Accessible Bus Stop Request

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Passenger Full Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Telephone

If this request is being made by someone else on behalf of the passenger, please provide name, relationship to the passenger, and telephone number:

Advocate Name

Relationship to Passenger

Child
Spouse
Other

Telephone

Please identify the location of the bus stop requested to be installed, remediated or repaired.

person installed, or

Please describe what is preventing you, or the person for whom you are advocating, from using the above-identified bus stop or the fixed bus route, generally.

Follow-up information

How would you like MTS to respond to your request?

If future communications regarding this request are needed in an alternate format, please indicate the appropriate format below:

This form can be requested in Large Print or Spanish by calling (318) 329-2506 or emailing Carolyn.Washington@ci.monroe.la.us

Please send the completed form to the Monroe Transit System ADA Coordinator at 700 Washington Street or by email to Marc.keenan@ci.monroe.al.us. Within 10 days of receipt of this request, Monroe Transit System will provide you with a request identification number. Monroe Transit System will use its best efforts to investigate each request within 10 days of receipt. Upon completion of the investigation, Monroe Transit System will provide you with an estimated date by which it expects the Accessible Bus Stop to be installed or, if applicable, repaired. To check on the status of the request, call Monroe Transit System at 318.329.3230.

Follow-up information

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