Americans With Disabilities/Paratransit Information

AppalCART provides paratransit (van) service to eligible passengers.  Section 37.125 of the Americans With Disabilities Act (ADA)  to those individuals whose disabilities prevent them from using fixed route bus service (intown bus service) already serving the general public in the Boone area.  In order to qualify for paratransit service, some type of disability prevents the individual from riding the intown buses.

One of the three general conditions must first be met:

    1)    Individual cannot independently board, exit, and/or ride an intown bus.

    2)    Individual does have the ability to ride intown buses but the transportation provider does not have an accessible vehicle in service on that route. 

    3)    Individual has an impairment which prevents s/he from getting to and from a bus stop or getting on and off the bus at the bus stop.

A person does not have to be wheelchair bound but must have a condition that meets the above criteria to be certified.  AppalCART has Appal-A-Day van service for medical trips for those not eligible or need service outside the 3/4 mile boundary. 

Below is an ADA Certification Application, you or a representative for you can complete the form.  We will use the information you provide on these forms including information from your health care provider (which you designate), to determine eligibility for paratransit service.  After completion forward by snail mail, email, fax, or in person to:

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What is the disability which prevents you from using intown service?  (All of our buses are wheelchair accessible)

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Is this condition temporary?  ________  If yes, expected duration until __________________  How does this disability prevent you from

 using our intown service?  Please give a detailed explanation.  __________________________________________________________

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How are you affected in other ways by your disability that would should be aware?  _________________________________________

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The following information will be used to ensure that an appropriate vehicle is utilized to provide your transportation and that an accurate analysis of your trip requests can be made by AppalCART.  Do you use the following aids for mobility?  Circle all that apply.  _

A Personal Care Attendant travels with you to care for your mobility needs and does not pay a fare, but MUST accompany you on every trip, no exceptions.  This is not the same as a companion who travels with you from time to time for companionship.  Do you require a Personal Care Attendant (PCA) when you travel using public transit? (Driver will assist you on and off the vehicle and if you are in a wheelchair, the driver will assist you door-to-door).     yes  _______     no  _______  If so, why do you believe you need a PCA?  _____________________________________________________________________________________________________

Please answer the following questions - circle those that apply to you.

I hereby certify that the information given is correct

Name  ____________________________________________________  Date  _____________________________

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If this application has been completed by someone other than the person requesting certification, that person must complete the following:

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Physician Info - ADA Certification - Authorization for doctor to release information

In order for AppalCART to evaluate your request, it is necessary that we contact your doctor and may be necessary to contact other professionals to confirm that information that you provided.  Please complete the following information.  The following doctor  ________________________________________________ is familiar with my disability and is authorized to provide information to AppalCART required to complete this certification.

Thank you, we will begin processing this as soon as we are in receipt of your application. forward by snail mail, email, fax, or in person to:     Or if you would have questions as you complete the form, please contact us.