Toyota Mobility Assistance Program Guidelines
This document outlines the Toyota Mobility Assistance Program designed for individuals with physical disabilities. It includes guidelines for reimbursement and support for adaptive mobility equipment. Toyota aims to assist eligible individuals in enhancing their mobility and independence.
Edit, Download, and Sign the Toyota Mobility Assistance Program Guidelines
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out this form, begin by gathering all necessary documentation including your vehicle sales agreement. Next, ensure you have the required medical documentation if applicable. Finally, complete the Reimbursement Application Form accurately and submit it as instructed.

How to fill out the Toyota Mobility Assistance Program Guidelines?
1
Gather your vehicle sales agreement and payment invoices.
2
Obtain any required medical documentation.
3
Complete the Reimbursement Application Form accurately.
4
Have the form signed by your Toyota dealership representative.
5
Submit the completed form along with supporting documents.
Who needs the Toyota Mobility Assistance Program Guidelines?
1
Individuals with physical disabilities seeking vehicle adaptations.
2
Families of Toyota owners with members requiring mobility assistance.
3
Occupational therapists recommending adaptive equipment.
4
Medical professionals prescribing mobility adaptations.
5
Toyota dealers assisting customers with application processes.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Toyota Mobility Assistance Program Guidelines along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Toyota Mobility Assistance Program Guidelines online.
You can edit this PDF on PrintFriendly by clicking the 'Edit' button on the toolbar. This allows you to make necessary adjustments to the content before saving. After editing, simply download the updated document.

Add your legally-binding signature.
To sign the PDF on PrintFriendly, select the 'Sign' option found in the toolbar. Input your signature digitally, and position it where needed on the document. Once satisfied, save the signed version to your device.

Share your form instantly.
Sharing your PDF on PrintFriendly is easy; just click the 'Share' button to generate a shareable link. You can customize the sharing options to suit your needs. Send the link via email or social media to reach your audience.
How do I edit the Toyota Mobility Assistance Program Guidelines online?
You can edit this PDF on PrintFriendly by clicking the 'Edit' button on the toolbar. This allows you to make necessary adjustments to the content before saving. After editing, simply download the updated document.
1
Open the PDF file in PrintFriendly.
2
Click on the 'Edit' button to begin modifications.
3
Make any necessary changes to the text and layout.
4
Review your changes to ensure accuracy.
5
Download the edited PDF once you are satisfied.

What are the instructions for submitting this form?
To submit the completed form, please send it along with all necessary documents to the Toyota Brand Engagement Center at PO Box 259001 - Mobility, Plano, Texas 75025-9001. Alternatively, you may email your application to engagement@toyota.com or fax it to (800) 331-4331. Ensure you follow all guidelines for documentation submission to expedite processing.
What are the important dates for this form in 2024 and 2025?
Important dates for the Toyota Mobility Assistance Program in 2024 include the start of the application period on January 1 and the submission deadline for reimbursement requests by December 31. In 2025, similar timelines will apply for program participation and application submissions.

What is the purpose of this form?
The purpose of the Toyota Mobility Assistance Program is to enhance the mobility of individuals with physical disabilities through financial support for adaptive equipment. This program aims to reduce barriers to mobility by facilitating access to necessary resources. By providing reimbursement for modifications, Toyota seeks to empower users in reclaiming their independence on the road.

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

- 1. Name: Full name of the applicant.
- 2. Email: Email address for communication.
- 3. Vehicle Identification Number (VIN): Unique identifier for the vehicle.
- 4. Adaptive Equipment Details: Description of the installed adaptive equipment.
- 5. Signature: Applicant's signature certifying the information is accurate.
What happens if I fail to submit this form?
If the form is not submitted correctly, you may lose your opportunity for reimbursement. Accurate information is crucial for processing your request timely. Submission errors can lead to delays or denials of assistance.
- Missing Documentation: Failure to include required medical or purchase documents may result in denial.
- Incomplete Information: Incomplete forms will be returned, causing delays.
- Failure to Obtain Approval: Adaptive equipment installations not pre-approved may not be reimbursed.
How do I know when to use this form?

