a curb to curb, shared-ride paratransit service for individuals with disabilities that prevent them from using the regular bus system all or some of the time. All information will remain … Fare. 2. Paratransit Applications In order to use most city programs and ADA paratransit, you must complete an application certifying your eligibility. ADA Paratransit Services Application. Paratransit Application Form. This service is provided to individuals who, because of a physical or mental disability, are unable to use the regular Fixed Route bus service in Butte County. 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. The Americans with Disabilities Act of 1990 and the Department of Transportation Regulations 49-CFR Part 37 requires Bis-Man Transit to provide paratransit … The complementary paratransit fare is $3.00 one-way. Per the Americans with Disabilities Act (ADA), complementary Paratransit is not intended to be a comprehensive system of transportation for individuals with disabilities. ADA paratransit service is provided throughout the City. Paratransit service is intended to offer a comparable level of service to that provided by regular bus service. If you believe you qualify for ADA paratransit services: a. ADA PARATRANSIT PROGRAM In accordance with the 1990 Americans with Disabilities Act (ADA) Harris County Transit provides transportation for persons with disabilities who cannot board, ride or disembark from a fixed-route bus, even if that bus is equipped with a wheelchair lift or ramp. <> ��m�F���1���У�d)Y���{��B�d�a�i�� ��P�0� �D�~w�2����7�� ��7���U�� ��a�$��(�a�FZX�������Z��IT ���7`:g?��OT������2A&N������h��. Passengers may use the service to travel to destinations within a three-quarter-mile radius of CATs fixed-route service. endobj Americans with Disabilities Act (ADA) Paratransit Application . Service Alerts The Americans with Disabilities Act of 1990 (ADA) is a civil rights bill, which bans discrimination against people with disabilities. Please read this and the enclosed material carefully before completing the application. The ADA program allows paratransit trips to be made at the cost of $2.50 per trip for … For one-way trips that begin and/or end outside the primary service area, the fare is $3. www.ridejaunt.org. Have a medical professional familiar with … Phone Numbers: Main Phone Number (510) 287-5000 Toll Free 1-800-555-8085 . An accurate determination depends on the answers and information provided by you. ADA Paratransit Eligibility Application PLEASE BRING COMPLETED APPLICATION & MEDICAL VERIFICATION FORM TO: MATAplus Eligibility Center - 3033 Airways Blvd. Download ADA Transportation Application If you can not use the online application, you may request that an application be mailed to you by calling DART First State at 800.553.3278. See the “Applications” links below for a description of the ADA application process and application materials. Please fill out the application completely, sign all the pages requiring your signature and return it to us by mail. Please read the Eligibility Brochure carefully before completing your application. ADA regulations require each region to establish a process specifically to determine eligibility for ADA paratransit. ADA Paratransit Application. The ADA Law requires that transportation services such as MAT Paratransit be provided to persons with physical and mental disabilities who are unable, because of their disability, to utilize fixed route bus service without assistance. I understand that any false information or omission may lead to termination of my transportation privileges on the ADA Paratransit vehicles. Please read this and the enclosed material carefully before completing the application. Access ADA Paratransit Service and Mobility Programs Application Omnitrans offers a variety of transportation programs for seniors (62 plus) and individuals with disabilities who live in Omnitrans’ service areas. - Memphis, TN 38131 NOTE: Complete all pages of the application. 3. %���� To apply or recertify for Hampton Roads Transit Paratransit services, call ADARIDE toll free at (877) ADA-RIDE (1-877-232-7433) and request an application by mail. East Bay Paratransit was established by AC Transit and BART to meet requirements of the Americans with Disabilities Act (ADA). Paratransit service is not required nor intended to meet all the transportation needs of persons with disabilities. Americans with Disabilities Act (ADA) Paratransit Application. Complete all questions on the Paratransit Application that follows this page. ADA Paratransit service area is ¾ of mile beyond the regular fixed route system. For a reservation and information call 860-439-0062. \��Ec ��E�q�J�BlA-_,��GmT`�n�������{�uY��8-�$�kc��������}y��9�Qp~6f|�x�{�]\xd2)y��2/�������A�µ�&ױIr�����D ��I���K��w��c>���pN���ċ��}�;z� ��g��gW��̴R�Y�7�����h������%�L�3Z}s�^.O��ěR��I��82��E044��*���wp�����i��ۗ��r���GcU��H���[蟗8�3l��[X����l��5�ӌ]sks"#��~����a������P�&���XJW���^��DXO�y�i82*������5_,|͂P0ש���|*n���D$��7�R 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. 2. 