Paratransit Application & Forms

Access Applications and Other Forms for our VIP Service

Apply for Paratransit Service

 

You can now fill out your paratransit forms online and submit them via email. You may also submit them through U.S. mail via the information listed below.

To submit your application via internet click on the form that is needed below, then submit it to the email address provided.

Please choose only one form of submission.

To ensure prompt processing submit parts 1, 2 & 3 of your application for proper completion. Incomplete applications will be returned to the sender for completion.

To check the status of your application please call (205) 961-5614 ext. 1029.

 

To Submit by E-Mail

 
 Email: ada@bjcta.org

To Submit by Mail

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

In order to view, fill out or print the documents below, your computer must have Adobe Acrobat Reader installed. If you do not have this program, 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 the forms below are for you.

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Paratransit Application


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Paratransit Recertification Application


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Persons with Vision Loss or Blindness Form


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