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ADA Application

Step 1 of 5

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  • 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.

  • WHO IS ELIGIBLE?

    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.

  • ADA PARATRANSIT SERVICE

    The JATA Complimentary Paratransit service area includes any address that measures¾ of a mile or less from a JATA regular fixed route.

  • HOW TO APPLY

    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

  • Application for ADA Complimentary Paratransit Certification

    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.

  • MM slash DD slash YYYY
  • 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

  • MM slash DD slash YYYY
  • Give your answer in terms of city blocks or feet
  • Give your answer in terms of city blocks or feet
  • If this application has been completed by someone other than the person requesting certification, that person must complete the following:
  • MM slash DD slash YYYY
  • RELEASE OF INFORMATION

    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.

  • I hereby certify that the information given above in this application is correct.
  • MM slash DD slash YYYY
  • REQUEST FOR PROFESSIONAL VERIFICATION

    (This page cannot be completed by the applicant.)

    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.)

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • In terms of city blocks or feet
  • In terms of city blocks or feet
  • MM slash DD slash YYYY
  • 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

JATA

Jackson Area Transportation Authority
Public transportation for Greater Jackson, Michigan

JATA's Administrative Office
2350 East High Street
Jackson, MI 49203
517-787-8363

JATA's Transfer Center
127 W. Cortland
Jackson, Michigan 49201
517-783-6437

Quick Links

Title VI, Customer Feedback, JATA Board Meetings, Track your bus, Doing Business with JATA Retirement & Benefits Act ADA Complementary Paratransit Service Application


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    LTAC Meeting February 16, 2023
    2:00 PM Has Been Canceled
    Christoff’s Community Room
    400 N. Mechanic St.