Section 2 Are you filing this complaint on your own behalf? Yes or No If you answer Yes, go to Section 3. If you answer No, complete Section 2. Supply the name of the third party and your relationship to the party. Name: Relationship: Why are you filing a complaint for a third party? Did you obtain the permission of the aggrieved party to file on his or her behalf? Yes or No Section 3 Date you requested the modification (Month, Day, Year): How did you make the request? Explain why the modification is necessary for you to use the RTS service. If you need more space, please attach a separate sheet. Identify the period of time for which you need the modification. Signature:
Section 2 Are you filing this complaint on your own behalf? Yes or No If you answer Yes, go to Section 3. If you answer No, complete Section 2. Supply the name of the third party and your relationship to the party. Name: Relationship: Why are you filing a complaint for a third party? Did you obtain the permission of the aggrieved party to file on his or her behalf? Yes or No Section 3 Date you requested the modification (Month, Day, Year): How did you make the request? Explain why the modification is necessary for you to use the RTS service. If you need more space, please attach a separate sheet. Identify the period of time for which you need the modification. Signature:
ExhibitsOnly_01-14_LargeFont_ParatransitPlan.docx