ADA & Paratransit Eligibility Forms

Visitors

Please provide us with basic information so we can serve you well. The information requested can be provided over the telephone, by email, fax, or mail in addition to submitting the form below.

Telephone: 970-726-4163

Email: Salvador.Pozos@TransDev.com

Postal Service: PO Box 166 Winter Park, CO 80482

Visitor eligibility is good for 21 days. After that point, the individual will need to complete a resident eligibility form.

Name of Visitor

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email

Birth Date

MM

DD

YYYY

Local Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of a LOCAL friend or relative to call in the event of an emergency

First Name

Last Name

Local Contact's Phone Number

(###)

###

####

Relationship

Will a passenger assistant be traveling with you?

Yes

No

Do you require a wheelchair lift to board the bus?

Yes

No

Can you navigate to and from a curbside location?

Yes

No

Is there anything else about your disability that would be helpful for us to know?

PDF of Visitor ADA Form

ADA Policy

Title VI

The Town of Winter Park operates its programs and services without regard to race, color, national origin or disability in accordance with Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990(ADA). Any person who believes she or he has been aggrieved by any unlawful discriminatory practice under Title VI may file a complaint with the Town of Winter Park.

Click here for a document designed to serve as an educational tool for citizens so that they may understand one of the civil rights laws that protect their benefit of the Town of Winter Park programs and services, specifically as it relates to Title VI of the Civil Rights Act of 1964.