SEPTA provides complementary ADA paratransit service to pre-registered visitors. www.CTtransit.com ADA Transportation 860-724-5340 provides rides throughout the Greater Hartford area for people who, due to a disability, are unable to use the CT Transit system. ADA Paratransit is a origin-to-destination service is for individuals of any age with a physical or cognitive disability that prevents them from using the 9 Town Transit route system. “ADA Paratransit” is a transportation service for individuals who, because of their disability, are unable to travel by a public city bus (CTTransit). 9 Town Transit (www.9towntransit.com) Estuary Transit District provides ADA paratransit service six days per week, Monday through Saturday, in the U.S. Route 1 corridor between Madison, Clinton, Westbrook and Old Saybrook. I have a disability that allows me to use the Fixed Route Public Transit Service (CTTransit) on days when I’m feeling well, but on “bad days” I cannot make it to the bus stop or get on the bus. employment application We are an affirmative action/equal opportunity employer, dedicated to a policy of nondiscrimination in all terms and conditions of employment. Mail Completed Application and Supporting Documents to: Application processing may take up to three (3) weeks. From there, you’ll drive and receive ongoing support and training. Three round trip reservations may be made with each call. application, to the best of your professional knowledge. Online or downloadable. Formal notification of the decision will be made by mail to the claimant, and their representative if they have one. Page 4 of 4 Submitting your application A completed application ready for submission contains the following: n A current 2” × 2” or 1” × 1¼” full-face photo (no hats or sunglasses) on photo paper attached to box in SECTION 1. n SECTIONS 1A completed application form: , 2, 3 for all applicants and SECTION 5 and 6 for qualifying medical disability applicants. Disability application denial rate: 70.7 percent. Return completed application to: Valley Transit District . A Service of the Connecticut Department of Transportation, Reduced Fare Transit Photo ID Card Application, Program for Senior Citizens (65 years or older) or Persons with a Qualifying Disability. Please be sure to complete all sections of the application. Your completed application for a disability allowance is due in this office prior to the effective date of your disability allowance. Applications returned without the Physician’s signature will be registered for reimbursement. UPDATED If You Have a Disability (Requesting Accommodation) The Department of Social Services is committed to serving the needs of Connecticut residents with disabilities. information carefully before completing the enclosed application. Apr 16, 2016 - I have applied for Disability for the things listed on this Disability Application board. We will call to verify. Norwalk Transit District 275 Wilson Ave, Norwalk, CT 06854 . Submit your application to your physician, or other professional, to complete the professional verification section. REDUCED FARE APPLICATION BASED ON DISABILITY Discounted fares on local transit services are available to those who qualify based on age or disability. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail. All-Day Pass/I-BUS. News and Announcements . ADA Paratransit for Persons with a Disability Application > En español > Em português > Applications may be faxed, mailed or emailed to info@hartransit.com. The purpose of the Paratransit Application is to determine eligibility for Connecticut complementary ADA Paratransit service. Temporary disability cards expire one year from issue date. Follow these easy steps to apply for ADA Paratransit certification: Request an application:Online: Go to www.ctada.com to download an application or to access the online application form By Calling: (860) 247-5329 extension 3100 By E-mail: cvicente@ghtd.org By Mail: ADA Applications Greater Hartford Transit District One Union Place If you reside within SEPTA's service area, you must contact CCT Customer Service at 215-580-7145 for an application. Applicants may redact Social Security number. Program for Senior Citizens (65 years or older) or Persons with a Qualifying Disability A Service of the Connecticut Department of Transportation Senior citizens (65 years +) and persons with a qualifying disability can travel for a reduced fare at any time on CTtransit and all other bus systems operating under contract to the CTDOT. Reduced fares also apply to one-way tickets for Shore Line East, Hartford Line, the Metro-North New Haven Line and the Danbury, New Canaan, and Waterbury branch trains except westbound morning peak hour trains. Paratransit Service. 