Belding, MI · Ionia County
Certificate of Eligibility for ADA Paratransit Service
People applying for a Belding Dial-A-Ride disability identification certificate use this application to provide their information and obtain a physician’s statement.
What this form is
This application is for people seeking a disability certificate of identification for Belding Dial-A-Ride ADA paratransit service. It asks the applicant to print their name and address, sign and date the application, and have a physician certify that they examined the applicant and that the applicant meets the stated disability definition.
Who needs it
People applying for a disability certificate of identification for Belding Dial-A-Ride ADA paratransit service need this application and a physician’s statement.
How to submit it
The form lists Belding Dial-A-Ride at Pere Marquette Depot, 100 Depot St., Belding, Michigan 48809. It does not give submission instructions.
About notarization
This document is signed without a notary; the applicant and physician sign and date their statements, and neither statement is identified as sworn.
How to submit this form
- 1
Download The Application
Download the Certificate of Eligibility for ADA Paratransit Service.
- 2
Complete Applicant Details
Print your name and address, then sign and date the application.
- 3
Obtain Physician Statement
Have a physician complete and sign the examination statement and provide the date.
- 4
Submit To Belding Dial-A-Ride
The form lists Belding Dial-A-Ride at Pere Marquette Depot, 100 Depot St., Belding, Michigan 48809; it does not state how to submit.
Frequently asked questions
- Do I need a notary for the ADA paratransit eligibility certificate?
- No. The applicant and physician sign and date their statements; neither is identified as sworn or requiring notarization.
- How do I submit the ADA paratransit eligibility certificate?
- The form lists Belding Dial-A-Ride at Pere Marquette Depot, 100 Depot St., Belding, Michigan 48809, but does not provide submission instructions.
- What information does the application ask for?
- It asks for the applicant’s name and address, signature, and date, along with a physician’s examination statement, signature, and date.
Need something notarized?
This Certificate of Eligibility for ADA Paratransit Service doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.