BUS Pass Application for Persons with Disabilities
This file contains the application for a bus pass specifically for individuals with disabilities. It outlines the necessary eligibility criteria and required documentation. Complete this form to access public transportation services at a reduced fare.
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How do I fill this out?
Filling out this application is straightforward. Start by gathering all the necessary information about your personal identification and disability status. Ensure you complete all required sections before submitting the form.

How to fill out the BUS Pass Application for Persons with Disabilities?
1
Obtain the application form from the designated office or online.
2
Fill in your personal information including name, phone number, and address.
3
Indicate your disability status by checking the appropriate boxes.
4
Have a health professional or authorized agent complete their section.
5
Submit the completed application to the bus pass office.
Who needs the BUS Pass Application for Persons with Disabilities?
1
Individuals with permanent disabilities that require assistance using public transport.
2
Persons with temporary disabilities such as injuries recovering from surgery.
3
Senior citizens who may have mobility challenges.
4
Users of TheHandi-Van seeking additional transportation options.
5
Caregivers applying on behalf of their disabled clients.
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Make the necessary changes as required.
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What are the instructions for submitting this form?
Submit your completed application form by mailing it to TheBus Pass Office at 811 Middle Street, Honolulu, Hawaii 96819. You can also fax your application to 852-6005 or email it to the designated email address provided on the application form. For efficient processing, ensure all required fields are filled out prior to submission.
What are the important dates for this form in 2024 and 2025?
The application for the bus pass must be submitted by March 1, 2024, for April processing. Renewal applications for existing pass holders should be submitted three months prior to expiration. Ensure all applications are completed correctly to avoid delays.

What is the purpose of this form?
The purpose of this form is to facilitate access to public transportation for individuals with disabilities. It aims to provide a structured way for applicants to demonstrate their eligibility for a bus pass which offers discounted fares. By completing this application, individuals can secure essential transport services tailored to their needs.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Name: The full name of the individual applying for the bus pass.
- 2. Phone Number: A contact number to reach the applicant.
- 3. Address: The home address of the applicant.
- 4. Eligibility Category: Checkboxes to indicate the disability status under which the applicant qualifies.
- 5. Health Care Professional Certification: A section for a qualified professional to verify the applicant's disability.
- 6. Signature: The applicant's signature confirming their information is accurate.
What happens if I fail to submit this form?
Failing to submit this form can result in the loss of access to discounted transportation services. Incomplete or incorrect submissions may delay processing times or lead to application denial. It is crucial to ensure all sections are completed accurately.
- Access Issues: Without submission, individuals may not qualify for needed transport services.
- Delayed Transportation: Incomplete applications can lead to prolonged waiting periods.
- Increased Costs: Not having a bus pass can lead to higher transportation costs for individuals.
How do I know when to use this form?

- 1. New Applications: Use the form to apply for a new disability bus pass.
- 2. Renewals: Utilize the form to renew an expiring bus pass.
- 3. Health Certifications: The form is needed for health professionals to certify the disability.
Frequently Asked Questions
Can I fill out this form online?
Yes, you can fill out the application online using our PDF editor.
How do I submit the completed form?
You can submit the form in person, via fax, or through email.
Is there a fee associated with the bus pass?
This form is for application purposes; fees may apply depending on the program.
What if I make a mistake on my application?
You can easily edit your application using PrintFriendly before saving.
How long does it take to process the application?
Processing times can vary, but you will be notified once your application is reviewed.
Who can assist me with filling out this form?
Healthcare professionals or authorized agents can assist.
What information do I need to provide?
You'll need personal details and information regarding your disability.
Can I update my application after submission?
Yes, you can edit and resubmit your application if necessary.
Where do I download the application form?
You can download the application directly from the PrintFriendly website.
What if my application is denied?
You will receive a notification with information on the next steps.
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