MET Plus Paratransit Application

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THE FOLLOWING INFORMATION WILL BE USED TO ENSURE AN APPROPRIATE VEHICLE IS UTILIZED TO PROVIDE YOUR TRANSPORTATION AND AN ACCURATE ANALYSIS OF YOUR TRIP REQUESTS CAN BE MADE BY THE CITY OF BILLINGS MET TRANSIT.
I hereby certify the information given above is correct and I understand failure to cancel rides or other abuse may result in denial of future service.
In order to allow the City of Billings MET Transit to evaluate your request, it may be necessary for MET to contact a social service professional, physician, or other professional to confirm the information you have provided. The following information and your authorization (signature) MUST be provided in order to give MET the options needed to complete the evaluation of your request for certification. (Please print clearly).
 
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