Request for Certification of ADA Paratransit Eligibilty

The information obtained in this certification process will be used by Greeley-Evans Transit only for the provision of transportation services. Information will only be shared with other transit providers to facilitate travel in those areas. The information will not be provided to any other person or agency.

Before you start this application, download the Request for Professional Verification Packet. Print off the verification packet to take to your Physician/Health Care Provider to complete and send back to Greeley Evans Transit.

In addition to the form below, we will need you to complete an authorization form for us to contact your physician or health care professional to confirm your information.

New Certification