• 1801 Morris Avenue, Birmingham AL 35203
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Apply for Paratransit Service

You can now fill out your paratransit forms online and submit them by email. You can also mail them using the address provided.

Please use only one way to submit your forms. You must submit all 3 parts of your application for it to be complete. We will send back incomplete applications. To check on your application status, call +1 (205) 521-010.

To Submit by E-Mail

Email: ada@bjcta.org

To Submit by Mail

Attention: ADA Officer Post Office Box 10212 Birmingham, AL 35202-0212

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To view, fill out, or print the forms below, you need Adobe Acrobat Reader on your computer. You can download it for free from Adobe's website.

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Applying for the First Time?

If you are applying for MAX VIP Paratransit for the first time, use the forms below.

Paratransit Application
Form

Download Form

Paratransit Recertification Application

Download Form

Persons with Vision Loss or Blindness Form

Download Form