WorksheetsObtaining Mobility Services
Total questions: 13
Worksheet time: 7mins
This means to make a formal application or request
Expire
Apply
Assess
This is the paperwork that you fill out when applying to something
application
renew
expire
If your Mobility card expires, you need to __________ it.
Apply
Renew
Application
If something expires it is still good.
True
False
How many parts are there of the Mobility Application?
2
3
1
Who can fill out Part A of your Mobility Application?
You, parent, teacher, helper
Doctor
Nurse
Who is a healthcare professional that you see that can complete Part B of your Mobility Application?
Parents
Teacher
Doctor
What is one way that you can get the Mobility paperwork to your doctor's office? CHECK ALL
Call
Email the forms
Mail the forms
Fax the forms
How many phone numbers are there for Mobility?
2
3
1
You have never had Mobility Services before, which box should you check?
New Application
Recertification
If your Mobility Card has expired or is going to soon, what should you do?
Throw the card away
Get both parts of your application completed and send to Mobility
Take an Uber
There are three options to get Mobility your paperwork. What is their email address that you can send your completed forms to?
(410) 764-8181
4201 Patterson Ave. Baltimore, MD 21215
MTACertification@mdot.maryland.gov
When leaving a message for Mobility to get an interview, what information do you need to say?
Name, Mobility ID Number if you have one, Best phone number to reach you, Reason for your call
Your name and favorite movie
Your name, social security number, and email password