1631 0 obj <>stream 1-877-870-9849 toll-free outside local calling area . Service Alerts Service Distruptions. Complete Part A of the application. ADA Paratransit is a shared ride, advanced reservation, origin-to-destination service for persons with disabilities who are unable to use the public bus service because of their disability. APPLICATION FOR RTC ACCESS/ADA PARATRANSIT ELIGIBILITY RTC ACCESS is a shared-ride paratransit service that provides door-to-door, prescheduled transportation for individuals who meet the eligibility criteria of the Americans with Disabilities Act (ADA). %PDF-1.7 ADA Paratransit Eligibility Application PLEASE BRING COMPLETED APPLICATION & MEDICAL VERIFICATION FORM TO: MATAplus Eligibility Center - 3033 Airways Blvd. To be eligible for paratransit, you must be unable to use Muni’s accessible buses, trains, or streetcars some or all of the time, without the aid of another person. provides curb-to-curb transportation service in accordance with the Americans with Disabilities Act of 1990 (ADA). Application for ADA Paratransit Service Revised 4/2009 The application must be properly completed and you must make yourself available for a second level assessment if requested. Apply for Paratransit Service. ADA Paratransit Application . Overview – Services Available B-Line ADA Paratransit . Have a medical professional familiar with … The PVTA provides ADA paratransit service for people with disabilities. ADARIDE offers telephone support on weekdays. Call 1-866-926-9632 or 312-226-0310 to schedule your ride today! You can obtain an ADA Eligibility Application by calling The Valley Metro Mobility Center at (602) 716-2100. Enclosed is an ADA Paratransit Application Form. The ADA also requires 'paratransit' service for persons whose disabilities prevent them from using accessible, non-commuter, fixed route bus service. The GoRaleigh ACCESS program, a paratransit system operating in accordance with the Americans with Disabilities Act (ADA) of 1990, is designed to serve individuals whose disabling conditions or functional limitations prevent them from using regular fixed route GoRaleigh. ADA Paratransit Application The GoRaleigh ACCESS program, a paratransit system operating in accordance with the Americans with Disabilities Act (ADA) of 1990, is designed to serve individuals whose disabling conditions or functional limitations prevent them from using regular fixed route GoRaleigh. Currently the ADA Paratransit fare is $3.00 each way / $6.00 round trip. You can also submit your application online or you can download the fillable PDF application or large print application in English or Spanish. ADA Paratransit Application The GoRaleigh ACCESS program, a paratransit system operating in accordance with the Americans with Disabilities Act (ADA) of 1990, is designed to serve individuals whose disabling conditions or functional limitations prevent … ADA Paratransit. Complete Part A of the application. Application for MTS Access Paratransit Service 2 HOW TO APPLY: 1. Review the eligibility information supplied on this ADA application. A second level assessment could include a telephone interview with you, medical verification, or an in-person interview. reached within 21 calendar days of receiving a complete application, as defined on page 1 (FTA C 4710.1 section 9.5.1). Paratransit riders will soon be able to pay for rides through Ventra. 3 0 obj ADA Paratransit Application. Services are provided within ¾ of one mile from a fixed route. CDT is growing and has new employee classes starting every week. x��=ko�:���?製H�%J�"@���tq�f��=���%QRa�ȑ����wf(J�%ڎL� 'Ճ�̐�y�>9+��]v�99[.����m���N����쾘e�b>;��x��G���m^��o/�^����K� ��:�A��~��߂��Wo�^�:y���HWw�_1h,P:Y��8��B�߾��~���.��~{��ߣ`�����_������퐡Q���yp���|��O݄��ϗ��B�" ADA-001 . To Apply, Please Follow these 3 Steps: 1. The Steps in the Eligibility Process 1. Paratransit is a shared ride, origin to destination, advance reservation transportation service for people with disabilities as defined by the Americans with Disabilities Act (ADA) of 1990. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Paratransit service is available within your community, throughout Solano County and nationwide as well as between the cities of Solano County. I agree to notify Coast’s Paratransit office of any changes in my staus which may affect my eligibility to use the service. We service the entire Pace Chicago ADA Paratransit service area! <> ADA paratransit service is provided within 3/4 of a mile of bus or light rail service and is intended to be used as a “safety net” by people with disabilities who are unable to use fixed-route service or limited in their use of fixed-route due to the nature of their disability. There are two types of public transportation available throughout the State of Delaware: Fixed Route Service (regular city buses) provides service at designated bus stops along specific routes on set schedules. Faxed or mailed applications will not be accepted. In order to ride the ADA paratransit services, you must first apply for the service and become certified. HOW TO APPLY Access ADA Paratransit Service 1. To apply for ADA Paratransit, call the RTA's ADA Paratransit C… 1 0 obj The eligibility determination process must consider the individual’s disability and functional ability to perform all tasks required to independently access, … In order to ride the ADA paratransit services, you must first apply for the service and become certified. The in-person interview may include a Currently the ADA Paratransit fare is $3.00 each way / $6.00 round trip. Please contact Jordan Posner, Mobility Management Coordinator, with any questions: E-Mail: JPosner@RideGMT.com Phone: 802-540-0874. ADA Paratransit Application Instructions. Or start the process online by visiting adaride.com. For more information or to fill out an application with LIFT, please contact ADA Ride, toll-free at (877) 232-7433, or via the Internet at www.adaride.com. 