Dear SLATS Applicant:

Thank you for your interest in St. Lucie Alternative Transporation System (SLATS) paratransit service for perople with disabilities. SLATS service area includes all of the St. Lucie County.

 

St. Lucie Alternative Transportation System (SLATS) ADA service is offered in accordance with the Americans with Disabilities Act (ADA) of 1990. The ADA Paratransit service is for persons with physical, cognitive, emotional, visual or other disabilites which functionally prevent an individual from using the fixed bus route system either permanently or under certain circumstances. The Treasure Coast Coneector fixed route is fully accessible. other accomodations such as bus stop and route announcements make using the Treasure Coast Connector buses possible for many people with disabilites.

 

All applicants seeking eligibility for the ADA Paratransit Service must go through an eligibility determination process to determine if an applicant can use the Treasure Coast Connector bus route.

 

Those individuals that are certified eligible will be classified in one of the following categories:

 

Unconditional status is assigned to person who are determined unable to ever independently use Treasure Coast Connector buses.

 

Transitional status is assigned to persons who are determined capable of using acessible Treasure Coast Connector buses but cannot do so at present because of a temporary disability.

 

Conditional status is assigned to persons who are able to use Treasure Coast Connector buses most of the time, but would, under certain circumstances and for certain trips, be prevented from independently using Treasure Coast Connector buses.

 

To enable us to determine your eligibility, please complete the enclosed application explaining how your disability prevents you from riding regular Treasure Coast Connector fixed route buses. You may complete the form yourself or have it filled out by a person familiar with your condition. Should you need Spanish or Creole formats of the application, please call the office at (772) 464-7433, Option 1.

 

If you qualify for St. Lucie Alternative Transporation System (SLATS) transportation, you will be mailed your St. Lucie Alternative Transportation System (SLATS) membership card. The membership card is valid for three years from the date of issue. Your membership card also identifies you to receive a discounted rate on the fixed route system once you show the card to the driver.

If you do not qualify for St. Lucie Alternative Transporattaion System (SLATS), a letter will be mailed to you explaining the reason and advising you of the procedures to follow if you wish to appeal.

 

If for any reason, you are not contacted within 21 days after submitting your completed application, you will be entitiled to receive St. Lucie Alternative Transportation System (SLATS) service at least until you receive a definite decision on your application.

 

If you have any questions about the St. Lucie Alternative Transportation System (SLATS) program; or if you need help filling out the application, please call the Eligibility Specialist at 772-464-7433, Press 1.

 

Sincerely,

Eligibility Specialist

If you need this application in Spanish or Creole, please call the office at (772)464-7433 Ext 1
Si usted necesita esta solicitud en Español porfavor llame a la oficina en (772) 464-7433 Ext 1
Si ou bezwen aplikasyon sa a nan lang panyol, tanpri rele biwo a nan (772) 464-7433 Opsyon 1

 

*** ALL QUESTIONS MUST BE ANSWERED***

 

If you are the applicant requesting certification please skip to Part 1. If some other person on behalf of the applicant is filling out this application, please complete the following.

PART 1: GENERAL INFORMATION

EMERGENCY CONTACT

PART 2: ELIGIBILITY INFORMATION

PART 3: APPLICANT'S DISABILITY

PART 4: BUS USAGE

I hereby certify that the information given in this application is correct. I understand that the purpose of this form is to determine if there are times when I cannot use the Treasure Coast Connector bus service. I understand that the information about my disability contacined in this application will be kept confidential and shared only with professionals involved inevaluating my eligibilty.

In order to allow St. Lucie Alternative Transportation Systems (SLATS) to evaluate your request for ADA paratransit eligibility certification, it may be necessary to contact your health care or rehabilitation medical professional for additonal information about your disability and ability to use regular bus service. Please complete and sign the following authorization.

 

Note: It is important that, if possible, you identify a medical professional who is familiar not only with your particular disability but who also understands your ability or inability to travel on the public transit system.

authorize the following medical professional:

to release to St. LUCIE ALTERNATIVE TRANSPORTATION SYSTEM (SLATS) information about my disability and its effect on my ability to travel which may be needed in connection with my request for ADA paratransit elegibility certification. It is my understanding that the information released will be used soley to determine my ADA paratransit eligibility. I understand that I may revoke this authorization at any time. Unless earlier revoked, this form will permit the professional listed above to release information described until 60 days after the date appearing below.