Hyundai Mobility Program Assistance Application
This file provides detailed information about the Hyundai Mobility Program, which supports individuals with special needs. It outlines the eligibility criteria, instructions for completing the application, and reimbursement process for adaptive equipment installation. If you are a Hyundai owner in need of mobility assistance, this document serves as your guide.
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How do I fill this out?
Filling out this form involves gathering your customer and vehicle details. Make sure to have medical documentation if required for the adaptive equipment. Follow the specific instructions within the form to ensure all necessary information is provided.
How to fill out the Hyundai Mobility Program Assistance Application?
1
Complete the customer information section with your details.
2
Provide accurate vehicle information including VIN and dealer name.
3
List the adaptive equipment installed and its invoice total.
4
Ensure you have all required documentation ready for submission.
5
Sign the form and submit it as instructed.
Who needs the Hyundai Mobility Program Assistance Application?
1
Individuals with physical disabilities seeking vehicle modifications for improved accessibility.
2
Caregivers of persons with special needs who assist in vehicle adaptations.
3
Healthcare professionals who recommend adaptive equipment for mobility.
4
Hyundai vehicle owners wanting reimbursement for adaptive installations.
5
Families purchasing vehicles for loved ones with unique mobility requirements.
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Review your changes to ensure all information is accurate.
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What are the instructions for submitting this form?
To submit this form, ensure all required fields are completed and documentation is included. Mail the completed application package to Hyundai Motor America, Attn: Incentive Department, 10550 Talbert Avenue, Fountain Valley, CA 92708. For assistance, call 1-800-633-5151 or visit the Hyundai USA website for more details.
What are the important dates for this form in 2024 and 2025?
The Hyundai Mobility Program runs from January 3, 2023, to January 2, 2024. Make sure your application is submitted before the deadline for consideration of reimbursement. Check for updates regarding future programs or changes to eligibility.
What is the purpose of this form?
The purpose of this form is to assist individuals with special physical needs in applying for financial assistance for adaptive equipment installation in Hyundai vehicles. It serves as a necessary document to ensure that eligible applicants receive the support they need. By providing detailed instructions and criteria, this form aims to facilitate a smooth reimbursement process.
Tell me about this form and its components and fields line-by-line.
- 1. Customer Information: Fields to input customer name, address, and signature.
- 2. Vehicle Information: Details about the eligible vehicle including VIN, delivery date, and dealer information.
- 3. Adaptive Equipment Installed: Information on the adaptive equipment, purchase details, and installation date.
- 4. Claim Submission Instructions: Guidelines on how to submit the completed form and required documents.
What happens if I fail to submit this form?
If you fail to submit this form, you may miss out on vital financial assistance for the installation of adaptive equipment. It's essential to ensure all required documentation is included to avoid delays in processing. Incomplete submissions may result in denial of reimbursement.
- Missing Documentation: Failure to provide necessary documents can lead to rejection of your claim.
- Incorrect Information: Submitting inaccurate details may result in delays or denial of assistance.
- Eligibility Issues: Not adhering to program rules could disqualify your application.
How do I know when to use this form?
- 1. Applying for Reimbursement: Use this form to request financial assistance for adaptive equipment.
- 2. Documenting Equipment Installation: Record details of any adaptive modifications made to your vehicle.
- 3. Completing Insurance or Financial Claims: This document may serve as proof in claims related to vehicle adaptations.
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Where can I find more information about the Hyundai Mobility Program?
Please refer to the official Hyundai website for comprehensive information about the program.
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