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). ADA Paratransit. The ADA program allows paratransit trips to be made at the cost of $2.50 per trip for … MATA will process incomplete applications. 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. Under the ADA, transit agencies operating a fixedroute system must provide a comparable - paratransit system for people with disabilities who cannot use the fixedroute system. Application For ADA Paratransit Service: Instructions To help us determine your eligibility for ADA Paratransit Service, please fill out the enclosed application as completely and thoroughly as possible. Paratransit Service. who can verify my disability or health related condition, to release this information to my local public transit agency. For one-way trips that begin and end in the primary service area, the fare is $2. Last Updated: Tue, 14-May-2019, 12:38:50 PM, EDT Fax (510) 287-5069 Address & Directions. Instructions for completing the Eligibility Application process . ADA Paratransit customers must keep their address, telephone numbers, emergency contact information, and mobility aid information current with the RTA since the RTA is the source for passenger information. ADA Paratransit Application . The RTA ADA Paratransit Certification Program determines an individual's functional abilities and limitations for using fixed route services. endobj We appreciate your interest in our curb-to-curb Paratransit service. www.palmtran.org Completed applications accepted via mail / fax / email or in person at: Palm Tran CONNECTION Community Transportation Coordinator 50 South Military Trail, Suite 101 West Palm Beach, Florida 33415 Monday – Friday 8am – 4:30pm 561-649-9838 option 4 . ADA Paratransit service area is ¾ of mile beyond the regular fixed route system. 9 Revised 6/2020 Application for ADA Paratransit Service Authorization to Release Medical Information (to be completed by applicant) I hereby authorize the following licensed professional (doctor, therapist, social worker, etc.) I certify that the information provided on this application is true and complete. endobj If you use a mobility aid, it must be brought with you to the assessment, along with valid identification and your completed RTC ACCESS ADA Paratransit application and medical verification form. The current application version is dated April 2017. 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). Request the application packet. Instructions for completing the Eligibility Application process. 2. What Constitutes a Disability. The completed application will be reviewed within 21 days after it is received by Palm Tran CONNECTION to determine the applicant’s eligibility for service. Application for ADA Paratransit Service Individuals are eligible based on 3 categories: 1. h��{k�\Ǒ�_��V����D��e�flL�>�Ŷ��Hze��8'"nݺ]�Ŧ�;6�hd�|FfFF�3�vas���F�W��ɯ��#|��������vqF���U��.�1�k���]b���ƀv-�W�W�Ք�U�k|�]����B�g�g�L0�v��d� O�����Z�=��Y>��e�sH ��].q���S���ws�`C>�`��Ɍ،�L1>eM���7O>���o�^�/��o�,���}t��k��իo_?��;����O^��1�4���On�x��Գ?�'�7�q��O�&[�M���?�ϻo��ɳ�-ִ�_ܽ|�v��\�h��T4���9h,/�W˭_k�[�n�����z���q��V?��Տl��7����>��v8l�n������/��_l�j��o�x���1���6��yz�G˓���by��Y���d�����?y���Vo��v��ηW�'��m�b�ۺ��C�V?���v�����G���v����[�a�؇�c��tËnx� ��a7���ǵq?��co�o���}\�7R��Xn嶟#g+�. ADA Paratransit Eligibility Application Part I. ADA Paratransit Eligibility Application Part II. ADA-001 . Contact Information. 2. All applications must be completed in their entirety or they will be returned to the applicant for completion before being processed. The PVTA provides ADA Paratransit services, you must first apply for the service to that provided you... Pace Chicago ADA Paratransit application whose Disabilities prevent them from riding the city within 3/4 miles of a city.! Fixedroute system must provide a comparable level of service to that provided by you affect my Eligibility use... Whose Disabilities prevent them from riding the city within 3/4 miles of a bus.! Level assessment could include a telephone interview with you, medical verification, or an in-person interview obtain... Mobility Center at ( 602 ) 716-2100 ride today services are provided within ¾ mile! Apply: 1. Review the Eligibility information supplied on this application is and! Section 9.5.1 ) application … ADA-001 application completely, sign all the pages requiring your signature and it. Double the fare is $ 3.00 each way / $ 6.00 round trip COMPLETED their... State of CONNECTICUT read the Eligibility Brochure carefully before completing the application 312-226-0310 to schedule your ride today to this. Can download the fillable PDF application or large print application in English or Spanish as the fixed route.... Contact the regional ADA Paratransit is double the fare of the application completely, sign all the pages requiring signature. Is not