49 C.F.R. § A to Subpart H of Part 37

Current through September 30, 2024
Appendix A to Subpart H of Part 37 - Service Request Form

Form for Advance Notice Requests and Provision of Equivalent Service

1. Operator's name

2. Address

_______________________________

3. Phone number:

4. Passenger's name:

5. Address:

_______________________________

6. Phone number:

7. Scheduled date(s) and time(s) of trip(s):

_______________________________

8. Date and time of request:

9. Location(s) of need for accessible bus or equivalent service, as applicable:

10. Was accessible bus or equivalent service, as applicable, provided for trip(s)? Yes ____ no ____

11. Was there a basis recognized by U.S. Department of transportation regulations for not providing an accessible bus or equivalent service, as applicable, for the trip(s)? Yes ____ no ____

If yes, explain _______________________________

_______________________________

49 C.F.R. §A to Subpart H of Part 37

66 FR 9054, Feb. 6, 2001