- 1. Post-Purchase Reimbursement: To seek reimbursement after acquiring a new vehicle.
- 2. Lease Vehicle Modifications: To request funding assistance for adaptations made to leased vehicles.
- 3. Medical Recommendations: When a healthcare provider suggests modifications for mobility.
Frequently Asked Questions
What is the purpose of the Toyota Mobility Assistance Program?
The program provides financial reimbursement for adaptive mobility equipment to assist individuals with physical disabilities.
How do I qualify for the reimbursement?
To qualify, you must be an eligible retail customer who has installed adaptive equipment on a new Toyota vehicle.
What types of adaptations are eligible for reimbursement?
Common eligible adaptations include hand controls, wheelchair lifts, and driving consoles.
How can I edit this PDF using PrintFriendly?
You can click the 'Edit' button and modify the content as needed.
Is there a deadline for submission of this application?
Yes, the Reimbursement Application Form must be submitted within 90 days of completion of the installation.
Can leased vehicles qualify for reimbursement?
Yes, but they require written approval from the leasing company.
What if I have questions about the application process?
You can contact the Toyota Brand Engagement Center for assistance.
How will I receive my reimbursement?
Reimbursements are mailed directly to customers within 6-8 weeks after claim approval.
Do I need a doctor's note for all adaptations?
A doctor's note is required for certain adaptations, while others do not require it.
Where do I submit my completed application?
Send it to the Toyota Brand Engagement Center at the specified address in the application.
Related Documents - Mobility Assistance Program
Andhra Pradesh State Road Transport Corporation Student Bus Pass Application
The Andhra Pradesh State Road Transport Corporation (APSRTC) Student Bus Pass Application form is for students up to SSC who need to apply for a bus pass for the academic year 2024-2025. This form includes personal details, school details, route details, and requires a bonafide certificate. Completing this form allows students to travel on APSRTC buses between their residence and school at a concessional fare.
NYC Section 8 Request to Move Form
The NYC Section 8 Request to Move Form is for participants in good standing to move with continued assistance. Participants must meet specific criteria and obtain necessary approvals. The form includes options for non-emergency and emergency moves.
Cheyenne Transit ADA Paratransit Eligibility Application
This file includes the application and instructions for Cheyenne Transit's ADA Paratransit service. It details the eligibility criteria and provides guidelines on how to complete the form. The document must be filled out in full and submitted to determine eligibility for Paratransit service.
Council-Manager Government Roles and Responsibilities Guide
This file provides detailed information about the roles and responsibilities of key officials in a council-manager government structure, including the mayor, city manager, and elected officials. It also explains how residents can participate in the government decision-making process.
Passenger and School Bus Driver Application
This file provides detailed instructions and forms required for obtaining a Commercial Driver License (CDL) with a passenger or passenger/school bus endorsement in New Jersey. It includes fingerprinting information, medical examiner certificate requirements, and a declaration form. Applicants must complete the form, print, and sign it before visiting an Agency or the New Jersey Motor Vehicle Commission.
Facility Clearance (FCL) Orientation Handbook - March 2021
This handbook provides a comprehensive orientation to the Facility Clearance (FCL) process. It outlines responsibilities, deadlines, and guidance. It includes detailed process information and required forms.
Service Member's Individual Transition Plan Checklist
This file is a checklist intended for service members to document and certify the achievement of career readiness standards as they transition out of the military. It includes sections for personal and family needs assessment, evaluation of military service benefits and acquired skills, career readiness standards, and contact information for supporting agencies. The checklist must be completed and verified by the service member, transition counselor, and unit commander prior to separation.
Bangladesh Judicial Service Commission Form Instructions
This document provides detailed instructions for filling out and submitting the Bangladesh Judicial Service Commission form, including essential deadlines and required fields.
NORKA, RØD S - Government of Kerala Undertaking File
This document is issued by the Government of Kerala and pertains to various government-related undertakings. It provides important instructions and details necessary for various procedures. Users should follow the guidelines carefully to ensure compliance.
GOVERNMENT OF PUNJAB DEPARTMENT OF PERSONNEL MANUAL 2019
This document is a manual by the Government of Punjab's Department of Personnel, outlining various personnel policies and instructions issued in the year 2019. It includes amendments, performance indicators, appointment procedures, and relevant rules for civil services and recruitment. The manual serves as a comprehensive guide for personnel management and related administrative processes.
Oklahoma DOT Roadway Design CADD Standards Manual
The Oklahoma DOT Roadway Design CADD Standards Manual effective April 1, 2015 details the best practices for all related engineering work. Following these standards ensures readability, uniformity, and proficiency in design plans. This manual is essential for designers working with or for the Oklahoma Department of Transportation.
Affordable Connectivity Program Application Form FCC Form 5645
FCC Form 5645 is an application form for the Affordable Connectivity Program (ACP) that provides monthly internet service discounts and a one-time device benefit for qualifying low-income consumers. The form includes sections for personal information, identity verification, and household details. Instructions for submission and required documentation are also provided.