My Freedom Application Upload Form

Please use this form to upload files related to a My Freedom application, such as:

  • Medical Verification Form that has been completed and signed by a physician
  • A scanned document or photos of the front and back of the client's IndyGo Access Card
  • A scanned document of a printed application form

Please note that CICOA must receive a completed application along with the Medical Verification Form or IndyGo Access Card.

Client's Name(Required)
Use this field to upload supporting documents for the My Freedom application. You may upload multiple files if needed. Accepted formats are documents (PDF, Word) or images (JPG, PNG, GIF).
Drop files here or
Max. file size: 10 MB.
    This field is for validation purposes and should be left unchanged.

    Contact CICOA Way2Go Transportation Service

    Call: (317) 803-6153

    Monday – Friday, 8:00 a.m. – 5:00 p.m.