MENTAL DISABILITIES Part 4 These four questions must be answered completely – Complete this section if the applicant has mental disabilities or impairments: A mental impairment is defined by the ADA as: mental or psychological disorder, such as mental retardation, organic brain syndrome, emotional “[A]ny illness, and specific learning disabilities.” 1. What is the specific disability or impairment: applicant’s 2. Describe the specific disability or impairment: applicant’s 3. Explain how the disability or impairment substantially limits one or more major life activities applicant’s (activities most people are able to do): 4. What special facilities, special planning or design does the applicant use to as utilize RTA’s buses, facilities (such hubs or schedules) and services? In other words, what accommodations does the applicant require to independently use public transportation? Page 3 of 3
MENTAL DISABILITIES Part 4 – These four questions must be answered completely Complete this section if the applicant has mental disabilities or impairments: A mental impairment is defined by the ADA as: “[A]ny mental or psychological disorder, such as mental retardation, organic brain syndrome, emotional illness, and specific learning disabilities.” 1. What is the applicant’s specific disability or impairment: 2. Describe the applicant’s specific disability or impairment: 3. Explain how the applicant’s disability or impairment substantially limits one or more major life activities (activities most people are able to do): 4. What special facilities, special planning or design does the applicant use to utilize RTA’s buses, facilities (such as hubs or schedules) and services? In other words, what accommodations does the applicant require to independently use public transportation? Page 3 of 3
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