1. Please complete the following form as directed. It is important that you understand the eligibility requirements, and that you complete all sections of the form correctly and in full.
2. Section 1, General Information, must be filled out by the applicant or by any other person designated by him or her or an authorized representative if the applicant is unable to act.
3. Section 2, Functional Assessment Form, must be completed and signed by a medical professional (see list of eligible certifications). All assessments must be authorized by the signature of such professional. Please be clear as to the applicant’s ability/inability to use the regular transit system.
4. Please note that filling out this application form does not guarantee eligibility or approval.
5. There is no charge to apply for Access Transit service. Any fees charged by a medical professional are the responsibility of the applicant.
6. Once received, the application will be reviewed and you will be contacted within 5 business days regarding the status of your application. In some cases, additional phone calls or an interview may be required to determine eligibility.
7. If you have any questions, you may call Access Transit Services at (204) 729-2437.
8. Completed forms may be faxed to (204) 729-2485, or mailed to:
ACCESS TRANSIT SERVICE APPLICATIONS
900 RICHMOND AVENUE EAST
BRANDON, MANITOBA
R7A 7M1