Colden, NY · Erie County

No notary required

Rural Transit Service Client/Rider Application

Colden residents seeking Rural Transit Service rides complete this application to provide rider, household, eligibility, and transportation information.

What this form is

This application helps Rural Transit Service determine eligibility and collect information from people seeking rides. Applicants provide contact and household details, identify their eligibility category and transportation needs, and list an emergency contact. The form requires proof of eligibility to be attached; the service information says eligibility documents should be mailed back in the enclosed self-addressed envelope.

Who needs it

Residents seeking Rural Transit Service rides complete one application per person and attach proof of eligibility.

How to submit it

Mail a paper copy of the application and proof of eligibility in the enclosed self-addressed envelope. The service lists 1000 Brant-Farnham Road, P.O. Box 212, Brant, NY 14027.

About notarization

This document is signed without a notary; the signer certifies under penalties of perjury that the information provided is true and correct.

How to submit this form

  1. 1

    Download The Application

    Download the Rural Transit Service Client/Rider Application.

  2. 2

    Complete The Form

    Fill in one application per person, providing rider, household, eligibility, emergency contact, and transportation information.

  3. 3

    Gather Eligibility Proof

    Attach proof of eligibility, such as documentation listed for senior, disability, or income eligibility.

  4. 4

    Mail The Application

    Mail a paper copy and the eligibility proof in the enclosed self-addressed envelope.

Frequently asked questions

Do I need a notary for the Rural Transit Service application?
No. The document has no notary block. The signer certifies under penalties of perjury that the information provided is true and correct.
How do I submit the Rural Transit Service application?
Mail a paper copy of the completed application with proof of eligibility in the enclosed self-addressed envelope. The service lists its address in Brant, NY.
What proof of eligibility should I attach?
The document lists examples based on eligibility: an official document showing name, address, and birth date for seniors; a doctor's note or other disability documentation; or income documentation.
Who can use the Rural Transit Service?
The service information says riders must live in Boston, Eden, Colden, Orchard Park, Aurora, Elma, Marilla, or Wales. Eligibility documentation is required.

Need something notarized?

This Rural Transit Service Client/Rider Application doesn’t need a notary — but if you have another Colden form that does, a commissioned online notary can help.