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Request
for Transportation (pdf)
Appeal
of Assigned Liability (pdf)
Application
Checklist (pdf)
TRANSPORTATION
PROGRAM POLICY
SCCR service area:
-all
residents of the RM’s of Montcalm, Rhineland, Stanley, Pembina,
Louise, Roblin,
Thompson,
Dufferin, Roland and Morris are eligible for assistance. (These
communities provide funding for SCCR.)
Goal
of the program:
-to
assist any resident who has cancer or probable cancer to get to
cancer-related
appointments, especially those with limited financial resources and
those who are unable to arrange their own drivers. It is expected
that if a comparable service is available locally, the client will
use this service, rather than one at a more distant location.
Funding
for the program:
-SCCR
funding comes almost entirely from donations, grants and fundraising
activities in
south central Manitoba and these funds are used solely for the
benefit of local persons dealing with cancer.
-in order to make the best use of these funds, the program is meant to be
a cost-shared one in which people using the service may be asked to
pay a portion of the trip cost (the client contribution), with SCCR
paying the rest.
-the client contribution towards the trip cost is based on the family
income and the number of dependents. This may include post-secondary
students.
Application
process:
-the
client completes the “Request for Transportation Assistance” form.
-the client brings the most recent “Notice of Assessment” for
him/herself and the spouse/partner to the SCCR office.
-the client contribution is determined by subtracting the “Total payable”
tax (line 435)from the “Net income” (line 236) on a single person’s
tax assessment or on both if a couple. This amount is called the “Net
Disposable Income” (NDI)
-$2000 per year per dependent is subtracted from the NDI.
-contact the Resource Coordinator if there are any problems in completing
the application.
Client
contribution to the trip cost:
-the client contribution is determined using the
attached table.
-if the client is responsible for the total cost of the trip, he/she
will pay for mileage only and SCCR will pay for meal(s) and parking.
-when the assessed client contribution is greater than the actual trip
cost, the client will pay the actual cost.
-a client’s financial information is not kept on record nor shared with
anyone other than SCCR personnel.
-a client may make a written appeal to the Board if the client requests
special consideration or if the Notice of Assessment is not an
accurate indication of the client’s and/or family’s current
financial status. Approval of the appeal will be decided by a vote
of the Board Executive.
-if the client’s income changes, the NDI and client contribution
can be recalculated using the same procedure or an appeal can be
made.
-SCCR will process claims for a period of one month prior to an
application
only. Proof of attendance at these appointments will be required.
-a
statement of each client’s total account will be given to him/her at
the end of December each year.
When
using SCCR drivers:
-once
the application is complete, the client will inform SCCR of the
needed trips as soon as possible, eg. date and time, location and
expected length (if known) of the appointment.
-SCCR
staff or a volunteer Community Coordinator in the client’s area will
arrange for a driver for the trip(s) and provide only the trip
information to the driver.
-the
driver will contact the client prior to the trip to confirm
departure information.
-the
client will be picked up at home, taken to the appointment and
returned home.
-the
client is welcome to have another person ride with him/her for no
extra cost. This is especially important if the client needs
assistance.
-the
driver will pay any parking fee and his meal cost (as per the
Accommodations and Meals policy) and SCCR will reimburse the driver for
his mileage and these expenses. Note that parking passes for Olivia
Street beside CCMB are available at SCCR. These can be used for
brief periods of time, if space is available.
-the
client and companion are responsible for the cost of their own
meals, unless a written appeal is approved.
-for
trips from Morden and Winkler to Boundary Trails Health Center, the
driver will be paid $10 for each round trip (sometimes 2 trips are
necessary) and the client may be responsible to pay that amount.
-clients
will be billed for the agreed upon amount for each trip. SCCR
requests that payment be made within a reasonable amount of time. A
receipt which can be used for income tax purposes will be issued for
these payments. If a client wishes to contribute more towards the
cost of the trip, a charitable receipt will be issued for the extra
amount.
SCCR
Driver and Client Responsibilities:
SCCR’s
first consideration is to provide a safe and comfortable trip and a
healthy environment for both parties. To this end;
1. All persons in the vehicle are required to wear a
seatbelt unless there is a written exemption from a health care
professional.
2. No
smoking in the vehicle.
3. The
driver and/or the client should provide a container (a pail or bag)
in case the client becomes ill in the car.
4. The
client will be dropped off at the door of the appointment location
and the driver will park the car and inform the client where he/she
can be found at the conclusion of the appointment.
5. The driver will complete the log for the trip and the client will
sign the form.
6. A short stop for a meal or travel outside the original destination
is allowed if it is agreeable to both parties. The
drivers must be
aware that the clients are often feeling unwell and the clients must
be respectful of the driver's time.
7. If in the course of the trip, there is a concern about the safety,
well being or comfort of either party, it should
be brought to the
attention of the Coordinator as soon as possible.
8. The
driver has the right and responsibility to cancel or abort the trip
if safety is an issue
(eg. poor road or weather conditions,
illness).
9. If for some reason the trip is cancelled or the arranged driver is
unable to make the trip, the SCCR
Resource Coordinator, the
Community Coordinator or the client or driver should be informed as
soon as possible.
When
self or family is driving:
-if
the client is able to arrange his/her own drivers, but requires
assistance with the cost of these trips:
-the
client is subject to the same application process as those clients
who are transported by SCCR’s registered drivers (as above)
-the
client will be responsible for 1/2 of the liability of the clients
who use SCCR drivers.
(see
attached table).
-SCCR
will pay 1/2 of the amount that SCCR’s registered drivers receive.
-meals
and parking will not be reimbursed.
-payment
will be made to the client and it will be his/her responsibility to
pay the drivers. Driver logs must be kept by the client and proof of
attendance at appointments will be required, for example a print-out
from the facility where the appointments were. These drivers are not
registered with SCCR and are not the responsibility of SCCR. The
clients will have the sole responsibility to communicate with these
drivers.
Date of policy: February, 2008
Date of review: January, 2009
Date of revisions: June 2009
CLIENT CONTRIBUTION SCALE
Client contribution scale 2009 (pdf)
ACCOMMODATIONS AND MEALS POLICY
Accommodations and Meals Policy
(pdf)
Date of policy: February, 2008
Date of review: January, 2009
Date of revision: June, 2009
DRIVER'S INFORMATION DOCUMENTATION
Drivers
Information Doc (pdf)
Date of policy: February, 2008
Date of review: January, 2009
Date of revision: June, 2009
Drivers Log
(pdf)
Volunteer Driver Application
(pdf)
Coordinator Log
(pdf)
Expense Form
(pdf)
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