Application forms

Before completing an application, please look at the eligibility criteria to see if you qualify for specialized services.

You must provide all requested information in the application. An incomplete application will be returned to you. Once a complete application has been reviewed, you will be notified about whether you can proceed to the next stage of the application process.

Complete applications will be reviewed within 14 calendar days from the day they are received. Please contact us at 519-585-7597 ext. 7345 if you have not been contacted by GRT by the end of the 14-day period.

To obtain a paper copy of an application form, please call 519-585-7597 ext. 7345.

For residents of Kitchener, Waterloo and Cambridge.

The application contains two parts. You must provide all requested information in the MobilityPLUS application and have a health/disability professional complete an additional form. An incomplete application will be returned to you. Once a complete application has been reviewed, you will be notified about whether you can proceed to the next stage of the application process.

1. MobilityPLUS application, completed by the applicant (the person who will be using MobilityPLUS) or their delegate
2. Health/Disability Professional form, completed by a health/ disability professional who is competent to speak to the applicant’s disability(s) and their ability to take conventional transit. Appropriate professionals could include (but are not limited to):
   • Physician
   • Nurse practitioner
   • Psychiatrist
   • Psychologist
   • Optometrist
   • Physiotherapist
   • Occupational Therapist
   • Social Worker
   • Orientation and Mobility Specialist
   • Managers from pre-approved Adult Day Programs or Long-Term Care centres
   • Other professionals approved by the Region

• Access to a printer to print the completed application.
• A copy of your birth certificate or senior citizen's card if you are applying because you are 65 or older.
• A photocopy of your CNIB card, if you are registered with CNIB.
• A completed Part B: Mobility Assessment Form if you are under 65 years of age and not registered with CNIB.
• A copy of your certification if you have a service animal.

Complete this application by filling out all the required fields (marked with * ), print the completed application, and sign the signature page. Return the signed application to Grand River Transit.

Scan and email to grtmplus@regionofwaterloo.ca or mail the completed copy to Grand River Transit, 250 Strasburg Rd, Kitchener ON N2E 3M6

PDF application

The application is available in PDF format. Print the application, complete all fields and sign it. Completed PDF applications can be mailed to 250 Strasburg Rd., Kitchener, or scanned and emailed to grtmplus@regionofwaterloo.ca.

To complete this form, you will need:

• Access to a printer to print the completed application
• Your registration number for specialized transit services in your home city/region, if applicable
• A photocopy of your CNIB card, if you are registered with CNIB
• A copy of your certification if you have a service animal

PDF application

The application is also available in PDF format. Print the application, complete all fields and sign it. Return the completed application to GRT.

• Licensed physician
• Registered nurse practitioner
• Certified psychologist/psychiatrist
• Licensed physiotherapist
• Registered occupational therapist
• Licensed optometrist/ophthalmologist
• Registered Social Worker with the Ontario College of Social Workers and Social Service Workers
• Developmental Services Resource Centre Service Coordinator
• LHIN Care Coordinator
• Certified Orientation and Mobility Specialist

Complete this application by filling out all the required fields (marked with * ), print the completed application, and sign the signature page. Return the signed application to Grand River Transit.

Scan and email to grtmplus@regionofwaterloo.ca or mail the completed copy to Grand River Transit, 250 Strasburg Rd, Kitchener ON N2E 3M6

PDF application

The application is available in PDF format. You can print the application, complete all fields and sign it. Completed PDF applications can be mailed to 250 Strasburg Rd., Kitchener, or scanned and emailed to grtmplus@regionofwaterloo.ca.

Residents of Wellesley, Wilmot and Woolwich Townships can register with Kiwanis Transit. Complete the application, print and sign it, and fax to 519-669-3124.

Complete all requested information in the application form. Incomplete forms may take longer to process. If you have not been contacted within 30 days, please call Kiwanis Transit at 519-669-4533 or 1-800-461-1355.

Apply for Kiwanis Transit

You can download the application from the Kiwanis Transit site

To have an application form mailed to you, contact Kiwanis Transit.

13 Industrial Drive Unit C
Elmira, ON N3B 2S1
Phone: 519-669-4533 or 1-800-461-1355
Fax: 519-669-3124
email: info@k-transit.com

Assessment

As part of the application process, GRT may request that you come in for an assessment. Assessments are conducted at:

• GRT Transit Operations Centre, 250 Strasburg Road, Kitchener; or
• Hespeler Community Physiotherapy & Rehab at 38 Queen Street West, Cambridge.

You will meet with a Regulated Health Professional who will conduct industry standard assessments based on the barriers you identified on your application. The assessment will take between 20 and 60 minutes. The information from both the assessment and your application will be reviewed to determine your eligibility. You will be notified of the decision by mail.

Expiry and Renewal

Your MobilityPLUS ID card has an expiry date printed above your photo. If you would like to extend your registration and continue using MobilityPLUS, please call 519-585-7597 ext. 7345 at least two months prior to the expiry date. You will be asked to update your information and may be asked to come in for an assessment.