Applicant Certification

Applicant Certification

I understand that the purpose of this application is to determine if I am eligible for Sun Van’s Paratransit services.

I certify that I have been truthful in answering this form and that the information that I have provided is correct to the best of my knowledge.

I understand that falsification of this information could result in a loss of Paratransit service.

I agree to notify Sun Van if I no longer need to use Paratransit service.