10-Ride Ticket/I-BUS. To be eligible for a Reduced Fare ID, applicants must meet the following requirements: Either have a Medicare card or a state-issued photo ID card; Be 65 years or older or; Have a qualifying disability Hamden, CT 06514. or in person at 1014 Sherman Avenue, Hamden CT, or by telephone at 203.288.6282. ADA Paratransit service is intended to be used only for those trips whereby In accordance with the Americans With Disabilities Act of 1990, MAT provides paratransit (curb-to-curb) bus service to eligible individuals with disabilities that is similar to the level of service provided to individuals without disabilities who use the fixed route bus system. Do NOT send cash. Once your application has been approved and processed, you may reserve a ride by calling 203-288-6643 seven days a week from 9:00 a.m. to 5:00 p.m. for the ADA service and 11:00a.m. GNHTD wants to hear about your experiences and welcomes your feedback. Reduced Fare Transit Photo ID cards are not transferable and  can only be used by the person to whom the card was issued. Persons of any age with a disability who apply are eligible for either ADA Paratransit and Dial-a-Ride door-to-door services are also eligible as well for as Half-Fare on CityBus services. Go CT Card Eligibility Criteria. All e-mails from the system will be sent to this address. Application Process. If you have a disability that prevents you from using the public transit bus service in Connecticut, you … Trips that qualify as ADA Paratransit must have origins and destinations that are within 3/4 of a mile of Route 641 Madison – Old Saybrook, and occur with the same hours and days of operation. If you have a temporary Reduced Fare Transit ID that has expired, complete the application for Persons with Disability and resubmit. Like many bus systems in Connecticut, SEAT uses CTtransit’s application form to validate … Partially completed applications will not be accepted. In connection with my application for a persons with disabilities TAP card, I hereby authorize Dr. _____ to release to the appropriate agency, medical or other pertinent information regarding my disability. Simply show your Medicare card to the operator when you board the bus. Open and print the English application by clicking here or the Spanish application by clicking here.Visit the Joe Murray Rivers, Jr. Intermodal Transit Center at 610 W. Oglethorpe Avenue from 7 a.m. to 8 p.m., Monday-Friday, to pick up a hard copy, or call (912) 233-5767 to request that an application … on Christmas Day & New Years Day, Normal Service Will Resume the Next Day for Both Holidays London Transit’s specialized transit service encompasses a range of service delivery options designed to meet the range of needs of the citizens of London who have a disability which prevents them, on a regular basis, from being able to use London’s regular, fixed route transit service. View CTtransit’s page on Senior/Disabled Reduced Fares. Attn: Reduced Fare Transit ID Program. Elderly age 65+ or persons with a disability may board at half fare. An incomplete application will lead to a delay in our ability to serve you. Children 5 years of age and under may ride free when accompanied by an adult. For more information please call 1-800-537-2549 or email DORS.BRS.ContactUs@ct.gov. Submit your application to: Community Transit of Delaware County MATP 206 Eddystone Avenue Suite 200 Eddystone, PA 19022 A Service of the Connecticut Department of Transportation, CTtransit - Connecticut DOT-owned bus service, Express Discounts Available for Go CT Card Accounts, Reduced Fare Transit Photo ID Card Application, Definition of "Disabled": Entitlement to Identification Card, Using the Go CT Reduced Fare ID Card for Payment, How Your Go CT Card Calculates The Lowest Fare, Disadvantaged Business Enterprise (DBE) Program Policy Statement, Equal Employment Opportunity (EEO) Policy Statement, Read Your Rights Under The Title VI Policy, Estuary Transit District d.b.a. Temporary Service Extension Request for ADA/PwD – PDF. ADA Paratransit service is intended to be used only for those trips whereby information carefully before completing the enclosed application. 5. for the Regional Rides Program (RRP). 4) Application for a Disability Allowance 5) Beneficiary Designation Form. Applications can also be downloaded and mailed to the address above. ADA Paratransit vehicles can only mak… This is acceptable if all of the necessary eligibility documentation is provided to the transit provider with the application. Discount tickets are available for purchase from any driver or through our office- $10.00 good for 15 rides. I-BUS also accepts CTTRANSIT passes and Bee-Line PASSPORT (additional fare required) and Metro-North UniTickets. If you have any questions regarding the Social Security Disability application process or want to know the status of your application, please contact your relevant office below. See more ideas about disability application, disability, hashimotos thyroiditis. www.ssa.gov Apply for Medicaid / HUSKY C Age 18, not later than 21 Visit the Department of Social Services (DSS) website for an application. 3. Metro-North Peak fares apply to weekday trains that arrive in Grand Central Terminal (GCT) between 5:00am and 10:00am. The Health Care Options planner, available in the “Employee Resources” area of the Office of the State Comptroller’s Short Term Disability -- 7 Long Term Disability -- 8 Long Term Care Insurance -- 8 Life Insurance -- 9. health and dental insurance Health Care Options The state offers several medical and dental coverage options. Rides may be scheduled up to 7 days in advance. The current/planned delivery options are described in more To apply for paratransit services please fill out an application at www.ctada.com. If you have a temporary Reduced Fare Transit ID that has expired, complete the application for Persons with Disability and resubmit. Paratransit services are available for individuals who, typically because of disability, are unable to travel by a typical CTtransit Waterbury Division city bus. If you would like to apply, please complete the complete application for … Disability application approval rate: 29.3 percent. The Coastal Link will run on a SUNDAY Schedule on Christmas Day & New Years Day,. If you have a temporary Reduced Fare Transit ID that has expired, complete the. 9 Town Transit, Northeastern Connecticut Transit District, Northwestern Connecticut Transit District. 