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SMART ADA Request for Professional Verification (RPV)

SMART provides ADA paratransit in suburban Wayne, Oakland and Macomb counties for people whose disability prevents them from riding its accessible fixed-route buses. The Request for Professional Verification (RPV) is step two of the ADA application. A clinician meets it when a patient applies, and SMART counts the application complete only once both the application and the RPV arrive.

Who completes it

The applicant, family member, friend or professional completes the ADA Application and release. A licensed treating professional, such as a physician, PA, NP, nurse, therapist, social worker, psychologist, optometrist or mobility specialist, completes and signs the RPV with a required license or ID number.

Submitting and payment

How to submit it
The RPV is mailed to the SMART ADA Office or faxed, and faxes are accepted only when sent directly from the professional's office with a cover sheet. SMART decides within 21 calendar days of receiving both documents.
Who pays
The application does not address payment for completing the RPV.

Good to know

  • The RPV asks whether the professional currently oversees the applicant's care, and if not, the last date they saw the applicant.
  • Questions cover walking distance outdoors, using bus steps, waiting 30 minutes without a seat, fatigue during the day and environmental barriers such as ice, heat or missing sidewalks.
  • Vision and cognitive sections ask for best corrected acuity and fields, orientation and mobility training, and whether the applicant can give an address or judge safe situations.
  • Unreadable or incomplete RPVs may be returned. If SMART misses the 21-day deadline, the applicant is notified of presumptive eligibility.

Get the official form

Download the current version from the source each time; forms change without notice.

ADA Request for Professional Verification (RPV)

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Can the SMART RPV be faxed by the patient?

No. SMART accepts faxed RPVs only when they come directly from the licensed professional's office with a cover sheet, and faxes from anywhere else are refused. Otherwise the form is mailed to the SMART ADA Office with the application.

Does SMART require an in-person assessment for paratransit?

It may. Applicants can be asked to complete an in-person functional assessment of travel skills in their neighborhood or a public location such as a community center. The RPV and application come first, and SMART mails its determination letter.

Does a temporary disability qualify for SMART paratransit?

Temporary eligibility is possible when the disability prevents use of fixed-route buses for at least six months. The RPV asks for each condition whether it is temporary and, if so, the date it is expected to end.