ROLLS Specialized Transit Service Application

 

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

A copy of the medical professionals note can also be mailed or dropped off to the address provided if you are unable to attach in the space above.

5 Mill Street South, Port Hope, ON L1A 2S6

Applications will not be reviewed or approved until valid note from your attending medical professional is received.

I hereby apply for ROLLS and certify that I am unable to use regular public transportation because of my physical disability.

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