Mainstream is COTA's ADA paratransit service in Franklin County, Ohio, for people whose functional limitations prevent use of fixed-route buses. Part 2 of the application is the licensed or certified professional's detailed account of those limitations. The applicant brings both parts to an in-person interview and functional assessment, where COTA Mobility Services decides eligibility.
The applicant completes Part 1. A licensed or certified professional who knows the applicant's functional limitations, and is not an immediate family member, completes and signs every section of Part 2 with full name, title, address and license number.
Download the current version from the source each time; forms change without notice.
COTA Mainstream Application - Part 2 (licensed professional)
Solicitud de Mainstream
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A licensed or certified professional familiar with the applicant's functional limitations, such as a medical doctor, registered nurse, nurse practitioner, chiropractor, O&M specialist, occupational or physical therapist, optometrist, psychologist, speech pathologist, LPCC or LISW. Immediate family members cannot complete it, even if licensed.
Yes. COTA publishes a Spanish version of the Mainstream application as a PDF, while the English version is a Word document. Both include Part 2 for the licensed professional. Applicants who need another accessible format can contact COTA Mobility Services.
COTA mails a status notification after the interview and functional assessment. If none arrives within 21 days of the assessment, the applicant receives temporary eligibility to use Mainstream until notified otherwise. Denied applicants have the right to appeal.