BRSD ApplicationThanks for your interest in our emergency services! We're thrilled your ready to start using them to enhance your independent living situation. Here's what you need to do to get enrolled.
We encourage all of our clients to review our updated Service Guidelines. We've created these documents to ensure that both our clients and team are treated with respect, while also ensuring quality services for you. Repair Clients are required to sign a waiver before their first repair call. Repeated failures to comply with the rules set in these documents could result in us restricting or terminating the usage of our services. Thanks for your understanding and cooperation.
Repair clients will be required to sign a release waiver in order to use our services.
View ContractAll clients and team members are expected to adhere to these guidelines.
View ContractTerms for usage of our loaner equipment. We may charge for damage done to our power chairs.
View ContractOnce you've submitted your application for BRSD, it's time to register as a client with us. Please complete the form to the best of your ability. All information shared is strictly for reporting on our work to The City of Berkeley. Your identity is never shared, only demographics.
Thanks for taking the time to verify your eligibility for Easy Does It Emergency Services. Please fill out all the required fields to complete your application for service. Upon completion of this form, we'll review your application for accuracy and notify you via e-mail when you are approved.
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