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ADA Paratransit Form


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    1. Instructions
    2. First name required; middle name is optional.
    3. Gender
    4. Please upload a completed and signed document.
    5. Primary Language
    6. Are you a member of any of the following social service agencies?
    7. Does an agency pay or reimburse you for any of your Paratransit trips?
    8. Are you able to use Green Bay Metro accessible buses (Fixed Route) for any of your transportation needs?
    9. Are the conditions you described permanent?
    10. If provided with the appropriate training and practice, would you be able to use the Green Bay Metro bus service?
      If sometimes please explain.