Form 50.295 PDF Details

The Americans with Disabilities Act (ADA) outlines specific criteria to determine eligibility for paratransit service and an application and in-person assessment is required.

60 days: Also ensure you contact the office within 60 days of the date of the healthcare provider's signature.

Step 4: Upon completion of the application, call 202-962-2700 and select option 5, (TTY 202-962-2033) to conduct a pre-assessment interview.

Missing information: Applications with missing information will not be accepted and will be returned to the applicant without processing.

Appointments: If you miss or cancel 2 appointments you will be required to complete a new application and be required to wait 120 days to reapply.

QuestionAnswer
Form NameForm 50.295
Form Length8 pages
Fillable?Yes
Fillable fields114
Avg. time to fill out19 min
Edition05/24
Contact the officeWithin 60 days of the date of the healthcare provider's signature
Original applicationReceived by the Metro Transit Accessibility Center on the day of your appointment
Other names50.295, Form 50.295, MetroAccess application, Metro Access application, MetroAccess paratransit application
Official sourceForm 50.295 (Rev 05/24),

Please rate Metro Access Application 50.295 05-24, Page 1 Of 8

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