Traveler Service Application 2025
Sign in to Google to save your progress. Learn more
Email *
Traveler Service Application 2025

Your Traveler Application Journey: A Step-by-Step Guide

The Traveler provides shared-ride transportation to persons who live within the service area in Garfield County and have a disability which prevents them from driving and utilizing public transportation. This application and the assessment process, consisting of a phone interview and/ or in person interview, must be completed to determine eligibility. 

If you are not sure if you live within the area serviced by the Traveler, call Paratransit Dispatch Monday through Friday 8 am to 4 pm, excluding holidays, at 970.384.4855.

THE APPLICATION PROCESS

1. Submit Your Application:

•  Complete and submit the application form:  Incomplete applications may be returned which could delay the application process.

2. Schedule Your Assessment:

The application and assessment process for the Traveler can usually be completed within 2 weeks. 

For a hassle-free process:

•  Call us within a week of submitting your application to schedule your assessment.
•  If we do not hear from you within a week, we will attempt to contact you by calling the phone numbers you provided.
•  If we cannot reach you by phone, we will send a reminder letter to the address you provided.

3. Assessment Completion & Eligibility Determination:

•  To avoid any delays, it is important that we have a phone number where we can get in touch with you to complete the application process. If we are unable to reach you, your application will not be able to be processed. 
•  Once you have provided all the information needed through the application and assessment process for the Traveler service, determination about your eligibility can then be made. 
•  We will determine your eligibility within 21 days after you complete the application process. You will receive a letter by mail or email informing you of our decision. 

4. Eligibility Duration:

·        Long-Term Eligibility: Eligibility can last up to 3 years, depending on your needs.

·        Temporary: Eligibility could be available for no less than 30 days up to 1 year.

·        Conditional Eligibility: Varies based on the conditional need’s requirements, for no less than 30 days.

Notifications:

•  Applications on file for more than 90 days without completing the assessment process will be considered withdrawn.  

•  There may be situations where using the Traveler with other services might be necessary for your specific destination needs.

•  Like regular bus service, there may be multiple stops en-route to your destination(s).  

 All RFTA vehicles are equipped with lifts or ramps to accommodate various passenger loading needs. 

Mail, or email to:

Roaring Fork Transportation Authority
ADA Paratransit Coordinator
2307 Wulfsohn Road, Building B
Glenwood Springs, CO 81601

Email: paratransit@rfta.com 

Important Note:

To best serve our community, decisions may be made to adjust the Traveler service areas and offerings based on the needs of Garfield County and its residents. Please check our website http://www.rfta.com or call us at 970.384.4855 for the most current information.



TRAVELER APPLICATION
1. Today's date *
MM
/
DD
/
YYYY
2. Name (First and Last) *
3. Home Address (Street, City, State, Zip) *
4. Mailing Address, if different than home address (Please include City, State, Zip)
5. Is your address within 3/4 of a mile of the following bus routes?
 
Ride Glenwood - Glenwood Springs,
Carbondale Circulator - Carbondale 
City of Aspen routes - Aspen


*
6. Primary Phone Number *
 Important- So that we can always connect with you regarding your paratransit services, kindly save our contact number:  970-384-4855 for Paratransit Dispatchers and Paratransit Coordinator. We also ask that you ensure your voicemail is active and can receive messages.  
7. Email Address  *
A Quick Request: To help us connect with you efficiently about your paratransit services, we kindly ask that you provide your email address. Communication will often be sent by email as an alternative to US Mail. 
8. Date of Birth *
9. Gender:  *
10. Pronouns Used
11. Primary Language *
12. Will you need translation? *
13. Do you need written information in a different format? Indicate preference: *
14. Local emergency contact name *
15. Relationship to local emergency contact *
16. Local emergency contact phone number(s) *
17.  Secondary emergency contact and information
18. Is someone assisting you with this application?
If so, list their name and contact information (phone number and email address).
19. I understand that Traveler service is not point-to-point transportation, but shared ride public transportation. Service on Traveler is only available Monday through Friday 8:00 am to 5:00 pm *
20. How do you currently travel? (Please check all that apply) *
Required
21. Which bus services are you currently using or have no difficulty using? *
Required
22. I need help getting to public bus services due to my following disabilities: *

A disability is physical or mental impairment that prevents persons from accessing public transportation and/or driving themselves. 

23. When was the last time you were able to use bus services or drive yourself? *
24. I can never use bus services or drive myself due to my following disabilities: *
25. Please provide planned destinations and addresses, including the cities or towns, so we can determine whether requests will fall within the Traveler service area. *
26. I currently use bus services or drive to the following places: *
Required
HEALTH STATUS
27. Choose one to describe your disability or health-related conditions: *
28. When was the onset of your disability or health related condition? *
29. Is there a date you are expected to recover from your disability or health related condition? (If yes, enter the date) *
30. Do the effects of your disability or health conditions vary from day to day? *
31. Does your disability or health related conditions inhibit your ability to perform self-care tasks or tasks related to living independently? *
32. Which of the following mobility aids do you use? *
Required
33. Will you bring a personal care attendant (PCA) to assist you when you travel? *
A personal care attendant (PCA), someone designated or employed specifically to help the eligible individual meet his/her personal needs that cannot be provided by the driver.

34. I know where I am going and can find my way while riding the bus.

*
35. If you answered “No” or “Sometimes” to any of the questions #27- 34, please explain here:  *
**PLEASE bring your primary mobility devices to your certification appointment. You will need to reschedule if you do not bring it to your appointment.**
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms