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Collects eligibility-related information about a disability that prevents use of Sun Metro fixed-route buses, including functional limitations, permanence versus temporariness, and specific travel/navigation abilities. Requests general applicant details, emergency contacts, and preferred alternative formats for future written information. 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This service is available to persons who because of their disability, are prevented from:  \nCategory 1 – Independently getting to/from a bus stop or transfer point using traditional Sun Metro fixed – route buses.  \nCategory 2 – Independently boarding, riding and exiting a Sun Metro fixed-route bus  \nCategory 3 – Boarding or getting to/from a bus stop because of the inability of the bus to deploy the lift or ramp at an inaccessible bus stop.  \nPlease complete this application to the best of your ability, and as thoroughly as possible. If there are any questions that you do not understand, please call Sun Metro LIFT at 915.212.3004 for further assistance. In order for your application to be considered complete, all questions, including the Doctors/Agency verification form, must be answered, the application will not be processed until completed.  \nThe purpose of the application is to provide a fair opportunity for you to describe barriers in the environment and how your disability prevents you from using Sun Metro fixed route transportation. The more information provided, the better Sun Metro LIFT will understand your ability and travel challenges. Information contained in this application will be kept confidential and shared only with professionals involved in evaluation your eligibility status to utilize Sun Metro LIFT.  \nImportant: At times, Sun Metro LIFT may request phone interview and/or an In-Person Functional Assessment to obtain more information regarding your application. If an In-Person Functional Assessment is requested, this will evaluate your most limiting functional ability, potentially involving simulated trips, assessing skills like balance, coordination, and safety. This optional process is completed by a licensed Physical or Occupational Therapist and is free of charge. Sun Metro LIFT will provide transportation for an In-Person Functional Assessment. During this time, you may provide any additional information pertaining to your application that you may deem necessary.  \n5081 Fred Wilson El Paso, TX 79906 Office: 915.212.LIFT  \nAre you currently a LIFT Passenger?  \n☐ Yes ☐ No  \nLIFT ID number:    \nGeneral Applicant Information  \nPlease Print  \n1. Name:    \n2. Address:   Apt:   Zip Code:    \n3. Home \\#:   Cell Phone \\#:   Email address:    \n4. Date of Birth:   Gender:    \n5. Emergency Contact Information:  \nName:   Telephone \\#:   Relationship:    \nName:   Telephone \\#:   Relationship:    \n6. Would you prefer to receive future written information in an alternative format? Please mark desired format.  \n☐ Standard Print  \n☐ Large Print  \n☐ Email address:    \n☐ Spanish Format  \n☐ Other:    \n5081 Fred Wilson El Paso, TX 79906 Office: 915.212.LIFT  \nAre you currently a LIFT Passenger?  \n☐ Yes ☐ No  \nLIFT ID number:    \nAbout your Disability  \n7. Do you have a disability which prevents you from using the Sun Metro fixed-route? (The fixed-route system consists of the regular Sun Metro large buses)  \n☐ Yes ☐ No  \n8. If yes, please describe any physical, cognitive, visual, or functional disabilities which prevent you from using the Sun Metro fixed-route bus service below:  \n9. Is your disability or disabilities a permanent or temporary condition?  \n☐ Permanent ☐ Temporary  \n10. Do you have a visual impairment?  \n☐ Yes ☐ No  \n11. Do you have a hearing impairment?  \n☐ Yes ☐ No  \n12. Are you able to travel independently after dark?☐ Yes ☐ No ☐ Sometimes  \nIf you indicated ‘no’ or ‘sometimes ’, please explain:  \n13. Are you able to independently locate an audible cross walk indicator and successfully cross an intersection?  \n☐ Yes ☐ No ☐ Sometimes  \nIf you indicated ‘no’ or ‘sometimes ’, please explain:  \n5081 Fr","cbCaiiWRwDTHEZwX","https://ap.wps.com/l/cbCaiiWRwDTHEZwX","pdf",196182,10,"English","# General Applicant Information\n## About Your Disability\n## Current Mode of Transportation and Navigating the Fixed-Route System","[{\"question\":\"What is the purpose of this Sun Metro LIFT paratransit application?\",\"answer\":\"It provides a fair opportunity to describe environmental barriers and how the disability prevents using Sun Metro fixed-route transportation. More information helps the service understand the applicant’s abilities and travel challenges.\"},{\"question\":\"What happens if the application is not fully completed?\",\"answer\":\"All questions, including the Doctors/Agency verification form, must be answered for the application to be considered complete. The application will not be processed until completed.\"},{\"question\":\"Can Sun Metro LIFT request additional assessments after submission?\",\"answer\":\"Yes. Sun Metro LIFT may request a phone interview and/or an in-person functional assessment to obtain more information. The functional assessment may evaluate limiting functional abilities and is completed by a licensed Physical or Occupational Therapist at no charge.\"}]","LIFT Paratransit Transportation Application | PDF",1789841979]