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How do I fill this out?

To fill out this form, gather the necessary information regarding your personal and medical details. Make sure both the Certification Questionnaire and Professional Verification forms are completed in full. Review the forms for signatures before submission.

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How to fill out the MetroMobility Application Instructions and Eligibility?

  1. 1

    Complete the Certification Questionnaire form.

  2. 2

    Get the Professional Verification form filled out by a qualified professional.

  3. 3

    Sign both forms where indicated.

  4. 4

    Submit both forms together in the same envelope.

  5. 5

    Wait for feedback on your application status.

Who needs the MetroMobility Application Instructions and Eligibility?

  1. 1

    Individuals with disabilities who need transportation services.

  2. 2

    Caregivers seeking mobility assistance for their clients.

  3. 3

    Healthcare professionals completing verification for patients.

  4. 4

    Family members advocating for individuals applying for services.

  5. 5

    Seniors requiring alternative transport solutions.

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What are the instructions for submitting this form?

Submit your completed application forms to the Metro Mobility Service Center at 390 N. Robert Street, Saint Paul, MN 55101-1805. Ensure both the Certification Questionnaire and Professional Verification are included in the same envelope. It is critical to avoid fax or email submissions, as they will not be accepted.

What are the important dates for this form in 2024 and 2025?

The application process for 2024 and 2025 will follow similar timelines to previous years. Ensure all documents are submitted timely for eligibility. Important updates and deadlines will be communicated through Metro Mobility announcements.

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What is the purpose of this form?

The purpose of this form is to establish eligibility for MetroMobility services as mandated by the Americans with Disabilities Act (ADA). By completing this application, individuals can secure necessary transportation assistance essential for their mobility. Additionally, it ensures that applicants' specific needs are understood and addressed through appropriate verification processes.

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Tell me about this form and its components and fields line-by-line.

The form contains several key components essential for collecting applicant information and verification.
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  • 1. Applicant Data: Includes personal information like name, address, and contact details.
  • 2. Certification Questionnaire: A detailed questionnaire to assess the applicant's mobility needs.
  • 3. Professional Verification: A section for medical professionals to confirm the applicant's condition.
  • 4. Authorization to Release Information: Allows professionals to share necessary information with Metro Mobility.
  • 5. Signatures: Requires signatures from both the applicant and the guardian (if applicable).

What happens if I fail to submit this form?

Failure to submit this form can lead to delays in accessing necessary transportation services. Ensure that all required documents are completed and submitted correctly.

  • Missing Forms: Incomplete applications may not be processed if any required forms are missing.
  • Lack of Signatures: Forms must be signed by both the applicant and their verifying professional to be valid.
  • Missing Professional Credentials: Professionals must include their titles and certifications to validate the verification.

How do I know when to use this form?

This form is used when an individual with a disability seeks to apply for MetroMobility transportation services. It is essential for establishing eligibility based on specific mobility needs.
fields
  • 1. To Apply for Transportation Services: Use this form to begin the application process for accessing MetroMobility.
  • 2. For Professional Verification: Healthcare providers should complete the verification section to confirm the applicant's needs.
  • 3. For Guardians and Caregivers: Family members and caregivers can assist applicants in the completion process.

Frequently Asked Question

What forms do I need to complete for the application?

You need to fill out both the Certification Questionnaire and Professional Verification forms.

How do I submit the application?

Submit both forms together via mail to the Metro Mobility Service Center.

Can I fill out the application online?

Currently, you must print and mail the completed forms.

What if my application is incomplete?

An incomplete application will be returned for corrections. Make sure to double-check all sections.

How long does processing take?

Once submitted, your application should be processed within 21 calendar days.

Where can I get assistance while filling out the forms?

You can call Metro Mobility Customer Service for assistance.

Is large print available for the forms?

Yes, the forms and future information can be provided in large print.

What happens if I need an in-person assessment?

If necessary, a Metro Mobility evaluator will reach out for an assessment.

How do I know if I qualify for Metro Mobility services?

The initial forms provide the basis for eligibility based on the Americans with Disabilities Act.

Are applications accepted via fax or email?

No, applications must be submitted via mail only.

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MetroMobility Application Instructions and Eligibility

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