Paratransit Application Form

Persons wishing to apply for eligibility for OCCK Transportation Paratransit services use the following forms.  Individuals with disabilities that prevent them from boarding, riding on, or debarking regular route accessible CityGo buses may qualify for the Paratransit service.  All CityGo routes and 81 Connection routes have accessible bus service.  The information obtained through the certification process will only be used by staff to determine eligibility status and to provide transportation services if eligible.

WHO QUALIFIES

The American Disabilities Act (ADA) set rules for certification with two basic categories of people who are eligible for paratransit services. Any person with a disability is eligible if (Check all that apply to you):

  • You, as a result of your disability are unable to board, ride, or disembark from an accessible vehicle without the assistance of another person (except for the operator of a lift or other boarding device).
  • You have a specific impairment-related condition that prevents you from traveling to or from any bus stop.

If you have checked one of the boxes above, you may qualify for OCCK Paratransit services.

SERVICE AREA

Under the Americans with Disabilities Act (ADA), OCCK, Inc. is required to provide paratransit services to eligible riders with an origination point and destination point within 3/4 of a mile of a fixed-route bus route. If you reside outside this area, you may still be eligible for OCCK’s Demand Response Origin to Destination service. View the service area here.

OCCK Transportation provides services without regard to race, color, gender, religion, national origin, age, or disability, pursuant to local, state, and federal laws.  Any person who has questions, requests for accommodation, or who believes they have been discriminated against should contact OCCK Transportation at (785)826-1583.

OCCK Transportation is an Equal Opportunity Employer.

PERSONAL CARE ATTENDANT (PCA) INFORMATION

Some of our customers require the assistance of a PCA. A PCA is someone who regularly assists the customer. When the customer travels, the PCA performs personal duties that drivers are not allowed to do.

We strongly suggest that customers who are authorized to travel with a PCA, and who need a PCA, always travel with a PCA on Paratransit trips. The customer’s information will note “YES” next to Personal Care Attendant. Please tell a reservationist when a PCA will be traveling with you. Remember: OCCK Paratransit does not have staff to monitor or supervise its customers.

An OCCK Paratransit vehicle is just like a CityGo bus, except that it transports its customers from origin to destination.  If you think it is unsafe to let your family member or the individual you assist travel alone on a fixed-route bus, you should not let her/him travel alone on an OCCK Paratransit bus.  

APPLICATION INSTRUCTIONS

Please complete all information requested in this application. If you do not understand a question, or need the application form in another format, please contact OCCK Transportation staff by calling (785)826-1583 and someone will be happy to assist you. Please answer all questions.  Items not completed in the application may delay processing.

Return the completed application to:

OCCK Transportation
340 N. Santa Fe
Salina, KS 67401
Email: transit@occk.com

The application in a PDF version can be accessed found here in two versions:

Occasionally, you will be requested to come in for an in-person interview.  You will be contacted to set up an appointment for the interview.  The interview is to determine if your current physical and cognitive level would allow you to ride on a fixed-route bus in some or all cases.

After all the information is collected, an eligibility determination will be made within 21 days. If you disagree with your eligibility determination, you have the right to appeal the decision. This must be done in writing and sent to:

OCCK Transportation Director
340 N. Santa Fe
Salina, KS 67401

If you would like to request a hearing, this must be indicated in the written request. If you require special accommodations to attend the hearing, please specify your needs in the letter.

If you are a current eligible rider and are appealing a renewal determination of your eligibility, you will continue to be eligible for paratransit service under your previous eligibility determination until a decision has been made on your appeal.  If this is your first request for paratransit service and you are appealing your determination of eligibility, your public transportation will not be provided using paratransit service while a determination is being made on your appeal. However, it is required that a decision be made on the appeal within 30 days. If it is not, temporary paratransit service will be provided to you until a decision is made.