Dial-a-Ride Application Form
Dial-a-Ride Operating Rules

If you have a disability or condition which prevents you from using a lift or ramp equipped bus some or all of the time, you may be eligible for Yakima Transit’s Dial-A-Ride Paratransit Service some or all of the time. Age or the inability to drive are not considered qualifying factors.

TO APPLY:
• Fill out the enclosed application form or have someone fill it out for you.
• Have Part 4 (Professional Verification) completed and signed by a licensed medical or mental health professional knowledgeable of your abilities or conditions.
• Sign the application, along with the Applicant Agreement and Release of Information
• Return the completed application form.
• Yakima Transit will process your application and notify you within 21 days after the completed application arrives in our office.
• This form has 8 pages. Please be sure that all sections have been completed.

If you have any questions or need assistance in completing this application, call 575-6054, or TTY 575-6008. The information you provide will be used to make a decision about your eligibility for Dial-A-Ride Paratransit Services. It is important that all parts of this application are completed. Incomplete information may delay processing of your application.

If you have questions about how Dial-A-Ride operates, hours or days of service, ride scheduling or many other important issues, please refer to the Dial-A-Ride Operating Rules sheet above. If you need additional information, please contact Yakima Transit.

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