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Service Alert: Routes 100 & 20 — View details

ETA Access

Apply Online — ADA Paratransit Application

Complete every question as thoroughly as you can. Your answers are emailed directly to the ETA Access eligibility team and are not stored on this website.

ETA Access is a shared-ride, curb-to-curb service for customers who are unable, because of their disability, to use ETA Paseo fixed-route buses. Information in this application is kept confidential and shared only with professionals involved in evaluating your eligibility. If you have questions, call ETA at (915) 273-3838.

Rider status

Are you currently an ETA Access rider?* (Required)

General applicant information

Would you prefer to receive future written information in an alternative format?

About your disability

7. Do you have a disability which prevents you from using the ETA Paseo fixed route?* (Required)
9. Is your disability a permanent or temporary condition?* (Required)
10. Do you have a visual impairment?
11. Do you have a hearing impairment?
12. Are you able to travel independently after dark?
13. Are you able to independently locate an audible crosswalk indicator and successfully cross an intersection?
14. Are you able to independently navigate through a bus terminal and locate your desired bus stop?
15. Do you currently take any medication?
17. Do you use a mobility device? Mark all that apply
18. Do you require assistance to/from the front door of your home?
19. Do you require a Personal Care Attendant?

Current mode of transportation and navigating the ETA Paseo system

20. Are you currently able to use the ETA Paseo system?
23. If you use the fixed-route system, how often?
24. Are you able to independently walk up to ¼ mile (about 4 blocks)?
25. Are you able to wait outside without assistance for up to 10 minutes?
26. Can you recognize landmarks of your destination without assistance?
27. Do you have the ability to deal with unexpected changes in your route?
28. Have you ever gotten lost while traveling alone?
29. If yes, were you able to find your way back?
31. Do you use a smart phone? If so, are you able to contact ETA for assistance with route information?
32. Would you be interested in learning to use the fixed route through Travel Training with a certified trainer? (free of charge)
33. Do you authorize ETA to contact your doctor and/or certified agency with further questions?

34. Top three locations you travel to

Functional ability questionnaire

Answer based on whether you can perform the activity independently, without assistance.

1. Use the telephone to call ETA dispatch for route information and schedules?
2. Walk up and down three steps if there are handrails?
3. Walk up or down a gradual hill on the sidewalk, if the weather is good?
4. Find your own way to the bus stop if someone shows you the way once?
5. Walk up to one city block without taking a rest break?
6. Wait ten minutes at a bus stop that has no shelter or bench?
7. Cross a controlled intersection within the allotted time?
8. Travel alone?
9. Transfer from one ETA Paseo bus to another?
10. Navigate through a bus terminal independently?
11. Verify and pay the correct fare?
12. Keep track of time?
13. Provide personal information (phone number, name, address)?
14. Would you be willing to participate in an In-Person Functional Assessment if needed?
15. Did you require assistance in completing this application?

Certification

ETA will only use this information to determine your eligibility to use ETA Access. ETA will keep this information confidential and secure and will only use it for transportation-related purposes. ETA may also use the contact information provided to solicit feedback about the Access service, including providing the telephone number and name to a third party to carry out periodic surveys.

Prefer paper? Download the printable application on the ETA Access page