The application must be filled out by the applicant, or any other designated person, giving reasons for the request * applicant must state whether the application is to be permanent or temporary * application must be either signed by the applicant or signed on behalf of the applicant if she/he is incapable of signing * family doctor or authorized nurse must also sign the medical portion of the application

Application form can be picked up at Wallaceburg Municipal Service Centre (786 Dufferin St) - call 519-627-1603 and request an application or can be picked up in Chatham at the Civic Centre (3rd fl, Engineering and Transportation Division) - call 519-360-1998 and request an application * can also be printed off online or by calling 519-436-3233

Mail completed application to:
Municipality of Chatham-Kent
Engineering & Transportation Division
PO Box 640
315 King Street West
Chatham ON N7M 5K8

Prople with a permanent disability and require the service for an indefinite period of time
Persons who are temporarily disabled because of illness or injury - minimum of one (1) month to a maximum of six (6) months (subject to review if service is still required after the expiration date)

$2.50 one-way with cash or $2.16 with advance cash pass card

English

Wallaceburg

Wheelchair Accessible