Medical Transportation Costs Details

This page is displayed because you indicated this household member is responsible for medical transportation costs. The page will repeat for each member who was selected as having medical transportation costs. If this was indicated by mistake, remove the record once you reach the Other Bills Summary page.

 

If the individual indicated at the top of the page does not spend money on medical transportation, click the Previous button to navigate back to the Medical Bill Survey page to correct the information entered.

 

Some items have an asterisk (*) next to them, indicating they are mandatory. You must fill in these items before you can continue to the next page.

 

Medical Transportation Cost Details

When entering How much does [Household Member] pay per trip? Only enter two decimal places. Special characters, such as commas, are not allowed.

 

Add Another?

To add another medical transportation cost, select Yes to the question, “Does [household member] have any other medical transportation costs?”

 

Click the Print button to print this page for your reference.

 

If you are applying for SNAP, FITAP, and or KCSP you may click the Complete button to navigate to the end of the application where you can review the rights and responsibilities, sign, and submit the application. Please note that if you are applying for Child Support Enforcement services all required fields must be completed before you can submit your application.

 

Click the Next button to save and continue with the online application.

 

Click the Save & Exit button to exit the online application and save your progress on your application. The application is saved as Incomplete.