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Paratransit Application & Forms


Access Applications and Other Forms for our VIP Service

Apply for Paratransit (VIP) Service

 
You can now fill out your paratransit forms online and submit them via email. You may also submit them via U.S. mail or by fax via the information listed below.
To submit your application via internet click on the form that is needed below, then submit it via 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) 521-9048.

To Submit by E-Mail


Send to  the Email Address Listed in the Forms

To Submit by Mail

Attention: ADA Officer
2121 Reverend Abraham Woods, Jr. Boulevard
Suite 500
Birmingham, AL 35203

To Submit by Fax

Attention: ADA Officer

Fax: (205) 521-0182

To Access Any Forms on this Site You Will Need Adobe Acrobat Reader

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 Form Part 1 & 3


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Release of Information Form Part 2


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Persons with Vision Loss or Blindness Form


Need to Re-Certify for Paratransit Service?

If you need to re-certify for MAX VIP Paratransit the forms below are for you.

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Recertifcation Application Form


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