Steuben County Council on Aging, Inc.

And  STAR Transportation

Steuben County Council on Aging • 317 S. Wayne St., Suite 1 B • Angola, IN 46703

C.O.A. Office (260)-665-8191  STAR Transportation (260)-665-9856

New Star Logo 19 Brick logo

Reasonable Modification

Request Form


Please complete this form to request a reasonable modification of STAR Transportation services.


Submit the completed form to:  STAR Transportation Coordinator


EMAIL at: [email protected]


MAIL to: 317 S. Wayne Street, Ste. 1-B, Angola, IN 46703


Name: _______________________________________  Todays Date: _____________

Email: __________________________________   Phone Number: ________________

Street Address:_________________________________________________________

City: ___________________________________   Zip Code:_____________________


Description of Your Request:





Are you able to use STAR Transportation services without this modification?  

Yes   No


Please Explain:_________________________________________________________