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How do I fill this out?
To fill out this form, gather all required personal information and proof of eligibility. Complete each section accurately, ensuring all dependencies are noted. Finally, submit the form to your healthcare provider for certification.
How to fill out the MARTA Reduced Fare Card Eligibility Certification?
1
Gather required personal information and documentation.
2
Complete all sections of the form accurately.
3
Obtain certification from an approved healthcare provider.
4
Submit the completed form to MARTA for processing.
5
Wait for confirmation regarding your application status.
Who needs the MARTA Reduced Fare Card Eligibility Certification?
1
Individuals with permanent disabilities who need transportation assistance.
2
Elderly individuals aged 65 or older seeking reduced fares.
3
People undergoing temporary disabilities requiring accessible transport.
4
Caregivers applying on behalf of someone eligible for reduced fare.
5
Healthcare providers certifying an individual's eligibility.
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What are the instructions for submitting this form?
To submit this form, ensure you have all necessary information completed accurately. You can submit the form to MARTA using mail at 2424 Piedmont Road, NE, Atlanta, GA 30324, or fax it to 404-848-5112. Ensure you retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
Keep an eye on deadlines for submissions as they may vary based on personal circumstances. It's crucial to complete your application well before any planned travel to ensure timely processing.
What is the purpose of this form?
The purpose of this form is to certify an individual's eligibility for MARTA's Reduced Fare Card, designed for those with disabilities and seniors. This Reduced Fare Program aims to provide affordable transportation options, enhancing mobility for those who require assistance. Submission of this form ensures that qualifying individuals receive the benefits offered under the program.
Tell me about this form and its components and fields line-by-line.
- 1. Last Name: The applicant's surname.
- 2. First Name: The applicant's given name.
- 3. Date of Birth: The applicant's birth date.
- 4. Email Address: Contact email for correspondence.
- 5. SSN last 5 digits: The last five digits of the applicant's Social Security Number.
- 6. Phone Number: A contact number where the applicant can be reached.
- 7. Health Care Provider Information: Fields for healthcare provider to certify eligibility.
What happens if I fail to submit this form?
Failure to submit this form means that individuals may miss out on benefits offered through the MARTA Reduced Fare Program. It can result in delayed transport access, impacting travel plans for eligible individuals. Ensure all sections are completed fully to avoid complications.
- Incomplete Submission: Missing information can delay processing and eligibility.
- Incorrect Information: Providing false details may lead to legal consequences and denial.
- Failure to Obtain Certification: Without certification from a healthcare provider, the application is invalid.
How do I know when to use this form?
- 1. Application for New Card: For individuals applying for a Reduced Fare Card for the first time.
- 2. Renewal of Existing Card: For individuals seeking to renew their reduced fare eligibility.
- 3. Verification of Continued Eligibility: When reassessing eligibility due to changes in circumstances.
Frequently Asked Questions
How do I apply for the Reduced Fare Card?
Fill out the certification form accurately and submit it to your healthcare provider for approval.
What information do I need to gather?
You need personal identification details, proof of age or disability, and contact information.
Is there a fee to apply for the Reduced Fare Card?
There is no fee for the application itself; however, lost or stolen cards may incur a replacement fee.
How long does it take to process my application?
Processing can take 1 to 5 business days, depending on verification.
Can I track the status of my application?
You may contact the MARTA Reduced Fare Office for updates on your application status.
What if my application is denied?
You will receive a reason for denial, and you can address the issue or reapply.
Are there specific eligibility criteria?
Yes, applicants must meet defined disability criteria as outlined in the guidelines.
Can my caregiver apply on my behalf?
Yes, caregivers can assist individuals with completing the application.
What happens if I lose my Reduced Fare Card?
You may request a replacement, but fees may apply for lost or stolen cards.
What should I do if I have questions about the form?
Contact the MARTA Reduced Fare Office for assistance and clarification on the application.
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