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Residential Access & Mobility Partnership (R.A.M.P. )
Please complete this form to apply for a short-term ramp. This
ramp application is for a temporary loan that is available for 3-6 months. A property assessment will be conducted prior to ramp installation.
There will be a reminder call at 90 days to check continued need of ramp.
This program is offered through a partnership with Disability Network Eastern Michigan (DNEM), Michigan Thumb Public Health Alliance (MTPHA), Sanilac County Health Department (SCHD) and Thumb Community Health Partnership (TCHP)
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Email
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Your email
Do you want to learn more about the DNEM Durable Medical Equipment Loan Closet which includes wheelchairs, canes, walkers, shower chairs and more?
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Yes
No
Name (First and Last)
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
County
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Choose
Huron
Lapeer
Sanilac
Tuscola
Phone Number
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Your answer
Age
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Your answer
Disability
Your answer
Please tell us more about your need for a temporary ramp.
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Your answer
I acknowledge this is a rental program for short-term purposes, and does not extend beyond 6-months.
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I understand
I need a ramp rental longer than 6-months
I need a permanent ramp soluntion
How long do you require the rental?
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1-month
2-months
3-months
4-months
5-months
6-months
More than 6-months
Alternative Contact Name and Info
Your answer
Do you own the property?
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Yes
No
Are you renting the property
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Yes
No
If renting, do you have permission from Landlord to install temporary ramp? Please note Landlord must sign approval for installation.
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Yes
No
Do you have proof of homeowners insurance?
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Yes
No
Who will be using the ramp?
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Your answer
This is a short-term ramp solution with a maximum rental of 6-months. Do you need a ramp solution beyond 6-months?
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Yes
No
Registration paperwork is required prior to installation. Do you want assistance signing documents and understanding the process?
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Yes
No
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