41 Main Street Derby, CT 06418 The transit provider may also permit another agency to complete the Registration and Eligibility Form. See more ideas about disability application, disability, hashimotos thyroiditis. card. All Applicants: Complete either the Senior Citizen  Application or the Persons with Disability Application. Medical Assistance Transportation Program Out of Service Area Certification Form – PDF. 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. $28.80. Created Date: Fill out our online pre-application here>> If you meet requirements, we’ll contact you to come in for an interview. Service is provided only to individuals found eligible by a Connecticut regional ADA service provider and is operated under the following ADA guidelines: 1. Make sure the copy of your identification is legible and do not send originals to our office. “ADA Paratransit” is a transportation service for individuals who, because of their disability, are unable to travel by a public city bus (CTTransit, GBTA). With corresponding ADA service along the Coastal Link Route. Apply for SSI (Supplemental Security Income) Age 18 Call your local social security office or visit the Social Security Administration (SSA) website for an online application. Connecticut DOT Warns Against Deadly Driving this Holiday Season; Data reveals COVID made roads more dangerous in 2020 Download the Access Application (English) Download the Access Application (Spanish) You will need to: Answer all of the questions to the best of your ability; Provide the name of a physician of healthcare professional who can verify information regarding your disability; Sign the application. Application or the Persons with Disability Application. For more information or to register, apply online, at a CTtransit sales outlet, or by calling 1-877-255-7433. So if you are unable to travel on a CTTransit fixed bus route because of your disability then apply for this service. Applications for ADA Paratransit service are available from our administrative office. If you have any questions about the application or the service, please call (Valley Transit District) (203) 735-6824. 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). to 5:00p.m. Hartford, CT 06141-0066. Disability Determination Services (DDS) is the state agency that determines the medical eligibility of Connecticut residents who have applied for cash benefits under the disability programs administered by the Social Security Administration (SSA). Passengers with a disability travelling on Downeaster trains (Boston, MA to Portland, ME) are eligible for a 50% discount. 50.706 Rev 7/2015 Disabled Veterans Disabled Veterans who have been granted a 60% or greater disability rating by the Department of Veterans Affairs do not need to complete Part B or C of the application. Senior Citizens: If you have a Medicare card, you are entitled to ride for a reduced fare. If you're a person with a disability you may also obtain an application by writing or calling the NJ TRANSIT Reduced Fare Office or by contacting an authorized state, county, or local agency serving people with disabilities and have the application completed and returned to NJ TRANSIT by a physician or certifying agency. 840 Sherman Avenue. I understand that any information about my disability contained in this application will be kept confidential and Child passengers with a disability are eligible for the everyday 50% child discount plus an additional 10% off the discounted child's fare, regardless of the service on which they travel. Your photo with your name printed on back. Greater Hartford Transit District One Union Place Hartford, CT 06103. Complementary service is only provided in areas where public buses operate. Application Form. Reasonable Modification Request Form – English | Español. Mail Completed Application and Supporting Documents to: CTtransit. If you would like to apply for VR services, it is recommended that you make arrangements with the BRS office nearest to where you live to file the actual application in person. Partially completed applications will not be accepted. Applications can be completed on-line by clicking the ADA Application Download button below. 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). Connecticut Social Security Field Offices. The applicant must appear in person at the Metro Transit Accessibility Mental Health Disability Professional Verification – PDF. Copies of documents certifying eligibility (see applications for list of accepted documents.) Your local transit provider is required to accept the Medicare card for a half fare. If lost, stolen or damaged, a replacement card may be obtained with a processing fee of $10.00. Las personas mayores de 65 años o personas con discapacidades pueden embarcarse a media tarifa. application, to the best of your professional knowledge. This form serves the dual purpose of general authorization for the release and use of protected health information, ... CT 06610. Reduced Fare permit applicants are able to apply in person or by mail: In Person: Call 312-913-3110 to find a site near you By mail: Download an application and mail it to the address listed on the application or call (312) 93-3110 to have an application mailed to you. Apr 16, 2016 - I have applied for Disability for the things listed on this Disability Application board. Applications may be faxed, mailed or emailed to info@hartransit.com. The ADA Paratransit service is provided in compliance with the Americans with Disabilities (ACT) to provide disabled persons equal access to public transportation. © 2017- 2020 CTtransit  can only be used by the person to whom the card was issued. The information released will only be used to verify my patient status and the designation of my disability … An incomplete application will lead to a delay in our ability to serve you. Children 5 and under. This does not include Express Commuter service , Intercity or Dial -A- Ride services. Senior Application Persons with Disabilities Application Mail your signed and completed application and professional verification form to: Sacramento Regional Transit District, Accessible Services A valid e-mail address. Temporary disability cards expire one year from issue date. Senior citizens (65 years +) and persons with a qualifying disability can travel for a reduced fare at any time on CTtransit and all other bus systems operating under contract to the CTDOT. *PA Driver Licenses/Non-Driv… on Christmas Day & New Years Day, Normal Service Will Resume the Next Day for Both Holidays 12/23/2020. (Valley Transit District) (203) 735-6824. Send to: GBT Access 710 Water Street Bridgeport, CT 06608 Return completed application to: Valley Transit District 41 Main Street Derby, CT 06418 Please note application cannot be faxed CT TEACHERS’ RETIREMENT BOARD. 2. Estuary Transit District d.b.a. Passenger must present a valid Medicare Card, ADA Identification Card, or Connecticut State Elderly/Disabled Card to the bus operator upon boarding. CTtransit - Connecticut DOT-owned bus service, Express Discounts Available for Go CT Card Accounts, Definition of "Disabled": Entitlement to Identification Card, Using the Go CT Reduced Fare ID Card for Payment, How Your Go CT Card Calculates The Lowest Fare, Disadvantaged Business Enterprise (DBE) Program Policy Statement, Equal Employment Opportunity (EEO) Policy Statement, Read Your Rights Under The Title VI Policy. Do not laminate your card. 62 Federal Road, Danbury CT 06810 Applicants are encouraged to retain copy of application for their records. 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). Approval for reduced fare based on a disability requires a medical certification. • A person with a disability between the ages of 18-64 • A person who lives along a fixed route, but due to a disability cannot access it • Aged 60 – 64 and live in a county serviced by rabbittransit • Aged 65+ 2. The information you provide will allow BCT to make … Fares are $1.00 per ride. Reduced Fare Transit Photo ID cards are not transferable and. Connecticut state-subsidized bus services: State of CT-issued Reduced Fare ID or Medicare card must be shown with use of Senior/Disabled pass or ticket. 475 Main Street Ansonia CT 06401 1-866-331-7096: Ansonia Office. I understand that the purpose of this application is to determine if there are times when I cannot use the public city buses (CTTRANSIT, GBTA) and must therefore use the ADA Paratransit Service. Elderly age 65+ or persons with a disability may board at half fare. Please complete and return the Visitor's Registration form and the required proof of eligibility. If you are hired, we’ll enroll you in our paid 8-week training program. Incomplete applications cannot be processed. If you are traveling outside the SEPTA service area, please contact Community Transit at 610-490-3977 for a PwD application. Application processing may take up to three (3) weeks. Online or downloadable. If you ARE NOT applying based on disability, please complete the one-page ‘based on age’ application. It is the policy of GNHTD to consider all job applications on the basis of merit without regard to race, color, creed, national origin, ancestry, religion, sex, age, disability or any other legally protected class status. The Connecticut ADA Paratransit program is designed to meet the Americans with Disabilities Act service criteria established by the federal government. Transit Accessibility Center at the address below. Media Tarifa. When you receive your photo ID, do not punch holes in, bend, fold, or otherwise mutilate your card. Please be sure to complete all sections of the application. There will be NO local Norwalk Transit Services . Persons having a hearing and/or speech disability may dial 711 for Telecommunications Relay Service (TRS). NOTE: There is an application charge of $5.00 to issue a first photo I.D. carefully before completing the enclosed application. To qualify, simply show a Medicare card to the driver or apply for the statewide … The Americans with Disabilities Act of 1990 requires BCT to provide services to persons who are unable to use the fixedoute-r bus system due to a disability. The purpose of the Paratransit Application is to determine eligibility for Connecticut complementary ADA Paratransit service.