Edit, Download, and Sign the Phoenix Dial-A-Ride ADA Monthly Pass and Ticket Book

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How do I fill this out?

To complete the application form, start by providing your personal details in the designated fields. Next, make sure you include your ADA certification number and choose the type of fare media you wish to receive. Finally, submit the form by mail to the specified address before the due date.

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How to fill out the Phoenix Dial-A-Ride ADA Monthly Pass and Ticket Book?

  1. 1

    Print the application form from the PDF.

  2. 2

    Fill out all required personal and ADA certification information.

  3. 3

    Select the desired fare media: monthly pass or ticket book.

  4. 4

    Send the completed form to Phoenix Public Transit by mail.

  5. 5

    Ensure your application is postmarked by the due date listed.

Who needs the Phoenix Dial-A-Ride ADA Monthly Pass and Ticket Book?

  1. 1

    Individuals with disabilities who require accessible transportation services.

  2. 2

    Phoenix residents interested in the Dial-A-Ride or bus services.

  3. 3

    Caregivers and family members of ADA certified individuals needing temporary transportation solutions.

  4. 4

    Social service agencies helping clients access public transport options.

  5. 5

    Local businesses with employees using Dial-A-Ride services for commuting.

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What are the instructions for submitting this form?

To submit this form, mail the completed application to Phoenix Public Transit at 302 N. First Ave., Suite 900, Phoenix, AZ 85003. You can also contact our office by phone at (602) 495-5795 or via TTY at (602) 261-8208 for assistance. Ensure that you submit your application before the 10th of the month to guarantee eligibility for the following month's services.

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

Applications for the Phoenix Dial-A-Ride should be submitted by the 10th of each month to ensure compliance for the upcoming month. Important deadlines include monthly payment due dates, which vary based on your application approval date. Make sure to stay informed of any updates to the program that may affect application timelines in 2024 and 2025.

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What is the purpose of this form?

The primary purpose of this form is to facilitate access to the Phoenix Dial-A-Ride ADA Monthly Pass and Ticket Book program. It aims to help residents with disabilities obtain essential transportation services within the area. By filling out the form, applicants can ensure they receive the necessary fare media to travel conveniently.

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

The application form includes several sections that require user input for successful processing.
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  • 1. Name: Your full name as registered with ADA.
  • 2. Address: Your residential address for correspondence.
  • 3. City: The city in which you reside.
  • 4. ZIP: The ZIP code of your residential address.
  • 5. Phone: Your contact phone number, including area code.
  • 6. ADA ID Number: Your unique identification number provided by ADA certification.

What happens if I fail to submit this form?

Failure to submit this form may result in a lack of access to critical transportation services provided by the Phoenix Dial-A-Ride program. Additionally, applicants who miss the submission deadline risk being unable to utilize the monthly pass for the upcoming month. It is imperative to adhere to deadlines to ensure continued transportation access.

  • Transportation Access: Without submitting the form, you may not have access to needed transportation services.
  • Eligibility Verification: Delays in submission can impede the verification process of your ADA status.
  • Service Continuity: Late applications may cause interruptions in your transit services.

How do I know when to use this form?

This form should be used when applying for the Phoenix Dial-A-Ride ADA Monthly Pass and Ticket Book program. It's ideal for those who are ADA certified and seek accessible transportation options in Phoenix. Use the form when you require assistance with public transit services for disability-related needs.
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  • 1. New Applications: For individuals who have not previously applied for the program.
  • 2. Renewals: When needing to renew your access to the monthly pass or ticket book.
  • 3. Account Changes: To update personal information related to your ADA certification.

Frequently Asked Questions

How do I apply for the Phoenix Dial-A-Ride program?

You can apply by completing the application form and submitting it to Phoenix Public Transit by the 10th of the month.

What is the cost of the monthly pass?

The monthly pass costs $65 and allows unlimited travel during the calendar month.

Who qualifies for the ADA Monthly Pass?

Individuals who are ADA certified and reside in Phoenix can apply for the monthly pass.

How long does it take to receive my monthly pass?

Once your application is approved, your monthly pass will be mailed to you by the following month.

Can I change my order after submitting the application?

Yes, you can contact us to make changes or stop participation by the 15th of each month.

What if my payment is late?

If your payment is late, your monthly pass or ticket book will not be issued for the following month.

How can I receive information on my account?

You can request an Account Information Release Form by contacting Phoenix Public Transit.

Are the ticket books valid for bus or light rail travel?

No, the ticket books are valid only for travel on Phoenix Dial-A-Ride.

What options are available for automatic monthly payments?

You can opt for an automatic payment plan by contacting our office for the necessary form.

How do I contact the Phoenix ADA office for further assistance?

You can reach the Phoenix ADA Office at (602) 716-2100.