Attached are the forms necessary to determine eligibility for JATA's ADA Complimentary Paratransit Service within Jackson County. ADA Complimentary Paratransit Service is an advance reservation, curb-to-curb service that is provided for persons who are unable to use JATA's fixed route bus service because of a disability.
A person with a disability who cannot get on, off or ride an accessible, fixed route bus because of their impairment is unconditionally eligible. For example, persons with developmental impairments often qualify under this category.
A person whose disability prevents them from getting to a fixed route bus stop may be conditionally eligible. For example, if construction, lack of sidewalk or snow prevents access, the rider is eligible for Complimentary Paratransit service until conditions improve.
The JATA Complimentary Paratransit service area includes any address that measures¾ of a mile or less from a JATA regular fixed route.
It's easy to apply. This Application for ADA Complimentary Paratransit Certification must be filled out and signed by you or an authorized individual. On the Release of Information page, you indicate who will fill out your professional verification. You sign the release so JATA may contact the professional if we need clarification of any information in the application. The Request for Verification page may only be filled out and signed by a state licensed medical professional, rehabilitation specialist, or social worker who has documentation of your disability. Under the Health Information Privacy Act, your medical information remains confidential.
Return the Application for ADA Complimentary Paratransit Certification to:
Jackson Area Transportation Authority Attention ADA Coordinator 2350 East High Street Jackson,MI 49203 Questions? Call 517-787-8363 and ask for the ADA Coordinator
The information obtained in this application will be used by the Jackson Area Transportation Authority (JATA) to determine eligibility for ADA Complimentary Paratransit Service. This information may be shared with other transit providers to help schedule trips within their service area and verify eligibility.
It is important that you answer every question on this application. Evaluation of your request cannot begin until the form is completed and received at the JATA office, together with the signed professional verification form. Once the forms have been received, a determination is made within 21 days. You will receive notification of this determination in writing.
Return this form and the Application for ADA Complimentary Paratransit Certification to:
Jackson Area Transportation Authority Attention ADA Coordinator 2350 East High Street Jackson, Ml 49203 Questions? Call 517-787-8363 and ask for the ADA Coordinator
In order to allow JATA to evaluate your request, it may be necessary to contact a physician or other professional to discuss the information you have provided. Please complete the following:
The following medical professional/social worker/rehabilitation specialist may document, and is familiar with, my disability. I authorize him/her to provide information to JATA in order to complete the ADA Complimentary Paratransit Certification process.
Federal law required that JATA provide parallel transit services to persons who cannot use available fixed route bus service. This information provided will allow JATA to make an appropriate evaluation of this request and its application to specific trip requests. Please fill in all sections that pertain to the applicant's disability as they relate to using public transportation. Thank you for your cooperation in this matter. (Unreadable or incomplete applications will be returned.)
Jackson Area Transportation Authority Attention ADA Coordinator 2350 East High Street Jackson, Ml 49203
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