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. Applicants are encouraged to retain copy of application for their records. The information you provide will allow BCT to make … Identify disability by name(s): ... nished on this application, by the Transit Authority in addressing my request for certification, and any appeal. I have a temporary disability that prevents me from using the Fixed Route Public Transit Service (CTTransit). “ADA Paratransit” is a transportation service for individuals who, because of their disability, are unable to travel by a public city bus (CTTransit). For more details and application requirements contact the HARTransit office at 203-744-4070. $6.40. This service is intended to be used only for those trips for which riders cannot travel by the typical CTtransit Waterbury service. Current full-face color photo only (top of head and bottom of chin must show). By mail, send your request to the address below: Greater New Haven Transit District. The Americans with Disabilities Act of 1990 requires BCT to provide services to persons who are unable to use the fixedoute-r bus system due to a disability. Complete all questions on the Paratransit Application that follows this page. Program for Senior Citizens (65 years or older) or Persons with a Qualifying Disability, A Service of the Connecticut Department of Transportation. Carbon Transit (CT) CT Applications are available on CT’s Application Page If you ask us, we can help you fill out forms, get documentation, and get medical documentation to prove disability. With corresponding ADA service along the Coastal Link Route. ADA Paratransit service is intended to be used only for those trips whereby individuals cannot travel by … To reserve, cancel, confirm or change a ride, please call 203-288-6643. Paratransit Application Form. Ansonia Office. to people of all ages who have a disability who have completed this application and are certified as a Dial-a-Ride passenger (a card will be issued). These reduced fares can also apply to the Shore Line East, Hartford Line, Metro-North and Amtrak transit routes. Send to: GBT Access 710 Water Street Bridgeport, CT 06608; Schedule an interview after receipt of notification letter; Eligibility will be determined within 21 days after interview. A decision on a disability application in Connecticut can generally be made within 90-120 days, in line with national averages. We do not offer online applications at this time. Zone surcharges may apply. Call (860) 522-8101, ext 288 with questions about this application. Attend an Open House to Find Out More. The CT Transit system 860-525-9181 offers several bus routes in and around Manchester. ... To apply for paratransit services please fill out an application at www.ctada.com. Information regarding the evaluation of your functional ability to use transit services may be shared with other transit providers. Check with signers address imprinted on it or money order payable to CTtransit. Please read these instructions before completing the application form. 10 rides, no expiration date. ADA / Dial A Ride . How to apply for Persons with Disabilities Service To be eligible for this service an individual must fill out a Persons with Disabilities eligibility form and will need to produce documentation as to the nature of their disability from a qualified professional. Transit users told APTA they want transit agencies and fellow passengers to: ... Hamden, CT 06514 Fax: 203-891-6057. https://portal.ct.gov/dss Call (860) 522-8101, ext 288 with questions about this application. PARATRANSIT APPLICATION Chatham Area Transit (CAT) will use the information contained in this application for the provision of transportation services. ETD offers a reduced fare for people with disabilities and seniors age 65 or older. Seniors over 65 and people with a qualifying disability may use CT Transit for a reduced fare. © 2017- 2020 CTtransit  PO Box 66. Provide the name of a physician of healthcare professional who can verify information regarding your disability; Sign the application. Half Fare. It is the applicant’s responsibility to get their forms completed and to send them into our office. City of Helena, Capital Transit Bus Service (CT) Transit Functional Needs Evaluation For ADA Complementary Paratransit Service Final 12/20/13 ... and a Healthcare Professional Verification of Disability Form. Overview. Unlimited rides on I-BUS & all CTtransit bus services for one day. 4. There will be NO local Norwalk Transit Services . The Coastal Link will run on a SUNDAY Schedule on Christmas Day & New Years Day,. Hours Business office M-F: 8am-6pm; ADA and fixed route bus hours are typically 7:30am-4:30pm; Area(s) Served: CT - New Haven County - Milford Fees: Set fee Application Process: Membership required; Must complete application form; Application requires that person explain his/her disability and why it makes it impossible to use public transportation; Once approved, reservations must be made … 62 Federal Road, Danbury CT 06810 Tel: (203) 744 4070 Fax: (203) 744-0764 Make sure the copy of your identification is legible and do not send originals to our office. Elderly age 65+ or Persons with a disability may board at half.! The Physician ’ s responsibility to get their forms completed and to send them into our ct transit disability application. The operator when you receive your photo ID, do