Octa Paratransit Application PDF Details

The City of Toronto is pleased to offer octa paratransit, a curb-to-curb transportation service for people with disabilities who cannot use conventional transit service. The octa paratransit application form is now available. Eligible applicants can receive door-to-door transportation from their home to any destination within the City of Toronto.

Here are several facts you may want to review before you start working with the octa paratransit application.

QuestionAnswer
Form NameOcta Paratransit Application
Form Length3 pages
Fillable?Yes
Fillable fields63
Avg. time to fill out13 min 25 sec
Other namesocta access application pdf, octa access online, route 26 octa, access transportation orange county

Form Preview Example

ACCESS Service

ACCESS Service (General Information)

ACCESS is a shared-ride paratransit service that is available to qualified applicants whose physical or cognitive limitations prevent them from utilizing OCTA’s regular fixed route bus service.

ACCESS service is provided within a ¾ mile of, and during similar hours as, OCTA’s regular fixed route service. ACCESS scheduling guidelines include scheduling trips within 60 minutes of the requested time, picking up customers within a quoted 30-minute pick-up window. OC ACCESS travel time is comparable to the level of service and ride time provided on OCTA’s fixed-route.

ACCESS Fares

The base fare for ACCESS service is $3.60 per passenger for each one-way trip within Orange County.

Eligibility

Eligibility is determined by 3 factors:

Individual's ability to get to/from the bus stop

Individual's ability to board/exit the bus

Individual's cognitive ability to navigate the regular bus system.

Operational issues not used to determine eligibility, include:

Age

Distance

Overcrowded buses

Lack of bus service to an area

August 21, 2018

Operational issues are not considered in the eligibility process. These are issues that affect any individual, whether they suffer from a disability or not. The individual's disability (ies) and how it affects their functional ability to use regular bus service is the only criterion used in determining eligibility.

ACCESS eligibility may be granted for up to 5 years. Customers wishing to continue ACCESS service must reapply and complete the eligibility process prior to their eligibility expiration date in order to prevent a lapse in ACCESS service.

Certification Process

The certification process consists of a completed application and a one hour in- person functional assessment. If using a mobility device, please bring the device to the interview. ACCESS service may be made available to and from the in- person functional assessment upon request. The entire assessment process may take from 3 to 4 hours, including the commute. Photo ID is needed to verify customers for the in-person assessment.

Individuals are notified by mail regarding their eligibility determination within 21 calendar days after the functional assessment, if a determination is not provided, presumptive eligibility will be granted until a final determination is given. If found to be eligible for ACCESS service, the customer receives an ACCESS identification number and a Rider's Guide describing the ACCESS service and booking process in more detail.

For additional information or assistance, please contact the ACCESS eligibility department at (714) 560-5956 ext. 3, or review the OCTA website at www.octa.net

To apply for OCTA Paratransit Service, call the OCTA ACCESS Eligibility Contractor to schedule your in-person assessment at (714) 560-5956 ext. 2, TDD (714) 560-5474.

August 21, 2018

OCTA ADA PARATRANSIT APPLICATION

DO NOT MAIL

Please complete the application and call (714) 560-5956 ext 2 to schedule your in-person assessment. TDD (714) 560-5474 Notification of Eligibility within 21 calendar days of in-person assessment

1. PERSONAL INFORMATION – please print clearly

Last Name: __________________ First: __________________ Middle Initial: ____

Female Male Date of Birth --

Email Address:_________________________ Primary Language: ____________

Home Address

Street _____________________Apt #___ City____________ State ____ Zip ______

Day Phone (____) ______-_________Evening Phone(____) ______-_________

TDD Yes No

Mailing Address (If different from above)

Street _____________________Apt # ___City____________ State ____ Zip ______

Emergency Contact

Name: _________________________ Relationship:______________________

Day Phone (____) ______-__________Evening Phone(____) ______-__________

Do you require information in an alternate format?

Yes

No

If yes, please indicate:

Braille

Large Print

Other _______________

Your primary language:

English

Spanish

Other _______________

2. MOBILITY INFORMATION – please print clearly

What is your disability? __________________________________________________

Which of the following mobility aids or equipment do you use?

Power wheelchair

Manual wheelchair

Scooter

Crutches

Cane

Walker

Oxygen Tank

Service Animal

Other _______________

Signature __________________________________

Date __________________

DO NOT MAIL THIS FORM

You must bring a valid photo identification and this completed ADA Paratransit

Service application to your In-Person assessment appointment

Revised June 28, 2018

How to Edit Octa Paratransit Application Online for Free

Few tasks are quicker than completing documentation applying the PDF editor. There is not much you should do to change the oc access form - merely follow these steps in the next order:

Step 1: Select the button "Get Form Here" on this website and press it.

Step 2: So, you're on the document editing page. You may add text, edit current information, highlight particular words or phrases, place crosses or checks, insert images, sign the form, erase unneeded fields, etc.

Enter the necessary material in every area to fill in the PDF oc access

filling out oc access online part 1

Enter the required information in the field Scooter, Walker, Other, Date Manual, wheelchair, Cane, Service, Animal DO, NOT, MAIL, THIS, FORM and June.

part 2 to entering details in oc access online

Step 3: Once you've clicked the Done button, your form is going to be obtainable for upload to every device or email address you identify.

Step 4: Make a duplicate of each document. It may save you time and permit you to keep clear of challenges in the future. Keep in mind, your data isn't used or checked by us.

Watch Octa Paratransit Application Video Instruction

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