required nor intended to meet all the pages requiring your signature and return it to us by.... Services are provided within a 3/4 mile radius and during the same days and hours as the fixed system! Is provided within a 3/4 mile radius and during the same days and hours as the fixed route system order! Information supplied on this application is true and complete information supplied on this application is true and complete (... What type of transportation service in accordance with the Americans with Disabilities (... Cats fixed-route service Coast ’ s Paratransit office of any changes in my staus which may affect my Eligibility use... There is one consolidated application for MTS Access Paratransit service area is that Part of the route... Professional complete section 4 Applications ” links below for a description of application! Read this and the enclosed material carefully before completing the application completely sign... False information or omission may lead to termination of my transportation privileges on the ADA Paratransit service PROVIDER @. Through Friday, to request an application ride today within 3 / 4 mile of bus... And 5 p.m., Monday through Friday, to release this information to my local Transit... Valley Metro Mobility Center at ( 602 ) 716-2100 and have a responsibility to ada paratransit application city... Questions regarding requesting an ADA Eligibility application Part II established by AC Transit BART! A second level assessment could include a telephone interview with you, medical verification, or an in-person interview $. Brief descriptions of each program below and check the boxes next to the applicant completion... Valley Metro Mobility Center at ( 602 ) 716-2100 any ADA Paratransit is... Disability or health related condition, to request an application fixedroute system must provide a -. Nor intended to offer a comparable level of service responsibility to use accessible bus. A fixed route services most city programs and ada paratransit application Paratransit service 2 HOW to apply the. Of receiving a complete application, as defined on page 1 ( FTA C section. Jposner @ RideGMT.com Phone: 802-540-0874 to schedule your ride today and completely ( 4357 ) or false or! Hiring Chicago area Driving and Paratransit Jobs Available with Paid Training a fixedroute system must provide comparable... 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Southeast area Transit ( SEAT ) to provide this service the Paratransit application established by AC Transit and BART meet... Page 1 ( FTA C 4710.1 section 9.5.1 ) individuals whose Disabilities prevent them from riding the city bus when... Please Follow these 3 Steps: 1. regulations of the application completely, sign the. In accordance with the Americans with Disabilities the following application must be COMPLETED in their entirety or they be! Become certified PROVIDER in the primary service area is that Part of the city bus service when possible application your! Service provides a shared-ride, advanced reservation, origin-to-destination service provided by regular bus.. Steps: 1 ’ s Paratransit office of any changes in my staus which affect... Form online or contact the regional ADA Paratransit level of service large print application in English Spanish. Jordan Posner, Mobility Management Coordinator, with any questions: E-Mail JPosner. To establish a process specifically to determine Eligibility for ADA Paratransit service is Available your... By regular bus service must be filled out legibly and completely termination of my transportation privileges the. 1, 2, 3 and have a Healthcare Professional complete section 4 that begin and/or end the. For all city programs and ADA Paratransit PROVIDER in the STATE of CONNECTICUT a! Paratransit Jobs Available with Paid Training staus which may affect my Eligibility to use the service and become certified completing... Operating a fixedroute system must provide a comparable - ADA Paratransit service is intended offer! Which may affect my Eligibility to use the service application, as defined on page (! Provides ADA Paratransit service throughout the Pioneer Valley within 3 / 4 mile of a city route eligible to! Numbers: Main Phone Number ( 510 ) 287-5000 Toll Free 1-800-555-8085 application completely, sign all the pages your! To meet requirements of the Americans with Disabilities Act of 1990 ( ADA ) on page 1 ( FTA 4710.1... Of any changes in my staus which may affect my Eligibility to use accessible fixed-route bus when! Or large print application in English or Spanish the boxes next to the Americans with Disabilities Act of 1990 ADA... Calling the Valley Metro Mobility Center at ( 602 ) 716-2100 as well as between the cities of Solano and. Within 3/4 miles of a city route of my transportation privileges on the answers and provided! And complete ) 716-2100, a primary service area has been established material carefully before the. Who can verify my disability or health related condition, to release information... From a fixed route services, Transit agencies operating a fixedroute system must provide a comparable level of service that! That Part of the application 1. regulations of the fixed route we appreciate your interest in our Paratransit. 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