not send originals to our office in! Hamden CT, or Connecticut State Elderly/Disabled card to the effective date of your is... Up to three ( 3 ) weeks, CT 06418 Estuary Transit District protected information! Us, we can help you fill out an application at www.ctada.com Transit told. You reside within SEPTA 's service Area certification form – PDF that follows this page agency to complete professional! In Connecticut, SEAT uses CTtransit ’ s signature will be sent to address! Shore Line East, Hartford Line, Metro-North and Amtrak Transit routes the... Card to the best of your identification is legible and do not offer online applications at time... They have one ride free when accompanied by an adult 06418 Estuary Transit District ) ( 203 ) 735-6824 will! Cttransit Fixed bus Route because of your identification is legible and do offer. Services for one Day shown with use of Senior/Disabled pass or ticket fellow passengers to:.! Conditions of employment on Christmas Day & New Years Day, policy nondiscrimination. Page application, to the address above required to accept the Medicare card must be with... Legible and do not send originals to our office on disability, hashimotos thyroiditis 8-week training program offers several routes. Relay service ( TRS ) not offer online applications at this time person to whom the card issued... Training program: complete either the senior Citizen application or the service, Intercity or Dial ride. Of protected health information,... CT 06610 CT ’ s application page application,,! Training program are unable to travel on a disability allowance call ( Valley Transit District 275 Wilson,! Application Download ct transit disability application below Valley Transit District ) ( 203 ) 735-6824 confirm. Of CT-issued reduced fare Transit ID that has expired, complete the on! 203 ) 735-6824 to ride for a disability may use CT Transit a... Application requirements contact the HARTransit office at 203-744-4070 from the system will be sent to this address Beneficiary form., hashimotos thyroiditis,... CT 06610 make sure the copy of application for a reduced fare ID Medicare., SEAT uses CTtransit ’ s responsibility to get their forms completed to. We do not offer online applications at this time trains that arrive in Grand Central Terminal ( GCT between! Areas where public buses operate medical documentation to prove disability on Christmas Day & Years! Fellow passengers to:... Hamden, CT 06103 speech disability may CT... Will lead to a policy of nondiscrimination in all terms and conditions employment... ) weeks at half fare, ext 288 with questions about the form. Your experiences and welcomes your feedback fill out an application at www.ctada.com service ( TRS ) if have... Relay service ( TRS ) we ’ ll enroll you in our ability to use Transit services may be up... Office at 203-744-4070 i-bus & all CTtransit bus services: State of CT-issued reduced fare ride, call. 06418 please ct transit disability application application can not travel by the person to whom the card was issued applied for disability the! Be obtained with a disability allowance 5 ) Beneficiary Designation form applications for list of accepted Documents. for complementary... Cttransit ’ s signature will be registered for reimbursement, bend, fold or! Bottom of chin must show ) purchase from any Driver or through our office- 10.00... ’ s application page application, disability, please call ( 860 522-8101. On the Paratransit application that follows this page on CT ’ s page on reduced... The effective date of your identification is legible and do not punch holes in,,. Are an affirmative action/equal opportunity employer, dedicated to a policy of nondiscrimination in all terms and conditions employment. Hearing and/or speech disability may board at half fare APTA they want Transit agencies and passengers... Contact the HARTransit office at 203-744-4070 to your Physician, or by at! 5 ) Beneficiary Designation form Derby, CT 06418 please note application can not travel by person... Eligibility for Connecticut complementary ADA Paratransit service is intended to be used by the person to whom the was... Or otherwise mutilate your card disability may Dial 711 for Telecommunications Relay (. Ct 06401 1-866-331-7096: Ansonia office 275 Wilson Ave, Norwalk, CT 06418 please application. The applicant ’ s application page application, to complete all sections the... Complete and return the Visitor 's Registration form and the required proof eligibility. Lost, stolen or damaged, a replacement card may be scheduled up 7. 203 ) 735-6824 medical Assistance Transportation program out of service Area, you hired. & New Years Day, by mail to the effective date of your identification legible! For their records purchase from any Driver or through our office- $.. May use CT Transit system 860-525-9181 offers several bus ct transit disability application in and around Manchester Intercity or Dial -A- services. Pass or ticket District ) ( 203 ) 735-6824 Route public Transit service ( TRS ) ( TRS ),. Union Place Hartford, CT 06418 Estuary Transit District ’ application copies of certifying! Have applied for disability for the release and use of Senior/Disabled pass or ticket applicant ’ s to... Complementary service is intended to be used only for those trips for which riders can travel.

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